Let’s clear something up: just because you had a belly birth or C-section doesn’t mean your pelvic floor is off the hook. I hear it all the time—“But I didn’t push… do I still need pelvic floor therapy?”

Short answer: yes.
Long answer: yes, and here’s why.
C-sections are major abdominal surgeries. And pregnancy itself? A total full-body event that impacts your core, pelvic floor, posture, breath, and more. So whether your belly birth was planned, unexpected, or somewhere in between, your body still deserves thoughtful recovery—and that includes your pelvic floor. It blows my mind like the friggin emoji, when a provider shrugs off a request for pelvic floor therapy following a belly birth.
Here’s how pelvic floor therapy supports healing after a C-section:
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- Reconnect with Your Core and Pelvic Floor
Your abs and pelvic floor muscles don’t get a free pass just because you didn’t deliver vaginally. Pregnancy stretches, weakens, and alters how these muscles function.
Pelvic floor therapy helps you re-engage those deep stabilizers—restoring strength, coordination, and control. We’re talking better movement, fewer weird aches, and way more connection to your core. In fact, recent research calls for core connection important within 8 weeks after baby is born to improve the fascial integrity holding the abs together.
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- Scar Tissue Work? Game Changer.
That C-section scar isn’t just skin-deep. Underneath, adhesions can form—tugging on fascia, limiting mobility, even impacting how your organs move and function.
Therapists (like me!) use gentle, hands-on techniques to mobilize scar tissue and reduce restriction. You don’t have to live with the pulling, numbness, or disconnect.
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- Leaks? Still Happen.
Surprise! C-sections don’t guarantee you’ll avoid bladder or bowel leaks. Pregnancy itself can put a ton of strain on the pelvic floor, not to mention genetics.
In therapy, we rebuild strength and control so your body knows how to respond when you sneeze, laugh, or lift a car seat.
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- Pelvic and Low Back Pain = Common, Not Normal
A shifted center of gravity, core weakness, scar tension—it all adds up to nagging aches and pain.
Pelvic floor therapy looks at your alignment, posture, and movement patterns to help bring your body back into balance. Because you deserve to move with ease—not wince every time you stand up.
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- Diastasis Recti? Still a Thing.
Even without a vaginal birth, abdominal separation (aka diastasis recti) can still be on your postpartum bingo card.
We address breath mechanics, core activation, and daily movement habits to support healing—because crunches aren’t the answer.
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- Sex Doesn’t Feel Right? You’re Not Alone.
C-sections don’t automatically protect you from painful sex. Scar sensitivity, nerve involvement, and muscle tension can still play a role.
Therapy can help you feel more comfortable and confident in intimacy again. Yes, even if it’s been a while.
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- Recovery Isn’t Just Physical—it’s Empowering
After surgery, it’s easy to feel disconnected from your body. Maybe you’re not sure how to move safely. Maybe you’re just overwhelmed. Sometimes belly births are planned, sometimes they feel more emergent and scary- that trauma stays in our tissues!
Pelvic floor therapy isn’t just about exercises—it’s education, energetics, support, and permission to come back home to your body.
You did something incredible. Now let’s help you feel strong, functional, and confident again.
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Belly birth mamas—you’re not broken. But you do deserve recovery that respects your story.
Pelvic floor therapy meets you right where you are and helps you reconnect, rebuild, and thrive.
Love and light,
Becca