Finally Stop Leaking — and Get Back to Living Without Fear.

Specialized pelvic floor physical therapy for women over 40 in Encinitas, CA. No surgery. No medication. No more pads.

Start with a Discovery Visit →

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Stop Letting Leaking Run Your Life

Move Confidently Without Fear of Embarrassment

Personalized, Private Care for Women 40+

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You’re Not Alone, and You’re Not Broken

If you’ve ever thought…

Why can’t I control my pee anymore?
I can’t hold my pee when I laugh, sneeze, or exercise.
Why am I losing control of my bladder?
I feel like I can’t hold my pee at all!

You’re not the only one asking. Women often silently struggle with symptoms like leaking, urgency, or waking up at night to pee — believing it’s just what happens with age and something they have to live with. But that’s simply not true.

At Revive PT & Pilates in Encinitas, we specialize in pelvic floor physical therapy for urge and stress incontinence — offering real solutions for women who can’t control their bladder, feel frustrated with leaking, or fear accidents in public.

You are not weak or broken. What you are dealing with has a root cause — and finding it is exactly what we do.

"I had spent two years saying no to things I loved — Revive helped me start saying yes again."

★★★★★
"I stopped going to my dance class. I stopped playing with my grandchildren the way I wanted to. I stopped laughing freely because I never knew if my body was going to betray me. I was 61 and I felt like incontinence had quietly stolen pieces of my life one by one while I pretended everything was fine. My daughter finally convinced me to call Revive, and I am so grateful she did. From my very first appointment, I felt heard in a way I never had with any other provider. They didn't dismiss me or hand me a sheet of exercises. They actually found what was wrong and fixed it. I was back in my dance class within two months. Last week, my granddaughter asked me to jump on the trampoline with her, and I said yes without even thinking twice. That moment was worth everything."
— Carol, 61 — Mixed Incontinence — 2+ Years of Symptoms Resolved
"I had quietly accepted that pads were just part of my workout routine — until they weren't."

★★★★★
"I had been wearing a pad to every single workout for four years. Jumping jacks, running, even certain yoga poses — I just never knew what was going to happen. I told myself it wasn't a big deal, that I had just had two kids and this was the price of that. But I was 47, not 77, and somewhere inside I knew I deserved better than quietly managing something that was making me feel broken every single day. The team at Revive never once made me feel embarrassed. They explained exactly what was happening in my body and why Kegels alone were never going to fix it. Eight weeks later, I ran a 5K without a pad for the first time in years. I cried at the finish line — not because I was tired, but because I finally felt like myself again."
— Jennifer, 47 — Stress Incontinence — 4+ Years of Symptoms Resolved
"I had waited so long I thought nothing could help me — I was completely wrong."

★★★★★
"I had been dealing with leaking for almost ten years before I finally made the call. Ten years of buying pads in bulk, of rushing to bathrooms, of dreading sneezes, of never wearing light-colored pants. I had convinced myself that at 58, with two surgeries behind me, I had simply waited too long for anything to make a real difference. I almost talked myself out of the appointment twice. What I found at Revive was a team that never once made me feel like I had waited too long or that my situation was too complicated. They were patient, specific, and genuinely invested in my progress. Three months later, I am wearing whatever I want. I sneeze without bracing myself. I slept through the night last week for the first time in years. I wish I had called a decade ago — but I am so grateful I finally called at all."
— Susan, 58 — Post Surgical Incontinence — 10+ Years of Symptoms Resolved
"Leaking had made me afraid to exercise — getting that back changed everything about how I felt in my body."

★★★★★
"Exercise used to be the thing that kept me sane. Running, spin class, hiking with my husband on weekends — it was who I was. Then, in my mid-forties everything changed. The leaking got bad enough that I started avoiding anything high-impact, then anything moderate-impact, and eventually I just stopped showing up at all. I told people I was too busy. The truth was I was too embarrassed and too afraid of what my body might do. By the time I came to Revive I had been inactive for almost three years and I was angry about it in a way I hadn't let myself fully feel until I sat in that room and someone finally asked me the right questions. The treatment was nothing like I expected — it addressed things no one had ever looked at before. Within two months I was back in spin class. Within four I ran my first 10K since my early forties. I am 53 years old and I feel stronger and more confident in my body than I did at 40. That is not an exaggeration."
— Michelle, 53 — Stress Incontinence — 3+ Years of Symptoms Resolved
"I used to map out every bathroom before I left the house — now I don't think about it at all."

★★★★★
"For almost five years, I planned every outing around where the bathrooms were. I'd turn down invitations, leave events early, and sit in the back row of everything so I could get out quickly if I needed to. I was 52 years old, and I felt like I was living like someone twice my age. I finally made the appointment at Revive because I was tired of my bladder running my life. What I didn't expect was how quickly things would change — or how deeply the team would understand what I was going through without me having to explain myself. Within six weeks, I went on a three-hour hike with my daughter. I didn't check for a bathroom once. That was the moment I realized my life had changed."
— Patricia, 52 — Urge Incontinence — 5+ Years of Symptoms Resolved

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What is Stress Incontinence?

Stress incontinence happens when the muscles of the pelvic floor are too weak (or sometimes too tense) to fully support the bladder and urethra. This often results in leakage during pressure-based movements like coughing, laughing, sneezing, jumping, lifting, or running.

Many women experience it:

After childbirth
During perimenopause or menopause
After surgery like a hysterectomy
From years of core weakness or high-impact exercise

And still, so many are told to “just do Kegels” or “wear a pad and live with it.” That’s not okay. And it’s not your only option.

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What is Urge Incontinence?

Urge incontinence (sometimes called “overactive bladder”) happens when you feel a sudden, intense need to urinate and can’t always make it to the bathroom in time. It’s often caused by a disconnect between your bladder and brain, or by pelvic floor muscles that aren’t coordinating properly with your bladder signals.

Many women experience it:

After menopause or hormonal shifts
With chronic bladder irritation or infections
Alongside pelvic floor dysfunction or weakness
During times of heightened stress or anxiety

You might feel like you’ve lost all control over when and where you pee. But there’s hope. Urge incontinence is treatable, and you don’t have to just “live with it.”

If Any of This Sounds Like You — You Are in the Right Place.

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You feel frustrated and think: I can't control my bladder anymore.
You leak when sneezing, exercising, or picking something up.
You’ve tried doing Kegels, but nothing seems to help.
You’ve wondered: Why can’t I hold my pee like I used to?
You’ve been told it’s just part of aging or “being a mom”.
You’ve lost sleep from having to pee multiple times a night.
You feel anxious going places without knowing where the bathroom is.

Start with a Discovery Visit →

How Pelvic Floor Physical Therapy Can Help

Most women come to us after years of being told that leaking is just part of getting older — or after doing Kegels that did nothing, or wearing pads they never thought would become a permanent part of their life. Here is what happens when you finally get the right care.

Every treatment plan is built around Dr. Dawn Andalon's Pelvic & Core Reset™ Method — the same proven clinical approach her team uses with every client at Revive PT & Pilates.

A thorough pelvic health assessment and root-cause diagnosis
Hands-on manual therapy, guided movement, and neuromuscular retraining
Gentle, evidence-based pelvic floor exercises for women
Integration of Pilates-based rehabilitation to rebuild strength safely
A custom plan designed for your unique anatomy, goals, and lifestyle
Education and resources to confidently manage everyday activities without leaks

Women who commit to their plan stop leaking. They go back to exercise. They stop planning their day around bathroom locations. They feel like themselves again — often for the first time in years. That is what consistent, specialized care makes possible.

How We Help

A Clear, Compassionate Path To Reclaiming Your Body

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01. Start With a Discovery Visit

Your first step is a complimentary 20-minute conversation — no pressure, no commitment. You tell us what you have been experiencing, how long it has been going on, and what you want your life to look like. We listen. Then we tell you honestly whether we can help and exactly what that would look like.

02. We Find the Root Cause

You will meet one-on-one with your dedicated pelvic floor specialist for a thorough, private evaluation. We assess what is actually driving your symptoms — because leaking is rarely just about weak muscles. It is about how your whole system is coordinating, and that is what we are trained to find.

03. Your Personalized Plan Gets to Work

Every session is built around your body, your symptoms, and your goals. Your plan may include hands-on manual therapy, targeted pelvic floor rehabilitation, and therapeutic Pilates — all delivered by a specialist who knows your history and tracks your progress every step of the way.

04. Laugh, Sneeze, and Move Without Fear

This is what consistent care looks like in real life. Women who complete our program tell us they stopped thinking about where the nearest bathroom is. They jumped on a trampoline with their grandkids. They laughed at dinner without bracing themselves. They went back to the gym, to running, to the classes they had quietly given up because leaking made exercise feel impossible. That is what we are working toward together — and it is absolutely possible for you.

Start with a Discovery Visit →

You Should Never Have to Just Live With This.

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We hear these words from women every week when they first call us:

I have no control of my bladder when I sneeze or run.
I can’t hold my pee.
Why can’t women hold their pee after 40?!
I feel like my bladder is not working right anymore.
I urinate without control—and I’m embarrassed.

We don't brush you off. You should never have to just live with this. We specialize in helping women with incontinence — and after working with our team, those same women tell us:

I didn’t know physical therapy for women could help with this.
I thought I had to live with no bladder control forever.
No one ever explained why I was losing control of my pee.
I can’t believe I don’t have to worry about leaking anymore.

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FAQs

Pelvic floor physical therapy is a specialized treatment that strengthens and retrains the muscles responsible for bladder control. It helps reduce urinary leaks, urgency, and frequency by improving pelvic floor function through targeted exercises, Pilates based movements, manual therapy, and education. Many women experience long-lasting relief from incontinence without medication or surgery.
Most clients begin noticing improvements in bladder control within 4 to 6 weeks of starting pelvic floor therapy. A full treatment plan typically lasts 8 to 12 weeks, depending on the severity of symptoms, lifestyle factors, and consistency with home exercises.
No. At Revive PT & Pilates, pelvic floor therapy is gentle, respectful, and completely non-invasive. We prioritize your comfort and customize your treatment based on your unique needs, history, and goals. All assessments and exercises are explained thoroughly before we begin so you always know what to expect and feel safe, supported, and in control throughout every session.
Our entire clinical and support team is female — intentionally. We know how personal and sometimes embarrassing these conversations can be, and we want you to feel completely comfortable from the moment you walk in.

Yes—Therapeutic Pilates is a safe and effective way to support pelvic floor health. When integrated with physical therapy, Pilates strengthens the deep core, improves posture, and teaches proper breathing and alignment—all essential for reducing urinary incontinence and restoring pelvic stability.
Kegels alone often aren’t enough—and in some cases, doing them incorrectly can make symptoms worse. Pelvic floor therapy uses a whole-body, functional approach, including breathwork, posture correction, and neuromuscular retraining to help your pelvic floor work with the rest of your body during real-life movement.
Our clinic is located at 681 Encinitas Blvd in Encinitas, CA 92024 — Suite 308 for physical therapy and integrated Pilates sessions, Suite 305 for Pilates group classes. There is a free parking lot directly in front of the building. No referral is needed — California is a direct-access state, which means you can book directly with us without a physician's order. We serve women throughout North County San Diego including Carlsbad, Solana Beach, Del Mar, La Jolla, Leucadia, Cardiff by the Sea, Rancho Santa Fe, and Oceanside.

Helping Women in Encinitas, CA, San Diego County, & Beyond

Revive PT & Pilates provides specialized pelvic floor physical therapy for urinary incontinence and women's health conditions throughout Encinitas, CA and North County San Diego — including Carlsbad, Solana Beach, Del Mar, La Jolla, Leucadia, Cardiff by the Sea, Rancho Santa Fe, and Oceanside. Visit us at 681 Encinitas Blvd, Suite 308, Encinitas, CA 92024. Free parking is available directly in front of the building. No referral is needed — California is a direct-access state, which means you can book directly with us without a physician's order.

100% Happiness Guaranteed

Yes, We Said It.

We are so confident in what we do and how we help people that you are protected by our 100% happiness guarantee. If you are not 100% satisfied with the level of service you are provided, all you have to do is tell us at the time of your session, and your session is on us.
It's that simple.

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THE FIRST STEP IS THE HARDEST ONE.

Most women tell us they wish they had called sooner.

Your Discovery Visit is a free, no-pressure conversation. You tell us what you have been experiencing. We listen — without judgment — and give you an honest picture of what is possible for your body. Most women leave feeling heard for the first time in years.

Start with a Discovery Visit →

Additional Resources to Help You With Incontinence

Explore our collection of free guides, videos, and tools designed to equip and empower as you take back ownership of your body’s mobility and strength.

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