Women's health physical therapy at ProMotion is based at our Columbia clinic on Rosewood Drive, led by Jillian "Jill" Tyler, PT, DPT, who has advanced training in pelvic health.
What pelvic floor physical therapy treats
The pelvic floor is a group of muscles. Like any other muscle group, it can become weak, too tight, or poorly coordinated — and that shows up in ways people rarely connect to muscles at all.
We commonly treat:
- Leaking urine when you cough, sneeze, laugh, run, or lift
- Urinary urgency or frequency
- Pelvic pain, pressure, or heaviness
- Pain with intercourse
- Pelvic organ prolapse symptoms
- Pain or weakness after childbirth
- Recovery after abdominal or pelvic surgery
- Diastasis recti (abdominal separation)
- Low back, hip, or tailbone pain that has not responded to other treatment
What happens at your first appointment
This is the question most people want answered before they call, so here is a direct answer.
Your first visit starts with a conversation. We will ask about your symptoms, your history, and what you are hoping to get back to. Nothing happens without your consent and nothing happens before you understand why.
An internal pelvic exam is one assessment tool, not a requirement. It is discussed first, it is always your choice, and treatment can proceed without it. Many people are surprised how much of pelvic health work involves breathing, posture, hip strength, and how you manage pressure through your abdomen.
You will be in a private treatment room with the door closed, working one-on-one with your therapist for the whole appointment.
Pregnancy and postpartum
Physical therapy during pregnancy can help with pelvic girdle pain, low back pain, and preparing for delivery. Afterward, it addresses recovery — core and pelvic floor function, scar tissue after a caesarean, and returning to exercise.
Many people are told to wait for their six-week check and then given no further guidance. Physical therapy fills that gap. If you are further out than six weeks — even years — it is not too late.
Menopause and beyond
Hormonal change affects connective tissue, bone density, and pelvic floor function. Joint pain, stiffness, new incontinence, and changes in pelvic comfort are common in perimenopause and after, and they respond to treatment.
Strength training also becomes more important for bone health with age. Our Columbia clinic has a personal trainer on site, so that work can continue after therapy ends.
Orthopedic care for women
Beyond pelvic health, we treat the full range of orthopedic conditions at Columbia — hip, knee, and shoulder pain, osteoarthritis, post-surgical rehabilitation, sports injuries, and tendon problems.
Common questions
Do I need a referral for pelvic floor physical therapy?
We will check your specific insurance plan before your first visit and tell you exactly what it requires. Call our Columbia clinic at (803) 233-1366.
Is an internal exam required?
No. It is one assessment option, discussed with you first, and always your choice. Treatment can proceed without it.
Is pelvic floor physical therapy covered by insurance?
It is usually billed as physical therapy and covered like any other physical therapy. We accept Medicare Part B, South Carolina Medicaid, and most commercial plans, and we verify benefits before your first visit.
How long does it take to see a difference?
It depends on the condition and how long it has been present. Your therapist will give you a realistic estimate at your evaluation rather than an open-ended plan.
Do you treat women who are not pregnant or postpartum?
Yes. Pelvic floor problems affect women at every stage of life, including women who have never been pregnant.
Which location offers women's health physical therapy?
Our Columbia clinic on Rosewood Drive. If you are closer to Camden, Florence, Lake City, or Spartanburg, call and we will help you work out the best option.
Getting started
Call our Columbia clinic at (803) 233-1366 to schedule an evaluation, or see our Columbia location page for hours and directions.
