What is performance-driven pelvic health care and do I need it?

Your body can get stronger.

Understanding your body is one of the most powerful tools you have.

Zia treats the full spectrum of pelvic floor conditions, including prolapse, pelvic pain, urinary leakage, pain with intimacy, and core dysfunction. Every session goes beyond symptom management to help you understand what's happening in your body and why — so you can move forward with clarity and confidence, not just relief. Whether you're recovering from surgery, managing a recurring issue, or trying to stay active through discomfort, the goal is the same: get you back to doing what you love, with a deeper understanding of how to stay there.

Zia takes a pattern-based approach to orthopedic treatment, looking at how your whole body moves rather than chasing isolated injuries.

"Stop doing that" is rarely the right answer. Our performance services — including running gait analysis, bike fitting, and sport-specific assessments — are built for active women who want to train smarter, recover faster, and move with more power and resilience.

Whether you're preparing for a new challenge, navigating a recurring injury, or returning to sport, care is delivered through a combined pelvic health and orthopedic lens that most sports medicine or physical therpy settings simply don't offer.

What We Treat


Bladder & Bowel

  • Urinary leakage 

  • Constipation and GI-related pelvic concerns

  • Constipation or straining to empty bowels

  • Hemorrhoids

  • Urinary urgency, frequency, bladder pain or sensitivity

Line drawing of the pelvis, skeletal system.

Pregnancy & Postpartum

  • Labor and delivery preparation

  • Birth recovery

  • Return to sport after pregnancy and childbirth

  • Core dysfunction, including abdominal separation and post-surgical concerns (Diastasis recti abdominis)

  • Painful/tight Cesarean section or perineal scarring


Pelvic Pain

  • Endometriosis or chronic pelvia pain

  • Pain with intimacy or sex (dyspareunia, vaginismus, vulvodynia)

  • Vulvar, vaginal and/or clitoral pain

  • Pain when inserting tampons, sitting and/or standing

  • Coccydynia/tailbone pain


Prolapse

  • Functional pessary fittings to support active prolapse management 


Orthopedics 

  • Low back pain 

  • Hip and pelvic pain (SI joint issues, pubic symphysis dysfunction, labral concerns) 

  • Post-hip replacement care 

  • Knee pain 

  • Post-surgical care, health and restoration (e.g., post-hysterectomy, post-gender affirming surgery, post-abdominoplasty)

  • Hernias

Line drawing of a human torso representing spinal ailgnment.

Athletic Performance 

  • Readiness for new sports or training phases 

  • Recurrent or overuse injuries 

  • Post-injury return to sport: lifting, running, cycling

  • Power development and performance optimization 

  • Performance-focused bike fittings for cyclists and triathletes 

  • Running gait analysis and individualized performance programming 

Outline of a person running on a treadmill.

“Sara is my go-to physical therapist. She is compassionate, gentle, and truly cares about her clients. She gives clear communication and provides easy to follow at-home work. She shows a level of empathy and compassion that is invaluable, which makes tough conversations much more comfortable.”

— Sara T.

An athlete running crosses the finish line of an Ironman race in Madison, Wisconsin. She wears a pink cap, black athletic clothing with sponsor logos, and a race bib numbered 95. The background shows the Capitol building, spectators, and other race officials or participants.

Questions before getting started? Get in touch.