Women’s and Men’s Pelvic Floor Health

The physical therapists at Hands on Physical Therapy have advanced training in specific anatomy and treatment related to the female and male pelvis and the organs within it. Our training includes both didactic and hands on lab technique courses aimed at in depth and thorough evaluation and treatment of internal and external structures of the pelvic floor. Manual therapy techniques are the primary treatment tools utilized in our approach along with behavior modification, biofeedback, strengthening and/or stretching exercises and diet and lifestyle changes.

Our one on one approach allows us to identify postural and muscular imbalances, intra-abdominal pressure problems and strength deficits. We are very well trained in helping to manage pelvic pain conditions in both men and women.

Myofascial release techniques are the core of our treatment.

Successful Outcomes for Women and Men:
Myofascial Release, manual therapy techniques and proper retaining of the pelvic floor muscles have produced successful outcomes for both men and women, becoming extremely important tools in areas such as:

  • Urinary Incontinence
  • Chronic Pelvic Pain
  • Constipation
  • Sexual Health
  • Fertility
Advantages of manual internal treatment of the pelvic floor

The advantages of manual internal treatment of the pelvic floor are:

  • Identify and treat scar tissue from surgeries
  • Identify and treat muscle spasms of pelvic floor muscles
  • Identify weakness of pelvic floor muscles and define an appropriate exercise program
  • Evaluate directly appropriate muscle contraction while doing pelvic floor exercises
  • Education, biofeedback techniques for the patient to help them understand pain patterns and specific weakness.
Commonly Treated Diagnoses For Women
  • Pelvic pain and dysfunction
  • Bladder and bowel health including prolapses
  • Urinary and fecal incontinence
  • Urgency and frequency
  • Infertility problems
  • Vulvadynia/vestubulitis
  • Endometriosis
  • Menstrual Problems
  • Painful surgical scars and adhesions including episiotomy and mastectomy scars
  • Interstitial cystitis
  • Painful intercourse (dyspareunia)
  • Breast pain – implant and reduction scars
  • Musculoskeletal pain
  • Tail bone, sacroiliac and low back pain
  • Pregnancy and post-partum pain
  • Diastasis Rectus Abdominus (DRA)
  • High Intra-abdominal Pressure problems
Commonly Treated Diagnoses For Men
  • Pelvic pain and dysfunction
  • Bladder and bowel health
  • Urinary and fecal incontinence
  • Urgency and frequency
  • Prostate health/Post prostate surgery education and treatment
  • Erectile dysfunction
  • Musculoskeletal pain
  • Tail bone, sacroiliac and low back pain
  • Interstitial Cystitis (IC)
  • Inguinal and testicular hernias
  • High Intra-abdominal Pressure problems

Note: Gift certificates and Wellness Packages expire 1 year from issue date

Women’s Health Testimonial

I was a new mom with a son I adored. I was excited about the journey we were on, but it had been two months and I was still having problems “down there”.  Problems that doctors don’t tell you about. Problems that are taboo amongst friends. Intercourse was unbearable because it was painful; it often ended in my tears and my husband’s hurt ego.

I had such urgency to get to the bathroom and limited ability to hold it; I was having bladder and bowel accidents regularly. Once my cycle returned I was unable to use tampons; they either hurt too badly or fell out of place. I felt overwhelmed, embarrassed and broken. I placed the call to HOPT; it was a call that changed my life….

Men’s Health Testimonial

I am a 41 year old male, have been married for 13 years, and have two children under the age of 6. I’m sharing this because I feel it’s important for men, their partners, and family to become more educated and empowered to take care of themselves despite the challenges that our own perceptions, those of society, and the healthcare system put in our way. You may or may not identify with my issues, but I hope you’ll come away from this with a feeling that there are others out there like yourself, and you do have the ability to heal yourself.

I started my therapy at Hands On a little over a year ago after picking them off of a list that my urologist gave me….thank goodness I picked them! I went to my urologist because I’d been having unexplained perineal, scrotal, and penis pain for about a year. I’ve had a varicocele in my left scrotum for 20 years, so I’d chalked the pain up to that, but the normal ways I dealt with that pain had not been working, so I booked the appointment. In addition, my father was diagnosed (and successfully treated) with prostate cancer at a very young age. So I figured that going to a specialist to get checked in addition to my normal physicals wouldn’t be a bad idea. As I filled out the paperwork before my initial urologic appointment, I realized just how messed up I was…..

What You Need to Know About Your Appointment

If you are a new patient, you will need to click the button below and review the information on that page prior to your visit. If you have any questions, please feel free to contact us.

Pain Free Starts Here

Or call — 512-310-1928

Recent Blogs


"How do these folks do what they do?! It is not magic, it is science administered by angels. For 3 plus years I have received the benefits of their greatness. One chronic SI Joint problem that had plagued me for most of my life has not visited me now for all of those 3 years. I am a very active yoga practitioner, an old long distance runner, cyclist, outdoor kind of guy that thinks he knows what is right about my body mechanics. A neck injury from a yoga practice caused my Medical Doctor to refer me to them. From absolutely no movement in my neck, significant pain with major impact to my work and my sleep, in a short amount of time, the skilled providers at Hands On solved the problems with my neck and most importantly they taught me what to do to prevent it from happening again...”

- Mike James, Physical Therapy

"Hands On has made a huge difference in my life over the last 6 years. My initial treatment was for severe back and leg pain. Subsequently over the years I have experienced problems caused from age and a car accident. The therapists were able to help with and in some cases alleviate problems where I thought my only recourse was surgery. This is an organization that I have and will continue to recommend time and time again. Everyone from the therapists to the office staff are professional, personable. They all really care and invest themselves in helping find a solution to your needs.”

- Mary Wood, Physical Therapy

"As I grow older, my body does too! I have shoulder, back and neck issues, as well as emphysema. I used to hurt day and night, couldn’t sleep and was miserable. My specialist recommended Hands On and after my first visit I felt better. The whole idea of facial release, the benefits of improved posture, all the things I’m learning about my body and how to feel really well . . . amazing. Everyone at Hands On is professional, kind, helpful, supportive and concerned for my well-being. I wish I had discovered them when I was a child!”

- Pat Ramsey, Physical Therapy

"I came to HOPT with a twisted body and pelvic rotations, up slips, and pain throughout my body. I quickly found that my body responded positively to myofascial release therapy, and all the therapists at HOPT are truly amazing. It's not an over night fix, but it can be a permanent one. I now have a new pain free body and thus a new life. I would give HOPT 10 stars on a 5 star scale.”

- P.T., Myofascial Release Therapy

"After my doctor did a PRP procedure on my knee, he recommended I go to "Hands On" Therapy. I was not familiar with the Myofascial Release technique. After speaking with a couple patients who gave raving reports of their progress, I felt I was at the right place. The therapist explained the Myofascial Release technique to me and enteredmy case history into the computer- Every time I have an appointment I've been impressed that each therapist has already reviewed my case. She sees my progress from their very thorough records. After gentle hands-on treatments to release fascial restrictions and doing the exercises they prescribed for me, my knee area is stronger and the pain level has dramatically decreased. I'm very pleased with my progress. The office staff is also very efficient. Every appointment I've had has been on time, almost to the minute. Now that's amazing! A thank you to all at "Hands On" Therapy,”

- Lorraine Stromberg, Myofascial Release Therapy

Your Best Health is Our Mission

Fax - 512-310-9180


1001 S Mays St STE 101, Round Rock, TX 78664