Incontinence and Prolapse


Urinary incontinence--the loss of bladder control--is a common and inconvenient problem. The severity of symptoms range from occasionally leaking urine when you cough or sneeze (stress incontinence), to having an urge to urinate that is so sudden and strong you don't get to a toilet in time (urge incontinence). In most cases, physical therapy can resolve symptoms and ease discomfort by strengthening or relaxing the muscles of the pelvic floor, depending on the exact nature of the condition.

Pelvic Organ Prolapse

Pelvic organ prolapse (POP) can occur when the muscles and ligaments supporting a woman's pelvic organs weaken, and the pelvic organs slip out of place (prolapse). Women can develop pelvic organ prolapse due to the following factors:

  • childbirth
  • hysterectomy
  • menopause
  • chronic coughing
  • heavy lifting

The three most common types of prolapse are cystocele (vagina), rectocele (rectum), and enterocele (uterus). Pelvic organ prolapse can be addressed by strengthening and improving the stability of pelvic floor muscles.


During your first appointment, Tanya will take your medical history, and then provide a thorough musculoskeletal exam of your pelvic region, evaluating posture, joint alignment, muscle restrictions or “trigger points,” connective tissue health, muscular strength, and typically an internal examination. The internal exam is performed in a relaxed, comfortable setting, and provides critical information to the physical therapist about your condition. After the exam, she will explain all of her findings and provide a treatment plan. Treatment plans typically consist of 6-12 follow up visits, with patients usually feeling better after the first visit, and showing significant improvement over the course of full treatment.


Tanya is accepting new patients at her practice in Belmont, CA.

To schedule an appointment, please email or fill out the form below. Please note any information you provide is entirely confidential.

Name *
I had been avoiding high impact activities for years because they caused me to ‘leak’ even with a pad, eventually sneezing and coughing became a problem as well. When I talked to my friends, I realized it was a common problem called stress incontinence, that many women live with and accept. Kegels didn’t work. My OB recommended seeing a pelvic floor therapist. Tanya realized that I had diastasis recti and showed me exercises to close the gap and strengthen my pelvic floor muscles. I was very skeptical at first but willing to try, thinking I would eventually require surgery. Two months later, I can run, sneeze, cough without ‘leaking’. It’s exhilarating to have control over my body again, and it was so easy and fast. I can’t thank Tanya enough, she’s great, she’s makes you feet so comfortable, she’s very positive and professional.
— AN, Berkeley