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Stop leaking. Before you accept it as normal.

Leaking when you cough, sneeze, laugh, or run isn't something you have to live with, and it isn't just a part of being a mom or getting older. We find why your pelvic floor isn't holding, then retrain it so it does.

For new moms, runners, and anyone tired of planning around a bathroom.

2,000+ women helped

160+ five-star reviews

“Advocating for myself to undergo pelvic floor therapy instead of automatically signing up for bladder suspension surgery... all of my pelvic floor dysfunctions were successfully treated by the 4th visit.”

Brooke Sawyer, Vitality patient

We Hear This Every Week

Sound familiar?

Bladder leakage is the single most common reason women come to us, almost always with the same handful of moments behind it.

“I can't sneeze without leaking.”

The sneeze you brace for

“I have to cross my legs when I cough or laugh too hard.”

The instinctive cross-leg move

“I stopped running because I can't do it without a pad.”

The activity you gave up
What patients tell us
“Advocating for myself to undergo pelvic floor therapy instead of automatically signing up for bladder suspension surgery... all of my pelvic floor dysfunctions were successfully treated by the 4th visit.” Brooke Sawyer, Vitality patient
Not Just Kegels

Most women are told to do more Kegels. That's often the wrong answer.

Your pelvic floor works like a hammock supporting your bladder. When it can't handle the pressure of a cough, a sneeze, or a run, leaking happens, but the cause isn't always weakness. Sometimes the muscles are too tight to coordinate properly, and more Kegels only makes it worse.

1

A real pelvic floor evaluation

We find out if your muscles are weak, too tight, or simply not coordinating with your breath and core, not guess.

2

A plan built for your body, not a handout

Manual therapy and a personalized home program, not a generic exercise sheet.

3

Built around getting your life back

Running, jumping on the trampoline with your kids, laughing without a second thought, that's the goal.

Is This You?

If any of this sounds familiar, we've treated it before.

You don't need to self-diagnose before you call. This just helps you see we've treated exactly this before.

New moms who've "just lived with it" for years

Leakage that started after childbirth and never fully went away, sometimes for a decade or more.

Runners and CrossFitters who plan around bathrooms

Active women who avoid certain movements or routes because of the fear of an accident.

Women told bladder surgery was the only option

Considering or scheduled for a procedure before conservative care was ever tried.

Perimenopausal and postmenopausal women

Leakage that's gotten more noticeable with hormonal changes, not just a postpartum issue.
How It Works

One process, from constant leaking to confident again.

Kegels alone rarely fix this. Here's how we actually find and retrain what's not working.

EvaluateVisit 1. A full pelvic floor and whole-body assessment, internal exam only with your consent, so we know exactly what's tight, weak, or not coordinating.
RetrainVisits 2–6. Hands-on manual therapy plus a personalized home program, not a generic Kegel handout.
RebuildVisits 7–10. Return to running, lifting, or your daily routine with a body that actually supports you.
MaintainOngoing. A plan you can keep up on your own, with us as a resource if anything changes.
Therapist and patient talking beside the treatment table at Vitality Pelvic Health
Life Back On Her Terms

“Advocating for myself to undergo pelvic floor therapy instead of automatically signing up for bladder suspension surgery... all of my pelvic floor dysfunctions were successfully treated by the 4th visit.”

Brooke Sawyer, Vitality patient
Common Questions

Before you call, a few honest answers.

01Is it normal to leak urine after having a baby, or when I run, cough, or laugh?

It's incredibly common, but that doesn't mean it's something you have to accept. Pregnancy and childbirth can weaken or stretch the pelvic floor muscles that support your bladder, so pressure from a cough or a run causes a small leak. A pelvic floor evaluation finds out exactly what's happening and builds a plan to fix it, not just manage it.

“Advocating for myself to undergo pelvic floor therapy instead of automatically signing up for bladder suspension surgery... all of my pelvic floor dysfunctions were successfully treated by the 4th visit.” Brooke Sawyer, Vitality patient
02I've already tried Kegels and they didn't help. Now what?

That's one of the most common things we hear. For a lot of women, the issue isn't weakness alone, sometimes the muscles are too tight or not coordinating with the rest of your core and breath. More Kegels can actually make that worse. A real evaluation tells us what's actually going on.

03Do I need a referral or a doctor's note first?

No. Oklahoma allows direct access to physical therapy, so you can schedule with us without a physician referral.

04Will the evaluation involve an internal exam?

Only with your full understanding and consent, and only when it's the right next step for your specific symptoms. We'll always explain what an evaluation involves before we start.

05How many visits does it usually take?

It depends on what's driving your symptoms, but many women notice real changes within just a few visits. Your first evaluation gives us, and you, a clear picture of what to expect.

Ready to stop planning your life around bathrooms?

A short, low-pressure first conversation. Tell us what you're dealing with, and we'll help you figure out the next step.