Pelvic floor therapy is a specialized area of care focused on the muscles of the pelvic floor, related structures, posture, breathing mechanics, and overall pelvic health. Unlike general OT and PT, it requires advanced training to address issues like pelvic pain, bladder and bowel changes, core support, and concerns during pregnancy and postpartum.

At Charleston Pelvic Health, our therapy is led by an occupational therapist who takes a whole-person, function-focused approach. OTs are trained to consider how your daily activities, habits, and emotional well-being affect your health. We look for the root cause to go beyond symptom relief—so you can live life the way you want, comfortably and confidently.

Pelvic floor therapy is much more than Kegels! Many people are doing Kegels incorrectly—or don’t even need strengthening, but rather relaxation or coordination of the pelvic floor. Pelvic floor therapy with Charleston Pelvic Health involves a full-body approach that includes breathing, posture, movement, and tailored strategies—not just isolated exercises.

No referral is required to begin pelvic floor therapy with Charleston Pelvic Health. South Carolina offers direct access to occupational therapy services, which means you can start care without a prescription.

However, if you plan to submit for insurance reimbursement, your insurance provider may require a referral. Please check with your insurance company to understand their out-of-network reimbursement requirements. 

We are an out-of-network provider, which means we do not bill insurance directly, and payment for sessions is due at the time of service. We accept cash, check, credit/debit cards, and HSA/FSA cards. 

We can provide you with a superbill (a detailed invoice) that you can submit to your insurance for possible reimbursement, depending on your out-of-network benefits.

To be completely honest, insurance companies are not kind to healthcare providers. Reimbursement rates for therapy have been steadily decreasing, and insurance often dictates how many visits you can have, how long those visits are, and even what types of treatment you can receive—regardless of what you actually need.

By remaining out of network, we’re able to:

• Spend more one-on-one time with you during each session

• Tailor treatments specifically to your needs and goals, without insurance limitations

• Offer transparent pricing—you’ll never get a surprise bill months later

• Get you scheduled sooner, avoiding long waitlists common in traditional clinics
  

This model allows us to provide high-quality, personalized pelvic health care—especially important for the pregnant, postpartum, and neurologic populations we serve.

Because every person's needs and goals are different, we take the time to speak with you in our free discovery video call before starting care. This allows us to better understand how pelvic floor therapy can help you—and to recommend a plan that makes sense for you. We’re happy to share detailed pricing during that conversation and answer any questions you have about the process, what to expect, and how we support you every step of the way.

Charleston Pelvic Health operates as a mobile pelvic health practice, meaning we bring therapy directly to you—in the comfort and privacy of your own home.

We serve clients throughout the Charleston, SC area, including:

• Daniel Island

• Mount Pleasant

• Isle of Palms

• Sullivan’s Island

• Downtown Charleston (the peninsula)

• James Island

• West Ashley

• John’s Island

• North Charleston

We also offer virtual follow-up visits for local clients, as well as telehealth pelvic floor services for those living outside the Charleston area. 

No - an internal exam is not necessary to get relief from your symptoms. It is simply one of many assessment tools available to us. At Charleston Pelvic Health, client comfort and safety are our top priorities. That’s why we offer a variety of options to assess the pelvic floor, ensuring that each client’s preferences and comfort level are respected. To learn more about the different options, please check out this blog post. 

Absolutely not! It’s never too late to address pelvic floor concerns. Whether you had your baby 1 year ago or 20 years ago, pelvic floor therapy can help improve symptoms, function, and quality of life. 

Appointments are typically 60 minutes, although your initial evaluation will be 90 minutes. Depending on your needs and preferences, shorter 30 or 45 minute sessions may be appropriate. The number of sessions depends on your specific condition, goals, and progress—but most people start to notice improvements within a few sessions. We’ll reassess regularly and adjust the plan as needed.