Pelvic Floor Massage: A Path to Healing

When I first started my training in structural integration, I never imagined I’d be guiding people through a form of bodywork that involves such a deeply personal area: the pelvic floor. But as I began working with patients, I quickly realized just how powerful and transformative pelvic floor therapy can be for so many people.

What is the Pelvic Floor?

The pelvic floor is essentially a hammock of soft tissue, muscles, and connective tissue, stretched between your pubic bone and tailbone. It’s unique to each of us, and it bears the weight of gravity. What’s fascinating—and also a bit scary—is that there’s no bony structure holding it all together. Over time, especially with falls, injuries, or poor posture, the pelvic floor can get strained, scarred, and imbalanced. This is where the healing begins.

What Exactly Does Pelvic Floor Therapy Involve?

I often explain to my patients that pelvic floor therapy isn’t about “just muscles.” It’s about fascia, connective tissue, and nerve work that allows us to understand how we’re holding ourselves posturally. We all carry our unique history in our bodies. Maybe you’ve fallen on your tailbone or had a back injury years ago. That kind of trauma can create scar tissue and lead to imbalances in your tissues that affect the pelvic floor. Pelvic floor therapy works to bring balance and release tension, just like any other area of the body—neck, shoulders, or jaw. And it’s often surprising how much can be resolved by addressing these deep structures.

Why Might You Need Pelvic Floor Massage?

Many of my patients come in with issues like chronic low-back pain, knee pain, or even sciatica. Interestingly, even men (who typically think pelvic floor therapy is only for women post-birth) benefit from this treatment. I often treat men dealing with tailbone injuries or persistent back pain. The pelvis is at the center of everything—so if one part of your body is struggling, other areas will compensate. Over time, this imbalance can lead to joint pain or nerve issues.

Pelvic floor massage can help with a wide range of issues, including:

Incontinence
Menstrual pain
Chronic hemorrhoids
Prostate issues
Erectile dysfunction
Sciatica
Chronic back/knee pain
Enuresis
And more

For anyone suffering from pelvic, reproductive, or urinary issues, pelvic floor work can be a key part of the solution.

The Treatment: What to Expect

During a pelvic floor session, you wear shorts and lie on the table. The treatment lasts about 60 minutes and can be intense, but it’s always done gently and carefully. I want my patients to feel comfortable and informed—so before we start, I will walk through exactly what I’m going to do. Communication is key, and you’re free to stop the session at any time. It’s paramount that you feel safe and in control throughout the process.

We focus on working with the muscles around the pelvis, including the pubic bone, groin, glutes, sacrum, and sitz bones. While we do work in some vulnerable areas of the body, rest assured, I do not perform any internal work or touch the genital area. Pelvic floor therapy is about balancing the tissues around those areas, not intrusively “working inside.”

One of the most surprising elements of this therapy is how deeply we can affect the body in such a gentle way. By using trauma-informed care, we can address the fascia, ligaments, tendons, and scar tissue without being aggressive. In fact, sometimes less is more.

How Long Does It Take?

Typically, people see results in just 1-3 sessions, and many only need one. It really depends on the issue being treated. Some patients need follow-up treatment, which can sometimes involve rotating between pelvic floor therapy and other forms of bodywork. Because the treatment is so gentle, injuries are minimal, and the effects can be lasting.

Post-Treatment: Healing & Integration

After a pelvic floor session, I recommend patients get a regular massage or chiropractic adjustment to help their body integrate the work. The pelvic floor is foundational to how we carry ourselves, so realigning the rest of the body helps the healing process.

Emotional release is also something I prepare my patients for. Sometimes, during or after a session, people experience shaking, crying, or a rush of emotions. It can feel intense, and often you know exactly why it’s happening; other times, you may not. Either way, I encourage you to let it out! It’s all part of the healing process.

Getting Started with Pelvic Floor Therapy at Hosmer Chiropractic Health

At Hosmer, patients typically don’t come directly to me for pelvic floor massage. Instead, they’re referred by one of our chiropractors or other practitioners who think this treatment might benefit them. Once I’ve had a chance to discuss it with you and we’re on the same page, we schedule a session. There’s no hard sell; it’s about building trust, understanding, and making sure you’re fully informed.

I’m lucky to work in a space that emphasizes continuity of care. I partner with our chiropractic team to ensure that we’re always on the same page about your treatment and working toward the best possible results.