Neuro-Pelvic Floor Therapy

Living with a neurological disorder and managing daily life activities is hard. At Pelvic Pride we are here to help make it easier to navigate the functions around your bowel, bladder, and sexual intimacy.

Neurologic Conditions & The Pelvic Floor

An injury or insult to the nervous system - whether to the brain, spinal cord, and/or peripheral nerves - can play a significant role in bowel or bladder health, and sexual function. Just like you may have or continue to experience, strength, sensation, and coordination changes to the rest of the body, the pelvic floor muscles can also be weak, tight, stiff, or uncoordinated due to an injury to the nervous system.


Common neurologic diagnoses we work with include:

  • Traumatic and nontraumatic brain injury (TBI)
  • Stroke (CVA)
  • Multiple sclerosis (MS)
  • Parkinson’s disease (PD)
  • Spinal cord injury (SCI)
  • Cerebral palsy (CP)
  • Spina bifida


Dr. Marlena also works with individuals navigating other neurologic conditions, including post-concussion syndrome, tethered cord, transverse myelitis, and Guillain-Barré syndrome (GBS), to name a few.

Neuro-Pelvic Health

Diagnoses We Treat

Neurogenic Bowel

  • Fecal incontinence (leaking stool)
  • Fecal urgency (a strong need to go)
  • Constipation

Neurogenic Bladder

  • Urinary leakage
  • Urinary urgency or frequency
  • Urinary retention or difficulty emptying the bladder
  • Elevated post-void-residual (PVR)
  • Difficulty starting urine stream or weak urinary stream

Neurogenic Erectile Dysfunction & Other Sexual Changes

  • Difficulty achieving orgasm
  • Incomplete orgasm
  • Difficulty achieving or maintaining erection
  • Premature ejaculation
  • Pain with sex


Want to learn more? Check out our Ultimate Guide to Pelvic Floor Physical Therapy: The Neurological Edition.

What Our Patients Are Saying

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