Services › Pelvic Floor Therapy
PHYSICAL THERAPY IN WILMINGTON, DE
Pelvic Floor Physical Therapy in Wilmington, DE
One-on-one pelvic health care for women and men — in a private treatment room, with a physical therapist who has advanced pelvic health training. No open gym, no rushed visits.
Bladder leaks, pelvic pain, prolapse, postpartum recovery, post-prostate-surgery incontinence, and more. Most patients can start without a referral.
Pelvic floor therapy is for women and men
Pelvic floor problems are common, treatable, and rarely talked about. If any of the following sound familiar, physical therapy may be the right next step:
- You leak urine when you cough, sneeze, laugh, run, or lift
- You feel sudden, hard-to-control urges to go — or you go far more often than you’d like
- You feel heaviness, pressure, or a bulge in the pelvic area
- You have pain in the pelvis, tailbone, lower abdomen, or hips that hasn’t responded to other treatment
- You’re pregnant or postpartum and dealing with pain, weakness, abdominal separation, or a C-section scar that pulls or aches
- You have pain with intimacy or with pelvic exams
- You’ve had prostate surgery and are still dealing with leaking
- You have pain with urination or a chronic, prostatitis-type pelvic pain that tests haven’t explained
- You struggle with constipation or bowel control
- You have surgery scheduled — or recently had it — in the pelvis or abdomen and want to recover well
You don’t need to have a diagnosis to be evaluated. You just need to know something isn’t right.
Conditions we treat
Our pelvic floor program covers the full range of pelvic health concerns for adults of every age.
- Urinary incontinence (stress, urge, and mixed)
- Overactive bladder and urinary frequency
- Pelvic organ prolapse
- Pelvic pain, including chronic pelvic pain
- Bowel dysfunction, including fecal incontinence and chronic constipation
- Pregnancy-related back, hip, and pelvic pain
- Postpartum recovery, including diastasis recti and C-section scar care
- Pain with intimacy (dyspareunia, vaginismus)
- Interstitial cystitis / painful bladder syndrome
- Coccydynia (tailbone pain)
- Men’s pelvic health: post-prostatectomy incontinence, chronic pelvic pain and prostatitis-type pain, pain with urination
- Pre- and post-surgical rehabilitation for pelvic and abdominal surgery
What to expect at your first visit
Many people put off pelvic floor therapy because they aren’t sure what happens in the room. Here is exactly how it works.
A private room, start to finish. Your evaluation and every follow-up take place in a private treatment room with the door closed. You are never treated in an open gym.
Conversation first. Your therapist will start by listening: your symptoms, your history, what you’ve already tried, and what you want to get back to. This takes as long as it needs to.
A full-body look. Because the pelvic floor works with your spine, hips, breathing, and core, your therapist will assess posture, movement, strength, and flexibility — not just the pelvis.
Pelvic floor assessment, only with your consent. The pelvic floor muscles can be assessed externally or internally. An internal exam can give the clearest picture, but it is never required. Your therapist will explain each step, ask before proceeding, and stop at any point you ask. Many patients begin with external assessment only.
A clear plan before you leave. You’ll leave with an understanding of what’s going on, what treatment will involve, and a realistic sense of how long it may take.
No rushing. One patient, one therapist, one room.
Why patients choose The Back Clinic for pelvic health
Always one-on-one.
Every visit is a full session with your physical therapist. No handoffs to aides, no shared time.
Always private.
Pelvic floor care happens in a closed treatment room, not on the gym floor.
Advanced training.
Our pelvic floor program is led by Raven Sims-Worthy, PT, DPT, who has advanced pelvic health training through the Herman & Wallace Pelvic Rehabilitation Institute.
Everything explained.
You’ll understand what your therapist is doing and why — every step, every visit. Treatment moves at a pace you’re comfortable with.
Meet your pelvic floor physical therapist
Raven Sims-Worthy, PT, DPT
Pelvic Floor Physical Therapist
Raven leads the pelvic floor physical therapy program at The Back Clinic. She has completed advanced pelvic health training through the Herman & Wallace Pelvic Rehabilitation Institute, and she treats women and men with pelvic pain, bladder and bowel dysfunction, prolapse, pregnancy and postpartum conditions, and recovery after pelvic or abdominal surgery.
Insurance, referrals, and getting started
We accept Medicare, Medicare Advantage, and most major commercial insurance plans. Pelvic floor physical therapy is covered the same way other physical therapy is: when it is medically necessary and, for certain payers, prescribed by your physician.
Do you need a referral? Delaware allows you to see a physical therapist directly without one. The exceptions are Medicare, Medicaid, motor vehicle accident, and Workers’ Compensation cases, which require a physician’s prescription. If you’re not sure which applies to you, call us at (302) 995-2100 and we’ll check your benefits before your first visit.
Frequently asked questions
Do I need a referral for pelvic floor therapy?
For most patients, no. Delaware is a direct-access state, so you can schedule an evaluation with us directly. If your care is covered by Medicare, Medicaid, a motor vehicle accident claim, or Workers’ Compensation, a physician’s prescription is required. Our front desk can help you figure out which applies.
Is pelvic floor therapy for men too?
Yes. Men have a pelvic floor, and it can cause the same kinds of problems. We treat post-prostatectomy incontinence, chronic pelvic pain and prostatitis-type pain, pain with urination, bowel dysfunction, and recovery after pelvic or abdominal surgery.
What happens at the first appointment?
Your evaluation is one-on-one in a private treatment room. It starts with a conversation about your symptoms and goals, followed by an assessment of how you move, breathe, and use your core and hips. If a pelvic floor muscle assessment would be helpful, your therapist will explain the options and proceed only with your consent. You’ll leave with a plan.
Is an internal exam required?
No. An internal assessment can provide useful information, but it is optional and always your choice. Many patients start with external assessment only. Your therapist will explain what each option tells us and respect whatever you decide.
How many visits will I need?
It depends on the condition and how long you’ve had it. Many patients see meaningful change within the first several visits, and a typical plan of care runs several weeks with one visit per week. Your therapist will give you a realistic estimate after your evaluation and adjust as you progress.
Does Medicare cover pelvic floor physical therapy?
Yes. Medicare covers pelvic floor physical therapy when it is medically necessary and prescribed by your physician. We are a Medicare provider and can verify your coverage before your first visit.
What should I wear?
Comfortable clothing you can move in. Nothing special is needed. Everything else — including whether to proceed with any pelvic assessment — is discussed with you in the room.
Is pelvic floor therapy just Kegels?
No. Kegels are one tool, and for some patients they are the wrong tool. Pelvic floor muscles can be weak, overly tight, or poorly coordinated, and each needs a different approach. Treatment may include manual therapy, breathing and coordination work, strength and mobility exercises, bladder and bowel habit training, and education. Your plan is built around what your evaluation shows.
Ready to get started?
Schedule your pelvic floor evaluation online, or call us and we’ll help you choose a time and verify your insurance.
5550 Kirkwood Hwy, Wilmington, DE 19808 · Mon–Thu 7:30 AM–7:00 PM · Fri 7:30 AM–5:00 PM
Schedule Today
No referral needed*. Book your one-on-one evaluation with a licensed physical therapist.
Or call (302) 995-2100