Under the Texas Physical Therapy Practice Act, physical therapists can treat patients directly for up to 30 consecutive business days without a referral. After that, a referral is required by law.

To help us stay compliant, we kindly ask for your support in obtaining one. Referrals can be provided by your OB, midwife, any medical doctor, physician assistant, nurse practitioner, chiropractor, and more.

If you’re worried about getting a referral in time, please let us know — we’re happy to help guide you through the process.

Pelvic floor therapy may be right for you if you’ve been living with challenges such as:

• Pain or discomfort during sex

• Difficulty inserting a tampon

• Avoiding penetrative intimacy

• Pain during orgasm or arousal

• Burning, stinging, tingling, or nagging sensations in or near the genital area

• Trouble reaching orgasm

• Vaginal or c-section scar pain after birth

• Difficulty fully emptying your bladder

• Bladder leaks

• Straining or pain with bowel movements

• Lower abdominal pain

• Perimenopause/Menopause symptoms

If any of these feel familiar, you’re not alone — and you don’t have to just live with it. Pelvic floor therapy can address the root cause, restore comfort, and help you feel more at ease in your body.

Rooted Healing is currently an out-of-network provider. This allows us to focus fully on your unique needs and personal goals, rather than being limited by insurance requirements. Upon request, we can provide a superbill that you can submit to your insurance for possible out-of-network reimbursement.

Your first visit begins with a conversation about your health history, symptoms, and goals. We’ll talk through what you’ve been experiencing and what you’d like to change, so you feel heard and understood.

From there, we’ll assess your posture, breathing, core, hips, and pelvic floor function. This may include an internal pelvic floor exam — always explained in detail beforehand and done only with your consent.

Treatment can include gentle hands-on techniques, guided exercises, breathing work, education, and strategies you can use at home. Every session is tailored to your comfort level and personal goals, with space for questions and feedback at any time.

Not at all — the choice is always yours. While an internal exam can give your physical therapist a more complete picture and open up additional treatment options, many pelvic health concerns can be assessed, diagnosed, and treated externally.

If you prefer to skip the internal exam, simply let us know — your comfort is our priority, and we’ll adjust your care accordingly.

Having your pelvis and pelvic floor assessed during pregnancy can support a smoother labor and delivery, help address pregnancy-related pain, and may reduce the risk of pelvic health concerns later on.

During your prenatal assessment, you and your physical therapist will create a personalized plan and home program to prepare your body for birth and manage discomfort. This may include perineal massage, pelvic floor optimization (both strengthening and relaxation techniques), targeted approaches for pregnancy-related pain relief, and core strengthening and stabilization.

Not at all — it’s completely optional. Your pelvic floor therapy can be just that, or we can integrate Spinal Energetics if you’d like.

Spinal Energetics works with both the physical and energetic aspects of your body, helping release tension, calm the nervous system, and support deeper mind-body connection. Many people find that combining it with pelvic floor therapy can enhance their results and overall sense of well-being, but the choice is entirely yours.