Pelvic Health PT

Pelvic Health PT 2 uai

Pelvic health physical therapy focuses on issues related to the core of the body. This includes structures connected to the bony pelvis (lumbar spine, sacrum, SI joint, and tailbone). In addition, all of the vital functions that occur in the abdominopelvic region, such as digestion and sexual health, are addressed with this type of therapy. A pelvic health PT has advanced training in bowel/ bladder health, pregnancy and postpartum issues, sexual health, and orthopedics.


  • Urinary incontinence (leakage), including during sports activities
  • Urinary urgency and frequency
  • Fecal incontinence
  • Constipation and difficulty with bowel movements
  • Pregnancy and postpartum related pain issues
  • Vaginismus (pain with penetration such as tampon insertion)
  • Bladder pain
  • Abdominopelvic pain after colorectal or gynecological surgeries
  • Pelvic organ prolapse (ex. bladder, uterus, rectum)
  • Pain with sexual intercourse, orgasm, or erection
  • Endometriosis
  • Low back and sacroiliac pain
  • Hip pain
  • Tailbone pain
  • Osteoporosis
  • Abdominal muscle separation (diastasis recti)
  • Pain with menstruation and ovulation
  • Pudendal neuralgia
  • Rectal or testicular pain
  • Groin pain, including after hernia surgery

Meet our Pelvic Health Physical Therapists:

Dr. Mandy Roscow, DPT

Mandy has been practicing in the field of physical therapy for over 18 years. Early in her career, she discovered her passion for treating women’s health issues. Eventually, she also expanded her knowledge base into men’s pelvic health as well. She has taken extensive education in manual therapy skills for the abdominopelvic region. She has worked in various clinical settings, all with a focus on pelvic health.

In addition to clinical care, Dr. Roscow has participated in research publications and is adjunct faculty at Santa Fe College. With extensive experience in the treatment of patients with pelvic health issues, she recognizes the importance of all functions of this region for your quality of life. Dr. Roscow will address your concerns with respect and kindness, and wants to assist you in meeting all of your health goals. She is currently working towards a postpartum fitness specialization.

Dr. Rachel Peck, DPT

Rachel received her Doctorate in Physical Therapy from Eastern Washington University and has experience in treating both pelvic health and orthopedics. Originally from northern Utah, Rachel attended Utah State University and received her Bachelor’s Degree in Human Movement Science before moving to Washington state for her Physical Therapy program. Rachel firmly believes that all people deserve access to quality, equitable healthcare and is committed to providing excellent physical therapy to all of her patients. Using a combination of hands-on manual therapy, prescribed exercises, and pain-relieving modalities, Rachel works with patients to fulfill their goals and return to optimal function.

Mandy GWP


Pelvic Health Physical Therapist

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Dr Rachel Peck


Pelvic Health Physical Therapist

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Pelvic Health 01 1

Although this type of physical therapy focuses on the abdominopelvic region, the body is evaluated as a whole. Our pelvic health therapists use their skills as a musculoskeletal expert to look at all components of the core. Connections exist between the respiratory diaphragm, abdominal muscles, low back and the pelvic floor. These are all examined during your 90 minute one-on-one comprehensive evaluation.

Our therapists recognize the importance of all functions of the pelvic region for your quality of life. They will address your concerns with respect and kindness, and want to assist you in meeting all of your health goals.


“My experience with pelvic rehab started with seeing Mandy Roscow. I never realized how incredible she was until I experienced other therapists. Mandy is a master at her work. Her expertise is evident in the success that I have experienced as her patient. I entered therapy with pain, restriction, and a lack of energy. I am experiencing less pain, energy has increased and am I returning to exercise and physical activity. Equal to her therapy skills is her compassion and empathy. Often, she will text or email me asking how I am doing after therapy. It is great to know that I am not a number in her weekly quota but a patient who is striving for better health.” – Susan Kurner

“I came to Rachel after I hit a wall with my pelvic floor and lower back health and she educated me on how stabilizing muscles work and gave me simple exercises to work on. After just a couple months I saw huge improvements and met all of the goals that I had shared with her at the beginning (which had felt impossible)! On our last visit, she gave me some more exercises to keep working on by myself, so even though I’ve been “discharged”, I know I have the tools I need to continue improving.” – Gabrielle Register