Individualized and Affirming
Pelvic Floor Physical Therapy and Coaching
We want to help you feel healthy and whole
New to Inclusive Care? Start here.
New Patients: 90-minute Initial Consultation
Pricing: $275
Pay-What-You-Can Pricing Available*
Includes:
Initial intake form and exam
Home exercise plan
Treatment plan recommendation
6 weeks accountability software
Email and cell support with 48 hour response time
*Complete this form for more information
Access Dr. Krystyna’s live calendar to book all services and free consultations instantly:
Pelvic Floor Physical Therapy
Customized Sessions:
55 minutes $195 / 30 minutes $150
5 and 10 session packages available
In person or remote for Colorado Residents
Remote Pelvic Floor Coaching
Customized Sessions:
55 minutes $195 / 30 minutes $150
5 and 10 session packages available
For out-of-state clients looking for guidance and support
Cold Laser Therapy for Pain Reduction
SoLá Pelvic Therapy
Complete Pain Reduction Package: $2,500
Includes two (2) 55 minute pre and post treatment assessment visits and nine (9) 30 minute laser and treatment visits
Pelvic Floor Health & Dysfunction
Pelvic floor health plays important roles in strength and stability, sexual arousal and function, pregnancy and delivery, protection of your pelvic organs, staying dry, and being able to empty completely. Yet, it’s not something we learn about in school.
Pelvic floor physical therapy is effective at reducing incontinence and pelvic pain caused by a variety of conditions.
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Pain near the genitals, in the low back, in the hips, or in the abdomen
Urinary or fecal incontinence, with or without sneezing, coughing, vomiting, or laughing
Chronic UTIs but the culture will come back negative
Difficulty with initiating urination or with having a bowel movement
Heaviness in your vagina or feeling like your organs are going to slip out of your body
Inability to orgasm, or pain associated with doing so
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Pain related to Endometriosis
Pain related to Interstitial Cystitis
Urinary, bowel, or gas leakage/ incontinence
Pelvic Organ Prolapse
Vaginismus
Chronic or Persistent Pelvic pain
Painful Sex/ Dyspareunia
Constipation
Painful Ejaculation
Pain secondary to hormone replacement therapy
Pre- and Post- Operative gender affirming surgeries
Pregnancy or postpartum related pain or other symptoms
Pain, leakage, or weakness after pregnancy loss, either by miscarriage or abortion
Weakness, pain, or leaking related to hyper mobility spectrum disorders
Weakness, pain, or leaking related to oncology treatment
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Increasing the range of motion of the pelvic floor, and strengthening the muscles through their entire range
Internal manual therapy to help the muscles relax
Strengthening outside of the pelvis to better support the pelvic floor using weights or the exxerfly flywheel training apparatus
Activities for nervous system downtraining and reduced fight or flight responses, including heart rate variability training
Accountability programs for habit building and home exercise program completion
Adjustments to form during exercise or movement, gait changes, postural recommendations
Specific muscle activation techniques to improve neuromuscular control
Identification of strategies that alleviate your symptoms
External manual therapy of the back, legs, or abs
Recommendations for food and beverage intake for symptoms
Compassionate perspective and guidance for navigating related healthcare services and systems
Pelvic Floor Physical Therapy
In-person in Denver, CO or Remote for Colorado Residents
At Inclusive Care, we don’t rely on a one-size-fits all intervention approach for symptom relief. Each follow up appointment is 55 minutes of dedicated time with Dr. Krystyna Holland and is customized to meet your unique needs in the present moment.
Pelvic Physical Therapy Pricing:
$195 per 55-minute customized session
$150 per 30-minute customized session
Package pricing available. This service may be purchased with FSA or HSA funds and may be eligible to be reimbursed by your insurance.
Remote Pelvic Floor Coaching
For Out-Of-State Clients Seeking Expert Guidance and Support
This option is designed for people who don’t have trauma informed or affirming providers near them, for people who live or are traveling abroad, for folks who know they are having a medical issue but desire informed and compassionate consultation and perspective.
Remote sessions focus more on education as a tool for symptom management versus in-person and manual physical therapy. Dr. Krystyna Holland can provide stories, comparisons and information about patterns she observes in patients that seems similar to your experience. She may make recommendations for which types of providers may be most helpful for enhanced support on your health and wellness journey.
Remote Pelvic Floor Health Coaching Pricing:
Initial Consultation: $275 for 90-minute initial in-take
Follow Up Appointments:
$195 per 55-minute customized session
$150 per 30-minute customized session
Package pricing available. This service may be purchased with FSA or HSA funds, but are not eligible to be reimbursed by your insurance.
NEW! PACKAGE PRICING
Buy sessions in bulk for maximum savings on your treatment plan.
55 Minute Sessions:
5-pack = $850 ($125 savings)
10-pack = $1,500 ($450 savings)
30 Minute Sessions:
5-pack = $650 ($100 savings)
10-pack = $1,150 ($350 savings)
The New Patient Process
STEP 1
Complimentary Compatibility Check
Let’s find out if we’re a good fit! A 20 minute virtual call to make sure that pelvic floor physical therapy is a good treatment option and Krystyna is the right provider for your unique needs
STEP 2
Schedule an Initial Evaluation
A 50-55 minute appointment to really hear your healthcare story, go over a thorough medical history, assess for common contributors to pelvic floor symptoms, and come up with an individualized treatment plan to meet your specific goals.
STEP 3
Customized 30 or 55 Minute Sessions
For individuals with pelvic pain, especially if it has been longstanding, the number of recommended visits is highly variable. For patients with uncomplicated leakage, typical number of visits is between 2-4. Many patients, especially those in CO who are traveling from far away will opt for a combination of in-person and virtual visits.
STEP 4
Ongoing Support Between Visits
You are not on your own between visits. Krystyna is available via email and text message, and most patients opt into using the Inclusive Care accountability software, helping you stay on track with your treatment plan.
SoLá Cold Laser Therapy for Pelvic Pain Management
Persistent or chronic pelvic pain is notoriously difficult to treat, and many of its treatments, like medicine or surgery, have possibly significant side effects. SoLá Pelvic Therapy offers a non-invasive and non-pharmaceutical option for impacting the physiology of the pelvic region, creating pain relief.
95% of patients achieve maximal pain relief after 9 visits over approximately 5 weeks.
Are you or your partner struggling with pain during sex?
The Playbook for Painless Sex
is the expert advice you didn’t know you were looking for!
Written and illustrated by Dr. Krystyna Holland, Inclusive Care’s Founder, 64 pages of inclusive, gender neutral, evidence based guidance on symptom specific strategies to improve your sexual experience.
FAQs
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Pelvic floor physical therapy considers the impact that the pelvic floor muscles, the sling of muscles between your two sit bones, have on your symptoms. These symptoms are typically related to: pelvic or abdominal pain, urinary leakage or retention, pregnancy and postpartum, gender affirming surgeries, procedures related to endometriosis, pelvic cancers, medical abortions, miscarriages, or other pelvic and abdominal surgeries.
Pelvic floor PT uses a combination of exercises, stretches, breathing techniques, symptom trigger assessments, and hands on treatments both inside and outside of the pelvis to improve your symptoms. You are always in control of the aspects of your treatment, and there is never any requirement to do internal work.
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A 50-55 minute intake discussion to voice your healthcare story, go over a thorough medical history, assess for common contributors to pelvic floor symptoms, and come up with an individualized treatment plan to meet your specific goals.
The 20-30 minute exam will likely include things that you know commonly trigger your symptoms. That may be jumping if you’re experiencing incontinence, lifting something heavy if you have back pain, or possibly a pelvic exam if that’s where you typically experience your symptoms. It’s a good idea to wear tennis shoes and clothes you can move easily in.
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Dr. Krystyna Holland, DPT is a “what is the least number of things I can do to get to the result I’m looking for” kind of gal. Based on your symptoms, your values, and your previous experience, we identify interventions that are likely to be big needle movers, and start with those. The part of pelvic floor physical therapy that takes the longest is figuring out what your specific body and nervous system need in order to reduce your symptoms. Once we figure that out, we typically space out your visits in order to give you time to work on those things at home, using the Inclusive Care accountability software to help you stay on track.
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Nothing is ever required of you in the treatment room. Dr. Krystyna Holland, DPT has ways of assessing the pelvic floor muscles that do not require an internal exam, including a live action ultrasound unit, which lets us see what the muscles are doing in real time, only requiring an ultrasound head on your lower belly.
To that end, Inclusive Care uses a trauma-informed treatment approach called “shared decision making,” which means that Dr. Krystyna Holland, DPT will give you as much information as she can about what is going on, what the assessment and treatment options could be, and what the pros and cons of each are. Then you make the decisions about what you think would be the most accessible and most helpful.
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It truly depends on the patient. Inclusive Care has treated patients with significant chronic pelvic pain for as few as 2 visits, and for as many as 20+ over the course of multiple years. Generally speaking, the average number is about 8 visits.
For folks who are experiencing leaking without pelvic pain and are more than 1 year postpartum, the average number of visits is 2-4. For individuals with pelvic pain, especially if it has been longstanding, the number is highly variable.
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Dr. Krystyna Holland is not in network with any insurance companies due to their tendencies to deny medically necessary care and surprise patients with large, unexpected bills. She is able to accept both HSA and FSA funds and is happy to provide you with a superbill to submit for possible reimbursement from your insurance company.
While quality healthcare should be a right extended to everyone, unfortunately this is not a current reality in the US.
With this in mind, we offer a limited number of Pay-What-You-Can appointments.
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Some people find information stress-relieving and some find it stress-inducing. If you are feeling supported and comfortable, and you’ve never had any pelvic floor symptoms, we recommend coming in at about 30 weeks for your labor and delivery preparation appointment. If you want as much information as possible, are trying to cut through the noise of the internet regarding safe activity during pregnancy, have a history of pelvic floor symptoms, or are simply feeling nervous and eyes on, we recommend scheduling now!
Many of our patients are folks who are trying to conceive, or considering trying to conceive and wanting a baseline and some information about what their body is doing before they do.