Refine Physical Therapy

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Refine Physical Therapy

Expert pelvic floor physical therapy in Denver Colorado specializing in pregnancy and postpartum, pelvic pain, and incontinence.

Refine PT is here for any and all of your pelvic health needs!

03/06/2026

Most people don’t realize their pelvis can drift into two really common standing positions:

• Swayed back (hips pushed forward and ribs drifting back)�• Overextended in the low back (pelvis tipped forward)

Both can make it harder for your core and pelvic floor to work efficiently, leaving your low back or hips doing more of the work.

A simple way to find a more neutral pelvic position is by checking a few bony landmarks on your pelvis.
In this video I show you how to:�• Find your p***c bone�• Find the front hip bones on each side (ASIS)�• Line them up so they’re more stacked vertically

When these points are more parallel, your pelvis is closer to neutral — meaning your core, glutes, and pelvic floor can support you better.
This can make a big difference during:�✨ pregnancy�✨ postpartum recovery�✨ lifting and exercise�✨ everyday standing posture

Neutral doesn’t mean rigid or perfect posture — it’s just a better starting point for balanced movement.
Save this to check your posture later.

pelvicfloorhealth
denvermoms

03/02/2026

Strength train for the most athletic event of your life: labor.

Here’s why it matters 👇
• 💪 Builds muscular endurance for labor positions, pushing, and sustained effort�• 🫁 Trains your breath + deep core connection (your diaphragm + pelvic floor work together!)�• 🦴 Supports your changing joints + reduces common aches (hello hips + low back)�• 🔄 Improves pelvic floor coordination — not just “tight,” but strong and able to lengthen�• 🧠 Boosts confidence so you trust your body going into birth�• 🤱 Sets you up for a smoother postpartum recovery
Labor is unpredictable — but your preparation doesn’t have to be.

Train for birth like the endurance event it is.

DenverMoms

01/14/2026

A hip hinge with an internal rotation bias isn’t just about glutes — it can also support pelvic floor mobility and coordination during pregnancy.

By changing hip rotation, we influence how the pelvis moves, how load is distributed, and how the pelvic floor responds to pressure. This allows us to strengthen while still creating space and adaptability, which is key for both pregnancy comfort and labor prep.

Individualized pelvic floor physical therapy uses subtle changes like this to match exercises to your body, symptoms, and movement history.

pregnancyeducation
prenatalstrength

01/11/2026

Labor prep isn’t one-size-fits-all — because pelvises don’t move the same, pain patterns differ, and baby position matters.
 Your personal history matters too. Past injuries, surgeries, movement patterns, and orthopedic limitations all shape what your body needs in labor.

Individualized labor prep looks at the whole picture — pelvic mobility, breathing, positioning, and your orthopedic history — to create strategies that support your body, not a generic checklist.
 This is where pelvic floor physical therapy helps guide more efficient, comfortable labor preparation.

01/02/2026

Checking yourself for Diastasis Recti 👇

DRA isn’t just about gap width — depth and tension matter.

To check width: Place 2 fingers along the midline starting below your navel. Gently lift your head and shoulders and feel above, at, and below the belly button. Can you fit 2 fingers between any of these areas?

To check depth: Press gently between the muscles. A deep, soft sink vs. firm support tells us how well your core manages pressure.

A gap ≠ broken core. Pelvic floor PT helps assess function and guide rehab.

12/31/2025

Planning a future pregnancy or IVF? 🤰

Pelvic floor physical therapy can be an important (and often missed) part of fertility prep—especially if you have a history of pelvic pain, hip or low back pain, endometriosis, or PCOS.

Pelvic PT helps release tension, improve circulation, restore mobility, and build coordinated strength in the pelvic floor and core—creating a healthier, more supportive environment for implantation and pregnancy.
Strong isn’t just about tightening.

A pelvic floor that can relax, lengthen, and respond matters just as much when you’re preparing your body for baby.

12/06/2025

✨ Quick truth: Pelvic floor PT doesn’t prevent every tear — the uterus and birth process determine that — but targeted PT (pelvic floor exercises + perineal preparation) reduces the severity of tears and the likelihood of interventions like routine episiotomy, and may lower some obstetric interventions. Cochrane+1

What pelvic-PT actually does: • Teaches relaxation + controlled lengthening of the pelvic floor during pushing (so the tissues give more gently). PubMed • Uses pelvic-floor training plus antenatal perineal massage to increase tissue elasticity and reduce need for episiotomy / severe perineal trauma in many studies. Cochrane+1 • Improves strength and endurance so birthing positions and pushing are more effective — which can reduce prolonged second stage and associated interventions. PubMed+1

Bottom line: pelvic-floor PT helps shift the odds toward less severe tearing and fewer routine episiotomies — it’s not a guarantee against any tear, but it makes birth kinder to the perineum. PubMed+1

Read the studies: • Cochrane review — Antenatal perineal massage reduces perineal trauma and episiotomy. Cochrane • Leon-Larios et al. (2017) — PFMT + perineal program associated with fewer episiotomies and severe tears in primiparas. PubMed • Abdelhakim et al. (2020) — Antenatal perineal massage linked to lower risk of severe perineal trauma and postpartum complications. PubMed • Sobhgol et al. (2020) systematic review/meta-analysis — Antenatal pelvic-floor exercises: benefits for labor outcomes and pelvic function. PubMed • Recent reviews/meta-analyses showing antenatal exercise programs may reduce cesarean risk and improve labor outcomes. PLOS+1

12/05/2025

✨ Your pelvic floor doesn’t push your baby out… but it absolutely plays a HUGE role in helping your baby come out.

The uterus does the pushing. The pelvic floor? It’s the gatekeeper. And when it’s too tight, guarded, or has never practiced lengthening… that “gate” doesn’t open easily.

Through pelvic floor PT, you can learn how to: 🔹 Relax + lengthen the pelvic floor 🔹 Create more space in the outlet 🔹 Coordinate breath with descent 🔹 Work with your body instead of fighting tension 🔹 Reduce the risk of tearing + make birth feel smoother

Think of it like training your pelvic floor to LET your baby out — not push.

12/04/2025

Why Hamstring Strengthening Matters in Pregnancy + Postpartum

1. Hamstrings = Pelvic Stability Helpers Strong hamstrings support the back of the pelvis and help balance out tight or overworking hip flexors. This reduces the “tipping forward” posture that’s super common in pregnancy.
2. They Support the Pelvic Floor (indirectly but powerfully) Hamstrings and the pelvic floor work as part of the same posterior chain. When hamstrings are weak, the pelvic floor often compensates → tension, discomfort, or difficulty relaxing. Strengthening them helps create a more balanced, responsive pelvic floor.
3. They Reduce Low Back + SI Joint Pain Hamstring strength helps anchor the pelvis and give the sacroiliac joints more support. This can ease the wobbly, achey feeling that comes with pregnancy-related ligament laxity.
4. Better Birth Positions Squatting, side-lying, hands-and-knees, lunges—all birth positions need hamstring endurance. Strong hamstrings = better control + less cramping when you’re trying to stay in a position that feels good.
5. Postpartum Lifting & Movement Between lifting baby, car seats, strollers, laundry, etc., postpartum life is full of hinge-based movements. Strong hamstrings make those forward-hinge patterns safer and decrease the load on the low back.
6. They Help Prevent “Mom Glute Amnesia” When hamstrings are activated well, glutes can fire more efficiently. This supports pelvic alignment, gait mechanics, and helps prevent postpartum hip and back discomfort.
7. They Support Core Rehab Good posterior chain strength helps you avoid overusing the spine or gripping your abs. Hamstrings help you hinge instead of fold—great for diastasis-safe mechanics.

12/01/2025

Counterpressure is one of the best tools partners can use to support comfort during pregnancy and labor. From steady hands-on pressure, to leaning body weight for deeper support, to using a rebozo for rhythmic, full-body counterpressure — these techniques help reduce back pain, calm the nervous system, and create a sense of grounded support.

More surface area = more relief.
More rhythm = more release.
More confident partner support = a smoother birth experience.

Teach your partner these moves early so they’re ready when you need them most.

11/29/2025

Tailbone mobility matters so much more than people realize in pregnancy. When the sacrum and coccyx have room to move, the pelvic floor can relax better, the low back feels less locked up, and the pelvis can actually open the way it needs to for birth.

In this position, the partner gently mobilizes by using his thumbs deep along the sides of the tailbone while the pregnant person is on all 4’s. She then rocks forward and backward to help release tension, improve comfort, and support smoother mechanics for labor. Small, slow movements make a big difference.

11/28/2025

Unlocking the pelvic floor isn’t always about more kegels — sometimes it’s about giving the hips the space they’ve been asking for. This move (ball squeeze + internal rotation) actively lengthens the external rotators, which can help the pelvic floor relax, release tension, and function the way it’s meant to. Perfect for postpartum recovery, pelvic pain, or anyone feeling “tight but weak” in the pelvic floor.

Try it slow, controlled, and with your breath. Your hips will thank you.

Address

1626 N
Denver, CO
80203

Telephone

+13032190563

Website

http://refinept.com/

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