Frequently Asked Questions

At Tonic & Phasic, we use a hybrid model that incorporates the use of both remote pelvic health coaching and in person physical therapy. A pelvic health coach is a trained professional who specializes in providing guidance and support for individuals facing pelvic health issues. They possess expertise in areas such as pelvic floor dysfunction, pain, and related conditions. A pelvic health coach works with clients to create personalized plans that may include lifestyle adjustments, exercise routines, and self-care strategies to improve pelvic health and overall well-being. They often offer education, motivation, and accountability to help clients achieve their health goals in a holistic and empowering way. Please note that while pelvic health coaches can provide valuable support, they are not licensed medical professionals and should not replace the advice or treatment of a qualified healthcare provider for specific medical conditions.

With in person Physical Therapy: we utilize the same concepts (our four pillars of pelvic health blueprint) and structure this with hands on treatment.

Each initial evaluation starts with a virtual visit to guide you in the best fit. We will assess if you need hands on immediately, or if we can give you the tools to heal yourself for the first few visits.

In our combined 12+ years of experience, we have noticed that the first few visits is setting a foundation for healing can successfully be established through virtual coaching.

Please wear whatever is most comfortable for you

You should have filled out the intake form 48 hours before your appointment to allow appropriate time for us to review.

Know you are in the right place, as we have screened you if you are the right fit for our practice!

Our doctors of physical therapy will review your history with you and determine a plan of care.

No, you don’t! In California, you can see a physical therapist for up to 12 visits or 45 days before needing a doctor’s prescription. Not only can you start PT now, but we can also help connect you to the medical providers that will help your specific condition if needed.

Both our in-office pelvic floor physical therapy and remote pelvic health coaching appointments cost $250 for an initial consultation, and $215 for a follow up. Each appointment is 55 minutes. Extended appointments times available upon request, please contact for pricing.

We work hard to create a plan of care that not only addresses your physical concerns but also accommodates your financial situation. If you cannot afford enough PT sessions for your “ideal plan of care,” we can design a plan of care that works for you, including spacing out your sessions and providing exercises and self-directed practical solutions during your sessions to help you stay on track.

Yes! It benefit you in many areas of your life including optimizing core function, bladder/bowel/sexual function, improving participation in everyday activities and hobbies (including sports), reducing pain, improve digestive function, and improving our connection to ourselves.

Yes! There are many reasons why someone may be unwilling or unable to participate in internal vaginal/rectal treatment and that’s ok. We have many tools at our disposal to provide you quality care. Most likely, internal assessment and treatment of the pelvic floor in addition to other interventions outside the pelvic floor will give you the best outcomes for your situation, however we understand when this is not possible. During our sessions, we carefully explain what we are doing and why. We always respect your requests to modify your treatment plan based on your needs.

It’s usually best to start in the first trimester or the beginning of the second trimester to take baseline measurements and create a plan of care tailored for you. If everything goes as planned and you don’t experience pain (pelvic, back, abdominal), we recommend one PT appointment every 6-8 weeks to check in and update your plan of care. As your third trimester is coming to a close (around 3-4 weeks prior to your due date), we recommend more frequent visits to prepare for birth including perineal mobility, labor positions, optional partner training, pushing strategies, biofeedback, and manual physical therapy to optimize pelvic mobility for birthing.

It’s usually best to start pelvic PT when you are able to comfortably drive yourself. Usually this is between 4-6 weeks post-vaginal birth and 6-8 weeks post-cesarean birth.

In some cases, with clearance from your OB/GYN or primary care physician, you can start PT earlier if you are experiencing abnormal pain (pelvic or any other part of the body that may be related to your muscles or fascia) or other abnormal pelvic symptoms. Since most physicians will not clear you for internal vaginal treatment prior to 4-6 weeks after your delivery, you can communicate to your referring physician that your pelvic floor physical therapist can avoid internal treatment until they are cleared to do so and use other external techniques to help you in the meantime.

Yes! A significant portion of our patients have male anatomy. You can find out more about of what we treat by clicking here