Pelvic Floor Rehab in Portland, OR | Prenatal & Postpartum Care
Pelvic Floor Rehab in Portland, Oregon
Prenatal, Birth Prep & Postpartum Recovery at Jewell Chiropractic & Wellness
You deserve more than just symptom management.
In many countries, pelvic floor rehab is standard of care during pregnancy and postpartum. Here in the US, it's often treated as optional — or something you seek out only after things go wrong.
We believe that needs to change.
At Jewell Chiropractic & Wellness, Pelvic Floor Rehab is woven into everything we do — from your first prenatal visit through postpartum recovery. Not because it's a trend, but because your pelvic floor is the foundation of your core, your stability, and your long-term health. Our providers incorporate training from Herman and Wallace, Global Pelvic Health Alliance, The Tummy Team and Institute for Birth Healing in order to tailor each treatment to the individual with a wide variety of techniques.
A Whole-Body Approach to Pelvic Floor Health
Most pelvic floor rehab focuses on the pelvic floor in isolation. We treat the entire system.
Your pelvic floor doesn't work alone. It's in constant communication with your diaphragm, your core, your spine, and your nervous system. When one part of that system is off, the whole thing compensates — and compensation leads to pain, dysfunction, and the feeling that your body just isn't working the way it used to.
Why Our Approach is Unique
By combining Pelvic Floor Rehab with chiropractic care, we address:
- Pelvic and spinal alignment
- Breathing mechanics and pressure management
- Core coordination and functional strength
- Movement patterns you actually use every day
This is especially important during pregnancy, when your body is adapting constantly — and postpartum, when it's working hard to find its new normal.
What We Assess and Treat
Pelvic floor dysfunction shows up in three main ways, and we look for all of them:
Tension and Pain: Tight, overactive muscles can cause discomfort with movement, pelvic pain in pregnancy, or pain with penetration. This is often overlooked — but it matters enormously for birth and your quality of life.
Weakness: Insufficient support can lead to instability, leakage, or that feeling of heaviness that so many women are told is just "normal" after having babies. (Hint its not!)
Pressure Management: How you breathe, brace, and move directly affects your pelvic floor — and this is one of the most overlooked pieces of the puzzle. We teach you how to manage intra-abdominal pressure in real life, not just in the clinic.
Pelvic Floor Rehab for Birth Prep
If you've been wondering how to prepare your pelvic floor for birth — you're asking exactly the right question.
Most women are told to wait and see how labor goes. But your body can be prepared ahead of time, and the difference that makes is real.
Through targeted birth prep, we work with you to:
- Learn how to push effectively and relax your pelvic floor for birth
- Coordinate breath, pressure, and movement during labor
- Reduce your risk of longer pushing times, tearing and prolapse
Research suggests that this kind of preparation can reduce the risk of tearing, lower the likelihood of prolapse, shorten pushing time, and decrease the need for interventions. This isn't just hopeful — it's what we see in our patients every day.
Pelvic Floor Rehab During Pregnancy
Pelvic pain in pregnancy is common. It is not something you simply have to endure.
Whether you're experiencing SI joint pain, pubic symphysis dysfunction, low back pain, or general pelvic instability, we assess what's actually happening in your body and treat it — with care that's always trauma-informed and always patient-led.
We also address the things that quietly contribute to dysfunction but rarely get discussed: how you breathe, how you sit, how you lift, how you move through your day.
Postpartum Pelvic Floor Recovery & Diastasis Recti Rehabilitation
The biggest mistake we see in postpartum recovery is waiting.
Many women don't seek care until they've already returned to exercise, started experiencing leaking, or noticed a heaviness or bulging that doesn’t feel right. By then, they've often been compensating for weeks or months.
While pelvic floor rehab is most effective when started early — it is never to late to start and there are always benefits!
We recommend an assessment regardless of how you delivered, and even if you don't have symptoms. Because pelvic organ prolapse prevention, core recovery after pregnancy, and diastasis recti rehabilitation all benefit your future self, reducing your risk prolapse and incontinence in your 60s and beyond.
Diastasis recti — the separation of the abdominal muscles that happens during pregnancy — affects the function of your entire core. A weak or uncoordinated core contributes to back pain, pelvic floor dysfunction, and instability. Our progressive rehabilitation approach rebuilds strength and coordination from the inside out, in a way that fits into your actual life as a new parent.
Postpartum conditions we treat include diastasis recti rehabilitation, pelvic floor dysfunction, urinary leakage, pelvic organ prolapse symptoms, pain with movement or exercise, and C-section scar tissue recovery.
What a Session Looks Like
Each visit is 45 minutes — enough time to actually address your body as a whole.
We typically spend about half the time on pelvic floor rehab and half on full-body care, including chiropractic adjustments, muscle work, functional rehab, and real-life movement strategies. Your session may include internal pelvic floor assessment and treatment (done at your comfort level, always), breathwork and core coordination training, and home recommendations so your progress continues between visits.
You won't leave with a list of 15 exercises you'll never get to. You'll leave with tools that integrate into your daily life.
Insurance & Billing
As a chiropractic clinic in Oregon, pelvic floor rehab and rehabilitation are within our scope of practice. We bill manual therapy, therapeutic exercise, and functional movement codes — which most insurance companies apply toward PT benefits — as well as chiropractic adjustment codes applied to your chiropractic benefits.
Why Families Choose Jewell Chiropractic & Wellness
Families searching for pelvic floor rehab in Portland choose us because we specialize in pregnancy and postpartum care, we combine pelvic floor rehab and chiropractic care into one visit, and we focus on prevention — not just relief.
We provide individualized, trauma-informed care. We prepare you for birth you desire and the recovery you deserve. And we treat you as a whole person, not a list of symptoms.
You deserve comprehensive care that meets you where you are — and helps you get where you want to be.
Frequently Asked Questions
- Can I do pelvic floor rehab during pregnancy?
Absolutely! Pelvic floor rehab is safe to do throughout pregnancy, starting in the second trimester, and is less invasive than your OB or midwife checks. - When can I start pelvic floor rehab after giving birth?
We start with pelvic floor rehab and core rehab after 6 weeks or when you’ve been medically cleared by your birth provider. - How long will I be doing pelvic floor rehab?
Most treatment sessions range from 6-8 visits and may include some follow ups ongoing depending on what your issues are. - Is there anything I can do for my pelvic floor if I don’t want internal work?
Yes! While the internal work is necessary to get a full picture of what’s going on specifically we can always provide stretches, exercises and self release techniques that don’t include internal work based on your symptoms and goals.
