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Specialized Pelvic Floor Therapy & Incontinence Care

Pelvic floor symptoms can be hard to talk about, but they are more common than most people realize. If bladder leakage, urgency, or pelvic heaviness is starting to shape your routine, a pelvic floor and specialized rehabilitation plan can help you feel more confident in everyday situations.
At Balance Wellspace Integrative Medicine, we offer pelvic floor physical therapy in Roanoke as a private, non-invasive option focused on deep pelvic muscle activation and better neuromuscular control.
Sessions are fully clothed and typically take about 20 minutes. We start with a clear evaluation, explain what we are addressing in plain language, and build a plan that fits real life, whether you are postpartum, navigating menopause, returning to activity, or recovering after surgery. If you have been looking for incontinence treatment in Southwest Virginia, our teams in Roanoke can help you understand what is driving your symptoms and map out practical next steps.

What Is Pelvic Floor Therapy?

Pelvic floor therapy focuses on the muscles and nerves that help control bladder function, support pelvic organs, and stabilize the core. When those muscles lose strength, coordination, or endurance, you may notice bladder leakage, urgency, pelvic pressure, or discomfort with everyday movement. A structured plan helps retrain how the pelvic floor responds so you can feel more steady and in control. At Balance Wellspace, we use the Gazelle Pelvic Health Chair, which uses extracorporeal magnetic innervation (ExMI) to stimulate deep, involuntary pelvic floor contractions. The goal is to activate muscles that can be difficult to engage consistently with exercises alone. This approach supports pelvic floor rehabilitation and neuromuscular re-education in a structured, time-efficient format. Most patients describe the sensation as a strong but tolerable muscle contraction. There is no downtime, and some mild muscle fatigue afterward can happen, similar to starting a new workout routine.
conditions

Conditions We Help Support With Pelvic Floor Therapy in Roanoke

Pelvic floor symptoms often overlap, which is why care works best when it is guided by a clear evaluation and a plan you can follow. Our team supports both women and men with common pelvic health concerns that affect comfort, movement, and daily confidence.

Stress, Urge, and Mixed Urinary Incontinence

Leakage can happen with coughing, laughing, lifting, or during exercise. Others feel sudden urgency and do not always make it to the bathroom in time. Pelvic floor therapy supports stronger muscle control and better timing, which can reduce surprise leaks and help you feel more secure in day-to-day life.

Overactive Bladder and Urinary Urgency

Frequent trips to the bathroom or the constant need to plan around restroom access can disrupt sleep, travel, and work. Care focuses on improving neuromuscular control and pelvic support so urgency feels less intense and daily routines feel more predictable.

Postpartum and Post-Surgical Pelvic Recovery

Pregnancy, delivery, and pelvic or abdominal surgeries can change pelvic stability and muscle coordination. Therapy helps rebuild pelvic strength and core support, which may be useful for returning to activity with better comfort and control.

Pelvic Weakness and Core Stability Concerns

Some patients notice pelvic heaviness, reduced stability, or a sense that the area is not supporting movement the way it used to. Pelvic floor rehab can support deeper muscle activation and better core support, especially when paired with practical guidance around posture, breathing, and daily habits.
• ADVANTAGES •

Advantages of Pelvic Floor Therapy With Balance Wellspace Integrative Medicine

When pelvic floor symptoms are affecting your routine, the details of care matter. Our approach is private, non-invasive, and designed to fit into real schedules. Sessions are fully clothed, take about 20 minutes, and aim to retrain the muscles and nerves tied to bladder control, pelvic stability, and core support.

Non-Invasive Sessions With No Disrobing or Downtime

This is a fully clothed experience, done while you sit comfortably on the Gazelle Pelvic Health Chair. There is no downtime, so most patients return to work, errands, or exercise plans right after their visit. If you are looking for support that does not involve procedures or recovery time, this format can feel like a practical fit.

Deep Contractions in a 20-Minute Visit

Each session is designed to deliver over 2,500 strong pelvic floor contractions in about 20 minutes. The goal is deeper muscle activation than exercises alone can usually reach, supporting stronger control and steadier stability over time.

FDA-Cleared Indications for Pelvic Floor and Bladder Support

This therapy is FDA-cleared for improving stress, urge, and mixed urinary incontinence, as well as overactive bladder (OAB), pelvic floor rehabilitation, and neuromuscular re-education. The goal is better muscle timing and control so your pelvic floor responds more reliably during daily activity.

Your Session Experience

During your session, the chair delivers rhythmic magnetic pulses that create a deep, localized contraction. Most patients describe it as strong but not painful. Mild muscle soreness can happen afterward, similar to starting a new workout routine, and it typically resolves quickly.

Additional Benefits

Beyond bladder control, some people also notice improvements in pelvic stability, core engagement, urinary stream, confidence, and comfort during daily activity. The most helpful way to set expectations is to track what you notice week to week, then adjust the plan based on how your body responds.
• why choose •

Why Choose Balance Wellspace for Pelvic Floor Therapy?

Pelvic floor symptoms can feel personal, and many people wait longer than they want to before asking for help. At Balance Wellspace Integrative Medicine, care is private, non-invasive, and designed to feel straightforward from the start. You stay fully clothed during sessions, and there is no downtime, so it is easier to fit into a real schedule. We begin with a focused evaluation, explain what we are working on in plain language, and build a plan that stays organized between visits. With clinics in Roanoke, you can access consistent support close to home.

Schedule Your Appointment!

You should not have to live with unanswered questions or a plan that feels unclear. Schedule a visit with Balance Wellspace to review your symptoms, understand what may be contributing, and get practical recommendations you can follow.

Local Access & Neighborhoods Served

We proudly serve patients throughout Roanoke and nearby communities, including:
Roanoke
South Roanoke and the Colonial Avenue corridor.
Salem
Easy access via I-81.
Vinton
Convenient drive via I-581.
Blacksburg and Radford
Short commute via US-460 and US-11.
Balance Wellspace clinic providing integrative medicine
Located at 2522 Colonial Ave SW, Roanoke, VA 24015, our Roanoke clinic is near the Franklin Road and Colonial Avenue area, with convenient access to Routes 220 and 419.

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Frequently Asked Questions

What is pelvic floor therapy, and how can it help me?
Pelvic floor therapy is a specialized form of rehabilitation that supports the muscles and nerves responsible for bladder control, pelvic stability, and core support. At our Roanoke clinic, care is designed to improve strength and coordination, which can reduce leakage, urgency, and pelvic weakness. Many patients also notice better confidence with daily activity because they feel more in control.
Do you offer pelvic floor therapy for men and women in Roanoke?
Yes. Pelvic health concerns affect both women and men, and care is always private and individualized. We commonly support postpartum recovery, perimenopausal and menopausal changes, and pelvic weakness, along with post-surgical concerns such as incontinence after prostate-related procedures. Your plan is based on your symptoms, comfort level, and goals.
Is the treatment for incontinence non-invasive?
Yes. This approach is non-invasive and fully clothed, with no downtime. Sessions use focused neuromuscular stimulation to activate and retrain pelvic floor muscles, which can be a strong fit for patients looking for incontinence treatment in Southwest Virginia without surgery. Some mild muscle fatigue afterward is possible, similar to a targeted workout, and it typically resolves quickly.
How many sessions will I need at your Roanoke clinic?
It depends on your symptoms, how long they have been present, and how your body responds in the first few visits. During your initial evaluation in Roanoke, we will review your history and build a plan with a realistic timeline. Many patients follow a series of weekly visits or appointments every other week, then transition to a maintenance plan if it makes sense for their goals.
Do I need a doctor's referral for pelvic floor therapy in Southwest Virginia?
Not always. Because Balance Wellspace is an integrated medical clinic, we can often complete the initial screening and evaluation in-house. If your insurance plan requires a referral, our team can help you understand what is needed before you begin. Either way, you can contact our Roanoke location to start the process and get clear next steps.