You are not alone.
One in three women will experience some type of pelvic floor dysfunction in her lifetime.
Many are dismissed or told their symptoms are “normal,” something to just live with, or simply part of aging, childbirth, stress, or athletic activity.
However, chronic symptoms are frequently a sign that the body needs further support and restoration.
Pelvic floor dysfunction can seriously impact our well-being and health. It can negatively impact comfort, movement, confidence, intimacy, and our overall quality of life.
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Many women silently live with:
• pelvic tension or pressure
• discomfort or pain with sitting
• hip or tailbone pain
• leaking with exercise, laughing, coughing or sneezing
• painful intercourse
• core weakness after pregnancy
• symptoms that fluctuate with stress
• a feeling that something “just isn’t right down there"
These concerns are common, valid, and highly treatable.
What is Pelvic Floor Therapy?
The pelvic floor is a group of muscles, fascia, and nerves that acts like a supportive hammock and rests at the base of the pelvic bowl. It acts like a basin, and intimately affects and supports:
• bladder and bowel function
• the reproductive organs
• core stability
• posture and spinal alignment
• sexual function
• breathing mechanics
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The pelvis is the foundation of our posture and supports the low back. It also connects to the hips and abdomen. Different branches of the nervous system make sure it functions properly. Because the pelvis is directly connected to the lower back and its nerves, pelvic floor dysfunction often overlaps with:
low back pain
hip pain
SI joint discomfort
core weakness
postural strain
stress-related muscle tension
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A whole-body, holistic approach is key to lasting improvement.
A Unique Approach
A Whole-Body Approach to Women's Health and The Pelvic Floor
Dr. Marnie Hansen combines chiropractic care, rehabilitative exercise, and gentle manual therapies to help restore coordination and ease within the pelvis and surrounding structures.
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Treatment may include:
• pelvic floor rehabilitation
• gentle chiropractic adjustments
• myofascial release
• craniosacral therapy
• postural rehabilitation
• breath and nervous system work
• core retraining
• movement guidance
• lifestyle and nutrition considerations when appropriate
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It takes a team to heal. Care is individualized and always guided by patient comfort.
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Internal pelvic techniques are only used when appropriate and with clear consent as Dr. Marnie's approach is trauma-informed and compassionate. Many patients benefit from external treatment alone.
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The goal is to unlock the body’s natural ability to heal and restore balance through providing a sense of deeper embodiment and well-being.
Why Choose a Chiropractor for Pelvic Floor Care?
Understanding the connection between the spine and the pelvis.
Doctors of Chiropractic receive extensive training in:
Biomechanics
Neurology
Orthopedics
Rehabilitative exercise
Physiotherapy
Spinal and pelvic function
Because the spine, sacrum, and pelvis directly influence pelvic floor muscle tone and coordination, addressing spinal alignment and movement patterns can be an important component of pelvic floor care.
Dr. Hansen holds certification through the National Board of Chiropractic Examiners in both Chiropractic and Physiotherapy and has completed advanced training in pelvic floor rehabilitation, postural correction, and functional movement.
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Her clinical approach integrates:
Pelvic floor therapy training from Herman & Wallace
The Female Athlete pelvic rehabilitation coursework
Gyno Chiropractic pelvic floor certification program
Extensive spinal rehabilitation training
Craniosacral therapy
Yoga-based movement therapy (from her years as a yogi, and teacher training)
Institute of Functional Medicine training in hormones, gut health and environmental health
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This allows for well balanced care that address both local pelvic concerns and whole-body contributors.
Conditions Commonly Addressed
Pelvic Floor Therapy May Help With:
Pelvic pain
Painful intercourse
Tailbone pain
Hip pain or tension
Low back or sacroiliac joint pain connected to pelvic imbalance
Urinary leakage or urgency
Pelvic pressure or heaviness
Postpartum Recovery
Diastasis recti support
Pubic symphysis discomfort
Fertility support and preparation
Menopause-related pelvic changes
Hormone support
Perimenopause support
Endometriosis support
Pelvic muscle tension patterns
Athletic pelvic floor strain or injury
Abdominal tension patterns
Persistent tightness despite stretching
Interstitial Cystitis
Pelvic Organ Prolapse
Rectal pain or dysfunction
Labor preparation and Prenatal support
C-section Recovery
Perineal Tearing
PCOS Support
Hysterectomy Support
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If you are unsure whether pelvic floor therapy is right for you, a complimentary consultation can help determine next steps!
What to expect at your first visit
A supportive and individualized experience.
Initial visits are typically 60–90 minutes and include:
A detailed health history
Postural evaluation
Movement assessment
Orthopedic testing when appropriate
External pelvic muscle assessment
Imaging review when appropriate
Discussion of contributing factors
Gentle hands-on care as indicated
Internal pelvic floor assessment is not always necessary and is only performed when appropriate and with explicit consent.
Every step of care is collaborative, respectful, and paced according to comfort level.
Many patients begin with:
Education
Gentle manual therapy
Simple exercises
Postural awareness
Nervous system support strategies
Breathwork training
Care plans are individualized based on goals and findings.
Who this care is for
This approach may be a good fit for you if you:
Prefer a whole-body approach
Want more time with your provider
Feel your symptoms have multiple contributing factors
Have tried other therapies without complete relief
Want care that integrates movement, alignment, and nervous system support
Are seeking preventative pelvic health care
Value a collaborative and respectful clinical environment
Are looking for support with fertility or perinatal care
Are looking for straightforward treatment plan options
Need help with perimenopause or menopause support
Have been struggling with pelvic pain and dysfunction and want honest answers
About Dr. Marnie
Dr. Marnie Hansen is a Doctor of Chiropractic with over ​seventeen years of experience treating spinal and pelvic pain. She has advanced training in pelvic floor therapy, rehabilitative exercise, postural correction, and integrative holistic musculoskeletal care.
Her background includes:
Doctor of Chiropractic – Western States University
National Board of Chiropractors (NBCE) certification in Physiotherapy
Herman & Wallace Pelvic Function Training
Gyno Chiropractic Pelvic Floor Training Program
The Female Athlete pelvic rehabilitation coursework
Upledger Institute Training in Craniosacral Therapy I & II, and Somato-emotional Release Therapy
Yoga Teacher Training
Chiropractic Biophysics postural rehabilitation training
Functional Medicine coursework through the Institute for Functional Medicine
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Her clinical focus integrates structural care with nervous system regulation, movement retraining, breathwork and individualized patient education.
FAQ's
Do I have to have an internal exam?
No. Many patients benefit from external techniques alone. Internal work is only used when appropriate and always discussed beforehand.
Is pelvic floor therapy only for postpartum women?
No. Women of all ages may benefit, including athletes, professionals, and those experiencing stress-related tension patterns.
How many visits will I need?
Each care plan is individualized. Some patients benefit from short-term care, while others choose longer support depending on goals.
Can this help low back or hip pain?
Yes. The pelvic floor is closely connected to the spine, hips, and core muscles.
Becky F
Dr Marnie is amazing! I've had multiple therapists for neck, shoulder, and pelvis work; then found her. Being strategic with my treatment, let alone time, is a no brainer. I'm a big fan of integrative medicine, and can't wait to see my body transform
Hannah A
If you’re looking for a pelvic floor PT, or chiropractor, or craniosacral therapist, you’ve found her. Dr. Marnie is the best of the best. I’ve been to Reborn for pelvic floor PT and my experience with Dr. Marnie was so much better than with Reborn. She is so knowledgeable, caring, and respectful; she has fabulous bedside manner. I knew I could trust her from the very start. She helped me totally heal my pelvic floor pain postpartum and worked with me to release my pelvic floor trigger points while trying to conceive which was successful! Baby #2 due in November! I will not go to anyone else for pelvic floor PT.
I also see her for chiropractic care and her adjustments are my favorite as well. I’ve been to several chiropractors and she’s best. She is so good at what she does and I’m so grateful to have found her.
Katherine N
Absolutely great experience!
I am 7 months pregnant and was struggling to breathe and walk. I thought it was a part of being pregnant but it was getting really bad with inflamed joints throughout my body and pelvic floor pain. I thought I was doing everything I could to eat well, bike, walk but could barely walk 2 miles a day. Breathing was so hard and I was so tired.
After just 3 visits, I can breathe normally and am able to walk 5 miles. I have been to so many health and body workers over my lifetime (not pregnant). Partly sports injuries, partly life traumas, and just enjoy the different modalities at this point.
Dr Marnie encompasses a wealth of techniques, connections that I really appreciate. You can tell she understands how it all works together. It helps to have someone see you when you can’t see yourself. This is the best thing I have done
for my whole pregnancy.