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Pelvic Floor Dysfunction Treatment in La Crosse & Onalaska

Pelvic floor dysfunction is incredibly common — and highly treatable. You don't have to just live with it.

Millions of people experience pelvic floor dysfunction — leaking, pelvic pain, heaviness, urgency — and millions of those people have been told it's normal, it's just part of getting older, or it comes along with the pregnancy and postpartum journey. Well, that is simply not true and it’s not ok.

Pelvic floor physical therapy is one of the most evidence-supported treatments available for a wide range of pelvic health conditions. At Dynamic Performance and Therapy, our pelvic health specialists provide expert, compassionate, one-on-one care in a private setting — and they get results.

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What Is Pelvic Floor Dysfunction?

The pelvic floor is a group of muscles, ligaments, and connective tissue forming the base of the pelvis. These structures support the bladder, bowel, and uterus; control urinary and bowel function; contribute to sexual function; and play an important role in core stability and movement.

Pelvic floor dysfunction occurs when these structures are too weak, too tight, poorly coordinated, or restricted by scar tissue or fascial adhesions. The dysfunction can manifest in many different ways — which is why accurate assessment by a trained specialist is essential.

Contributing Factors

Pelvic floor dysfunction can result from childbirth (vaginal or C-section), hormonal changes (pregnancy, perimenopause, menopause), pelvic surgery, chronic constipation, repetitive heavy lifting, high-impact sport, chronic pain or trauma, or simply from patterns of muscle holding and guarding that develop over time.

Importantly, pelvic floor dysfunction is not always about weakness — many cases involve muscles that are too tight or poorly coordinated, not too weak. This is why a thorough specialist assessment is essential before beginning treatment.

How We Treat It at

Dynamic Performance and Therapy

Pelvic Floor Muscle Assessment & Retraining

A thorough evaluation of pelvic floor muscle function — strength, coordination, tone, and endurance — followed by a specific retraining program based on what your assessment finds. This is not a generic Kegel program.

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Internal & External Manual Therapy

Hands-on techniques to release fascial restrictions, scar tissue, and muscle tightness within and around the pelvic floor — performed only with your informed consent and at your pace.

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Visceral Mobilization

For patients with pelvic pain, bladder dysfunction, or post-surgical restrictions — gentle mobilization of pelvic organs to restore natural movement and reduce dysfunction. Provided by Dr. Jill O'Brien.

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Pessary Fitting

Dr. Jill O'Brien is one of the few providers in the region trained in pessary fitting for pelvic organ prolapse — a non-surgical device management option that can be highly effective.

Education & Lifestyle Guidance

Bladder habits, bowel health, breathing patterns, posture, and intra-abdominal pressure management are all part of a comprehensive pelvic health plan. We educate as much as we treat.

What to Expect at Your First Visit

A private, thorough intake conversation about your history, symptoms, and goals. Your therapist will explain every aspect of the evaluation process before proceeding, and nothing is done without your informed consent.

An internal pelvic floor assessment may be recommended but is never required. There are always alternatives, and your therapist will discuss all options with you before your first visit begins.