The Pelvic Floor Place

The Pelvic Floor Place Contact information, map and directions, contact form, opening hours, services, ratings, photos, videos and announcements from The Pelvic Floor Place, Women's Health Clinic, 3205 NE 78th Street, Suite 101, Vancouver, WA.

Christina is the creator of The Pelvic Floor Place and her desire is to treat women dealing with pelvic floor and core dysfunction such as incontinence, prolapse, pelvic pain, pain with s*x, diastasis recti, low back pain and more.

02/18/2026

We are an out of network provider and do not directly bill insurance. Cost of visits are the same as for adults.

1 visit-$200
3 visit package-$525 ($175 per visit)
6 visit package-$960 ($160 per visit)
Molina clients-$140

I can give you a superbill for any of the visits or packages above so that you can get reimbursed by your insurance. Questions? Sign up for a free 15 minute video consultation to learn more!

PF doesn't need to contract during birth, it needs to get out of the way! It needs to lengthen while your core contracts...
02/16/2026

PF doesn't need to contract during birth, it needs to get out of the way! It needs to lengthen while your core contracts, not an easy feat and one that needs to be practiced!

Functionally the core and the pelvic floor typically work together in a coordinated co-contraction. Sitting, standing, walking, lifting, jumping, yelling, singing, coughing, etc all require the core to elongate and engage AND the pelvic floor to lift and stabilize (but only at about 20-30% not 100%).

However, these muscles groups remain separate groups of muscles and they have the capacity to disassociate (or move in opposite directions) if needed.

The two times when the core and pelvic floor need to be able to disassociate in function are during bowel movements and during birth.

In both cases, the core is most effective when it is supporting the GI tract or uterus WHILE the pelvic floor is relaxing and opening. Think inhale, PF and and TA lengthen and relax, exhale, PF stays relaxed and core engages.

Understanding how to support this disassociation can improve intestinal tract function, address constipation, and prepare for stage 2 “the pushing phase” of labor.

When the core and pelvic floor consistently activate without disassociation then clients tend to use strategies that hold their breath and bear down to force bowel movements or pushing during delivery.

This is an ineffective strategy that can lead to hemorrhoids, pelvic organ prolapse, tearing of the perineum and more.

Sometimes, that strategy is needed due to baby's position, HR or BP, but not one we want to start with.

The same movement of the PF should happen with BM! Exhale and lengthen your PF as you have a BM.

Feel like you are not sure if you are doing it correctly or can't? Schedule a FREE 15 minute consult to learn more! Lets help you have an efficient and injury free birth!

02/12/2026

We treat an array of bowel and bladder dysfunctions in kids!

Bladder dysfunction:
💦 Stress Incontinence-leaking with coughing/sneezing, playing
💦 Giggling incontinence
💦Urge incontinence-leaking with urge
💦Urgency (0-3 mins)
💦Urinary frequency-more than every 2 hours
💦Urinary hesitancy
💦Urinary or vaginal reflux
💦Voiding postponement
💦Enuresis or bedwetting
💦Dysuria-painful urination
💦Nocturia-urinating at night after 9 years old
💦Dysfunctional voiding

Bowel:
💩Constipation-having less than 1 soft and formed BM a day or a BM daily but hard and pellet form
💩Fecal Incontinence-leaking gas or stool

Other:
-Pelvic pain

if your kiddo is struggling with any of these issues, sign up for a free 15 minute consult and we’ll see if we can help!

Menstrual Cups!⭐What is it?A menstrual cup is a reusable, generally somewhat bell-shaped internal device made from medic...
02/10/2026

Menstrual Cups!

⭐What is it?

A menstrual cup is a reusable, generally somewhat bell-shaped internal device made from medical grade silicone, natural rubber, or TPE

⭐How does it work?

It collects menstrual flow rather than absorbing it (like a tampon)

⭐How do you wash it?
-menstrual cups can be safely washed and reused
-Simply wash, thoroughly rinse, and insert.
-Between washes, the cup can be sanitized by boiling it or using sanitizer

⭐How do you use it?

To insert the cup:
-wash it
-flick off the excess water
-fold it in half (there are more folds, but this is a simple one to start)
-insert and give it a turn to be sure that the cup is fully open
-If you need the cup to go higher, you may be able to give it a gentle push upward
-If you find that the stem is bothersome, you can simply trim it or cut it off.

⭐How do you remove it?

-bear down
-grab the bottom of the cup, break the seal and then gently remove it
-being careful not to spill the contents
-Once it is out, just dump it into the toilet, wash, and reinsert.

⭐Can you feel it while wearing it?

It fitted properly, it should be entirely undetectable (or at least very close!)
If you do notice the cup, it is most commonly that the cup is not inserted properly, remove and try again
or the stem that you are feeling (which can be easily trimmed or removed).
If neither of these things helps, you may have a cup that will work (catch your flow) but isn’t the best for your shape.

⭐Which one should I get?

Size 1 for those who are under 30 years old and who have not given birth

Size 2 for those over 30 years old or who have given birth either vaginally or by Cesarean.

Knowing your cervical length is important too!

Take this easy quiz to find the best one for your flow, your anatomy and the best fit for you!

https://putacupinit.com/quiz/

There are so many options out there now and most are available online and some in drugstores, target, walmart and other grocery stores!

Other options:
-Menstrual Disc-round with a firm rim with flexible “catch” or “bowl”
-Period underwear-regular underwear but designed to absorb menstrual fluid and provide leak protection

02/05/2026

This depends on their symptoms, how chronic they are, kids schedule and our schedule.

However, usually we try to do 1x week for 3-4 weeks, then 2x month for 1-2 months then 1x month for 1-2 months.

This allows for consistency, follow through and ability to progress their exercises!

I will never tell you to listen to your body. Because you don’t listen to your body. You ignore what it’s telling you to...
02/04/2026

I will never tell you to listen to your body. Because you don’t listen to your body. You ignore what it’s telling you to do, you push through, and you live in survival mode. You ignore all the signs that your body is trying to talk to you. But I will tell you to listen to your symptoms. Because usually you will listen to symptoms more. You still aren’t great at it, but better. Usually they have to get to the point where it’s affecting your everyday life before you will listen.

Bladder symptoms:
💦 leaking with coughing/sneezing/laughing/running/jumping
💦 leaking on the way to the restroom
💦 urgency
💦pain with urination
💦 prolapse sensations such as pressure, heaviness or vaginal pain
💦 frequent UTIs

Bowel symptoms:
💩 constipation
💩abdominal bloat
💩 painful bowel movements
💩 a**l fissure
💩excess flatulence
💩fecal incontinence
💩loose stools
💩hemorrhoids

Weak core, tight PF, imbalance and compensation symptoms:
-pain with s*x
-low or mid back pain
-SIJ pain
-pelvic pain
-abdominal pain
-sciatica
-p***c pain
-ribcage pain

Let’s start at least listening to our symptoms, body is trying to talk to us! Sign up for a FREE 15 min consult to learn more!

01/28/2026

Depending on what their symptoms are and how long they have been going on will dictate about how many appointments are necessary, but usually 6 to 8 visits are common.

The most common protocol would be seeing a kid once a week for about 3 to 4 weeks and then we go to every other week for about two visits and then once a month for about two visits. This just helps with progressing their exercises and helping with the carryover as with kids physical therapy. most of the treatment is done at home with parents help. So it really does depend on how many symptoms they have, how often they do exercises in between visits and how much parent support there is.

01/22/2026

No, we do not do any internal assessment or treatment for kids. Occasionally, we will do internal work for a kid around the age 16 to 18 but that is usually done with parent consent.

We will have the parent/guardian fill out an intake form on their history and symptoms, do an external assessment of their breathing, rib cage, pelvis, and hips, and will palpate externally the pelvic floor muscles. In some cases, a visual assessment of the pelvic floor might be necessary with consent, especially to make sure that the tissues are healthy and there is no infection or skin disorder. We can also do biofeedback where we would apply sensors to the either side of the a**s to detect the pelvic floor tone, especially if they are dealing with constipation and incontinence, this can be really helpful.

We usually try to keep things pretty external and fun for kids so that they will want to do their exercises and feel better.

" Biofeedback is a training technique that enables an individual to gain some element of voluntary control over muscular...
01/21/2026

" Biofeedback is a training technique that enables an individual to gain some element of voluntary control over muscular or autonomic nervous system functions using a device that produces auditory or visual stimuli” (Schwartz 1987)

Biofeedback is a fundamental tool for pelvic floor rehabilitation. Biofeedback can be used for both strengthening weak pelvic floor muscles (up training) as well as training tight shortened overactive pelvic floor muscles to relax (down training).

It is a painless process that uses special sensors and a computer monitor to display information about muscle activity. With biofeedback, an individual can learn to stop using the incorrect muscles and start using the correct ones.

Conditions that can be improved with pelvic muscle retraining include: incontinence, prolapse, constipation that involves difficult or painful evacuation, pelvic floor weakness, core weakness and some types of pelvic floor pain.

When using sEMG to evaluate a patient, I will measure resting baseline muscle activity, muscle contraction latency (recruitment/rise time) or how quickly a patient can recruit their pelvic floor muscles (quick contraction), capacity (the ability to hold a PFM contraction over a selected time, typically 5-10 seconds), and post resting tone.

Normative data and functional outcomes correlations have been established for some of these measures, the most researched is for urinary incontinence is hold capacity, research supports a goal of 10 seconds for improved continence control.

We can also assess the PF via finger palpation but biofeedback can be a bit more accurate and allows us to check progress a bit better!

This is a great way to assess a childs PF tone as it is non-invasive, painless and fun for kids to watch a "tv" screen and do exercises!

Want to see what your PF values are? Schedule a visit to assess your PF via biofeedback and learn exercises to improve your symptoms!

Are you doing the best core exercises you could be? So let’s look at what the core actually is? The core is a group of m...
01/21/2026

Are you doing the best core exercises you could be?

So let’s look at what the core actually is? The core is a group of muscles that attach the spine and create stabilization, compression and help with posture and alignment. They also help during pregnancy and birth with bowel movements and helping to push out a baby.

The core muscles are:
⭐️ Transverse Abdominus
⭐️Diaphragm
⭐️Pelvic Floor
⭐️Psoas Major
⭐️Multifidus

Muscles that are not considered the core muscles, but will still help with local and global stability are: Re**us Abdominus, Internal Obliques and External Obliques.

The best way for the core to engage is with compression of pulling belly button towards the spine and usually with an exhale. So the best positions are going to be more upright with weight-bearing as they will turn these muscles on automatically. So laying on your back doing exercises isn’t the best way to engage your core! However, it can be a good way to engage with the muscles in the abdominal wall.

The best positions for core activation:
⭐️Seated
⭐️Standing
⭐️Sidelying
⭐️All 4s
⭐️Plank position
⭐️Squatting/Bending/Lunging
⭐️Shoulder press/lifting

So if you do core exercises with these positions with some weight/resistance, compression and an exhale, you’re gonna get the most activation from the actual core.

Here are some examples of exercises for the core:
⭐️ seated core holds
⭐️ standing marching with weight
⭐️ all fours bird dog/hip extension
⭐️ plank with weight pull through
⭐️ weighted squats/deadlift
⭐️ standing/kneeling across body chop
⭐️ single arm sn**ch with DB
⭐️ weighted lunges/step ups
⭐️ shoulder press
⭐️ single leg balance

Some examples of exercises that’s more for the abdominal wall and obliques would be things like dead bug, crunches, situps, bicycle, scissors, leg lifts.

Both types of exercises have their place, but if you wanna work on your actual core, it shouldn’t just be at the end of the workout. You should be thinking about it using it throughout the entire workout with upright positions, exhaling, compressing, and using weight/resistance!

Oh 2025 you were quite the year! Lots of fun new opportunities this year, new relationships made, more women who were he...
12/31/2025

Oh 2025 you were quite the year! Lots of fun new opportunities this year, new relationships made, more women who were healed and I got to continue to do what I love. Thank you ladies for trusting me with your care and giving me the opportunity to help you! Excited for 2026 and seeing kids as well as mamas, teaching a college course and continually learning and helping!

Merry Christmas!
12/25/2025

Merry Christmas!

Address

3205 NE 78th Street, Suite 101
Vancouver, WA
98665

Opening Hours

Monday 8am - 4pm
Tuesday 8am - 4pm
Wednesday 8am - 4pm
Thursday 8am - 4pm

Telephone

+19713191517

Website

Alerts

Be the first to know and let us send you an email when The Pelvic Floor Place posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Practice

Send a message to The Pelvic Floor Place:

Shortcuts

Share

Share on Facebook Share on Twitter Share on LinkedIn
Share on Pinterest Share on Reddit Share via Email
Share on WhatsApp Share on Instagram Share on Telegram

Category