Pelvic Floor & Orthopedic Physical Therapy for Women Over 40 in Encinitas
“Because ‘just live with it’ is not good enough.”
2-minute introduction from Dr. Dawn (founder)
Individual Root-Cause Diagnosis
Private, One-on-One Sessions
Uniquely Customized Treatment Plans
You’ve tried yoga, stretches, even medication — but you’re still dealing with back pain, bladder leaks, or that nagging sense your body just isn’t the same. You’re tired of being told it’s ‘normal’ or that surgery is your only option.
If you…
Thought it would go away on its own.
Tried kegels, but they didn’t help.
Were told by a doctor that surgery or medication might be my only option.
Thought this was all just part of getting older.
We’re here to tell you…
Pelvic floor issues don’t just go away, but they don’t have to persist.
Kegels aren’t always (usually aren’t) the answer to pelvic floor problems.
Surgery and medication aren’t the only ways for you to feel better.
This isn’t just “all part of getting older”.
Instead, it’s time for gentle, effective pelvic floor and whole body recovery designed for women who’ve been told to just ‘live with it’.
What is Pelvic Floor Physical Therapy?
Your pelvic floor is a complex group of muscles, ligaments, and tissues that support your pelvic organs, bladder, and core. When this system isn’t functioning properly, you may experience:
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Incontinence or leaking
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Pelvic organ prolapse
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Pelvic pain or pressure
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Painful intimacy
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Postpartum or surgical recovery issues
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Abdominal separation (diastasis recti)
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Hip, back, or tailbone pain
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Constipation or bowel dysfunction
At Revive PT & Pilates, our pelvic floor physical therapists in Encinitas specialize in treating pelvic floor dysfunction in women over 40 — including urinary incontinence, pelvic organ prolapse, painful intimacy, and pelvic floor recovery after hysterectomy or other abdominal surgery.
Unlike insurance-based clinics, our cash-pay model means longer, more personalized sessions and no arbitrary discharge dates. And because California is a direct-access state, you don't need a referral to get started.
Pelvic floor physical therapy identifies and treats the root cause of these symptoms — not just the surface problem. If you have any of these issues, we can help you.
WHAT OUR CLIENTS ARE SAYING.
WHAT OUR CLIENTS ARE SAYING.
Donna, 66 - Severe back pain & sciatica
“I came in barely able to move. The pain in my back and down my leg was constant. After working with the Revive team on my core strength, I cancelled my surgery consult. Now I'm running around with my grandson and helping care for my elderly parents. I never thought I'd feel this way again.”
— Carol, 62 — Pelvic Floor Strengthening Program
"I enrolled in the pelvic floor strengthening program and worked with the Revive team for six weeks. My results have been AMAZING. Their expertise and exercise instruction have been life-changing. I feel confident, energetic, and able to walk for miles without fear of problems. Revive PT & Pilates helped me regain my joy in walking and maintaining an active, healthy lifestyle."
— Serena, 52 — Post-Surgical Recovery
"After 21 years in the Marines, multiple hip surgeries, and a hysterectomy — I could not even sit without pain. With just a few months of physical therapy at Revive PT & Pilates, I am back to yoga, the gym, and training for a triathlon. I never thought I'd run again. This team gave me more than physical recovery — it improved my overall mental health and gave me my active life back."
WHY WE DON'T TAKE INSURANCE
Most insurance-based clinics cap your sessions, rotate your therapists, and discharge you on their timeline — not yours. At Revive, we operate entirely outside that system. That means longer one-on-one sessions, the same specialist every time, and a pelvic floor physical therapy plan built around what your body actually needs — not what a billing code will allow.
Cash-pay care means every decision is made for you — not for your insurance company.
At a traditional insurance-based clinic:
Sessions are typically 30 minutes and often rushed
You may see a different therapist each visit
Your discharge date is determined by your insurance — not your progress
Treatment follows a standard protocol designed for the average patient
At Revive PT & Pilates
One-on-one sessions with your dedicated specialist, every time
Your care plan is built entirely around your body, your history, and your goals
Treatment continues as long as you need it — no arbitrary end dates
Every provider is trained in Dr. Dawn's Pelvic & Core Reset™ Method
We are happy to provide a superbill — a coded receipt with instructions — that you can submit to your PPO insurance for possible reimbursement.
Pelvic Floor Conditions We Treat in Encinitas
We help with a wide range of women’s health concerns. From pelvic floor dysfunction and urinary incontinence to physical therapy for menopause, post-hysterectomy recovery, and women's health conditions across every stage of midlife — if it affects your pelvic floor, core, or spine, our Encinitas team specializes in it.
Pelvic floor disorders
Back Pain (acute and chronic)
Urinary incontinence
Pelvic pain with intimacy
Pelvic organ prolapse
Post-mastectomy rehab
Scar tissue mobilization after surgery
C-section recovery
Other abdominal surgeries
Sacroiliac / SI and sciatica related pain
Bowel problems/constipation
Post Hysterectomy Care
Explore More About These 6 Specific Conditions
Learn more in-depth information about these six common issues women over 40 struggle with — the causes, how we help, and results you can expect.
01.
Back Pain
Feel stronger and more mobile with guided core support and spinal alignment.
02.
Hysterectomy Aftercare
Support healing, pelvic floor strength, and core restoration after surgery.
03.
Incontinence
Gain bladder control and confidence through pelvic floor Pilates.
04.
Osteoporosis
Build strength and bone density safely with weight training & reformer Pilates.
05.
Pelvic Organ Prolapse
Improve core support and function through tailored movement and care.
06.
Sciatica
Relieve nerve pain and restore mobility with targeted therapeutic movement.
How We Help
A Clear, Compassionate Path To Reclaiming Your Body
01. Schedule a Discovery Visit
Book a complimentary session where we’ll talk about your goals, how our programs work, and determine if our healing programs are the right fit for you.
02. Complete a Thorough Evaluation
You’ll meet with your dedicated physical therapist for an initial evaluation so your specialist can create a customized care plan with you.
03. Start Your Recovery Plan
You show up and we work the plan together. Your plan may include manual therapy, Shockwave therapy, exercises, Pilates integration, and training.
04. Reclaim Your Strength & Freedom
When you are consistent with your exercises and commitment to physical therapy, you will get stronger and feel fully at home in your body again.
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.
Why Women Choose Revive for Pelvic Floor PT in North County San Diego
At Revive PT & Pilates, we specialize in helping women finally get the clarity, answers, and real relief they’ve been searching for — even if other treatments haven’t worked.
As a cash-pay pelvic floor physical therapy clinic in Encinitas, we work with women across San Diego County — from perimenopause through menopause and beyond — providing the specialized women's health PT care that traditional insurance-based clinics simply don't have time to deliver.
We listen. We get to the root cause. We provide personal, expert care in a supportive space designed just for women. We want you to feel strong and free in your body again.
We do things differently at Revive because we know exactly who to help and how to get results:
Every provider on our team is trained in Dr. Dawn Andalon's Pelvic & Core Reset™ Method — her proprietary clinical approach developed over 22 years of women's health practice, delivering consistent, proven results for every client we see.
Highly personalized, concierge approach with customized care plans for each client
One-on-one sessions and small, intimate group sessions
Expert, all-female team of pelvic floor physical therapists and women’s health specialists
45+ years of combined expertise in PT and Pilates
Integrated Pilates-based rehab for long-term results
FAQs
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Yes — this is one of our core specialties. If you are leaking with sneezing, coughing, or exercise — or feeling heaviness, pressure, or bulging in your pelvic area — we can help.
We use a proven combination of hands-on therapy and therapeutic movement to restore pelvic floor function, rebuild core strength, and help you feel in control of your body again. Most women are surprised by how much improvement is possible without surgery or medication.
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Yes — and in many ways it is most effective for women in their 40s, 50s, and 60s. This is when pelvic floor changes become most noticeable, and when the right intervention makes the biggest difference in quality of life.
Symptoms like bladder leaks, pelvic heaviness, painful intimacy, back pain, and core weakness are not inevitable parts of aging. They are signals that something specific is not functioning the way it should — and most of them respond extremely well to targeted pelvic floor physical therapy.
We have worked with women in their 40s who thought they were too young to have these issues, women in their 60s who thought they had waited too long, and everything in between. In the vast majority of cases, the right care produces real, lasting results — without surgery, without medication, and without being told to just live with it.
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Pelvic floor physical therapy is a specialized branch of physical therapy focused on the muscles, nerves, and connective tissues that support your bladder, uterus, and bowel — an area that standard PT typically does not address at all.
At Revive, we go further than either approach alone. Because our team includes pelvic floor specialists who are also trained in orthopedic PT and therapeutic Pilates, we can see and treat the full picture — how your pelvic floor connects to your core, your spine, your hips, and your overall movement.
This means we can address things that most clinics miss entirely: why your back pain keeps coming back, why Kegels alone are not working, why your symptoms got worse after surgery. We find the root cause. That is what makes the difference.
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Your gynecologist identifies and diagnoses pelvic health conditions.
Pelvic floor physical therapy is hands-on treatment that addresses the muscles, nerves, and connective tissues causing your symptoms. The two work together — we frequently collaborate with your OB-GYN or urogynecologist as part of your care team.
Think of it this way: your gynecologist tells you what is going on. We help your body actually fix it.
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Most traditional PT clinics are built around insurance billing — which means shorter sessions, rotating therapists, and care plans designed around what insurance approves rather than what your body actually needs.
At Revive, we are a cash-pay practice. That means every decision we make is based entirely on what is right for you — not what an insurance company will reimburse. Your sessions are one-on-one, unhurried, and with the same specialist every time.
Every provider on our team is trained in Dr. Dawn Andalon's Pelvic & Core Reset™ Method — her proprietary clinical approach developed over 22 years of women's health practice. You are not getting a generic treatment protocol. You are getting a plan built around your body, your history, and your goals.
And unlike a standard Pilates studio, our team includes licensed physical therapists who can identify and treat the root cause of what is going on — not just teach you exercises and hope for the best. We offer a 100% Happiness Guarantee because we stand behind every session.
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Absolutely — and it is one of the most important things you can do after this surgery. Many women are surprised by how significantly their core and pelvic floor are affected after a hysterectomy, and how much faster they recover with the right physical therapy support.
We help you heal properly, reduce scar tissue restrictions, safely rebuild your strength from the inside out, and return to daily life and movement without discomfort or fear. We also make sure you are not doing exercises that could set your recovery back — which is a common problem when women try to navigate post-surgical recovery on their own.
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Your first visit is all about understanding your story. We will sit down for a full evaluation, review your health history, and assess your movement, posture, and any symptoms you have been experiencing.
From there we will begin gentle hands-on therapy and introduce therapeutic exercises tailored specifically to your body. You will leave feeling heard, supported, and clear on your path forward.
You will never be rushed, you will never feel like a number, and you will leave knowing exactly what your next step is.
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No referral is needed. California is a direct-access state, which means you can schedule a physical therapy evaluation directly with us without waiting for a physician's referral.
If your care plan benefits from collaboration with your doctor, OB-GYN, or other specialist, we are happy to work with them as part of your team — but you are in control of when and how your care begins. You can start today.
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Revive PT & Pilates is a private-pay clinic, which means we do not bill insurance directly and have no relationship with Medicare or Medicaid.
We are considered out-of-network for PPO plans on our physical therapy services. However, we are happy to provide a superbill — a coded receipt with instructions — that you can submit to your PPO insurance for possible reimbursement.
Our cash-pay model is what allows us to provide longer, more personalized one-on-one sessions without the restrictions that come with insurance-based care. Every decision we make is based on what your body needs — not what an insurance company will approve.
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Our clinic is located at 681 Encinitas Blvd in Encinitas, CA 92024 — in the heart of North County San Diego.
Physical therapy and integrated Pilates sessions take place in Suite 308. Pilates group classes are in our adjacent studio, Suite 305. When you arrive, look for Suite 308 — our team will direct you from there.
There is a free parking lot directly in front of the building with plenty of spaces. No referral is needed — California is a direct-access state, which means you can schedule 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.
GET THE FREE DOWNLOAD
Stop Doing Kegels. Try This Instead.
If you’ve been told to “just do Kegels” — but you’re still struggling with pelvic discomfort, core weakness, or bladder control — this free guide is for you. In just five minutes a day, you’ll learn a simple, effective movement sequence to reconnect with your core and pelvic floor in a more intentional way. Created by pelvic floor physical therapists, this is an easy and empowering daily ritual designed specifically for women 40+ to support strength, mobility, and healing.
Helping Women in Encinitas, CA, San Diego County, & Beyond
Our wellness studio is located in Encinitas, CA, and we serve and support women all around the San Diego area, particularly in North County San Diego.
Our clinic is located at 681 Encinitas Blvd in Encinitas, CA — Suite 308 for physical therapy and integrated Pilates, Suite 305 for Pilates group classes. We provide pelvic floor physical therapy and women's health PT services to women throughout North County San Diego, including Carlsbad, Solana Beach, Del Mar, La Jolla, Leucadia, Cardiff by the Sea, Rancho Santa Fe, and Oceanside. No referral is needed — California is a direct-access state.
DON’T KEEP WAITING AND HOPING THINGS WILL CHANGE
You've waited long enough.
The women who walk through our doors have usually tried everything else first. If you're ready to find out what's actually going on — and finally work with a women's health physical therapy team in Encinitas that gets results — your Discovery Visit is the first step. No pressure. No commitment. Just answers.