Pelvic Floor Therapy for Pregnancy + Postpartum in Lake St. Louis, MO and O'Fallon, MO
Whether you're preparing for birth, navigating postpartum recovery, or looking for support with pelvic floor symptoms, our approach considers how your pelvic floor, core, breathing, and movement work together.
From prenatal bodywork to pelvic floor therapy and birth preparation, we're here to help you feel more informed, comfortable, and supported throughout your journey.
Pregnancy and Postpartum Pelvic Floor Care
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For the changes you expect—and the ones no one told you about.
Gentle, hands-on care with a pelvic floor therapist to help ease muscular tension, stiffness, and discomfort throughout pregnancy.
Prenatal Bodywork
Pelvic Floor Initial Evaluation
Bump to Baby Bundle
Find the Support You Need Right Now
Get answers about your changing body with an individualized assessment and plan tailored to your symptoms, birth preparation, or recovery goals.
Continue working toward your goals with personalized treatment, hands-on techniques, exercises, and guidance that evolves with your recovery.
Pelvic Floor Follow-Up
For muscle tension and discomfort
For birth prep and postpartum support
A little extra support before and after baby arrives. This discounted package combines prenatal and postpartum pelvic floor therapy with lactation consultations for both stages.
For personalized pelvic floor care
For continued care and recovery
BEST VALUE
Benefits of Prenatal Bodywork:
- Help ease muscular tension and stiffness
- Support comfort as your body changes throughout pregnancy
- Address areas of muscular discomfort
- Promote relaxation and body awareness
- Support functional movement and preparation for birth
Every pregnancy is different, and the number of sessions you choose is entirely up to you. Whether you're looking for occasional relief or more regular support, we'll tailor each visit to your needs.
Prenatal Bodywork Session
What to expect:
This 60 minute or 90 minute sessions are all hands-on muscle release, stretching, and relaxation for any and all stages of pregnancy.
Prenatal Bodywork
For muscle tension and discomfort.
Who this is for:
- One prenatal pelvic floor physical therapy visit focused on birth preparation and education
- One postpartum pelvic floor physical therapy visit focused on recovery and returning to activity
- One prenatal lactation consultation with Nurturing Babbles
- One postpartum lactation consultation with Nurturing Babbles
Bump to Baby Bundle Price
What the bundle includes:
Bump to Baby Bundle
Support for pregnancy, birth preparation, and postpartum recovery.
Our goal is to help you feel more prepared for birth, supported during recovery, and confident as you return to your daily activities.
Who this is for:
The bundle saves you more than $100 compared with booking each service individually.
Additional pelvic floor therapy or lactation visits can be scheduled separately at the provider's standard rates.
- Urine or bowel leakage
- Pelvic pressure, heaviness, or symptoms of prolapse
- Pain with intercourse or other pelvic discomfort
- C-section scar sensitivity or abdominal tightness
- Abdominal weakness or diastasis recti
- Persistent hip, pelvic, low back, or tailbone pain
- Difficulty returning to exercise or everyday activities with confidence
Pelvic Floor Initial Evaluation
During pregnancy, you may benefit from pelvic floor therapy if you’re experiencing:
- Pelvic pressure, hip pain, or low back pain
- Pain around the pubic bone or tailbone
- Urine leakage or frequent urges to use the bathroom
- Constipation or difficulty with bowel movements
- Abdominal muscle separation or difficulty coordinating your core
- A desire to prepare for labor, practice pushing techniques, or learn pelvic floor relaxation
Leave With a Plan:
After birth, pelvic floor therapy may help with:
Designed for women experiencing pelvic floor dysfunction pregnancy and postpartum
- This follow-up service is for anyone who has completed an initial pelvic floor physical therapy evaluation within the past six months and is ready to continue working toward their goals.
Who this is for:
- Each session builds on your previous visit, allowing us to monitor your progress, adjust your treatment plan, and address any new or ongoing concerns. You’ll leave with practical strategies, exercises, and guidance to help you continue making progress at home and feel more confident in your body.
Why follow-up appointments matter:
What to expect:
Designed for returning patients navigating pelvic floor dysfunction during pregnancy or postpartum, these follow-up sessions build on your initial evaluation to support continued healing, strength, and recovery.
Pelvic Floor Follow-Up
Prenatal + Postpartum
Dr. Elisa is passionate about helping moms feel confident and supported through pregnancy, birth, and postpartum recovery. With specialized training in pelvic health, she combines hands-on care, education, and individualized treatment to help you prepare for birth and feel more like yourself again after baby.
Your body deserves more than a six-week checkup.
Dr. Elisa Travis PT, PPCES
We're here for you, through every stage of motherhood.
I started seeing Dr. Bri during my second trimester for pubic symphysis and low back pain. She taught me how to move, sleep, and lift without triggering pain. Her hands-on work gave immediate relief, and the exercises were realistic for pregnancy. She made me feel comfortable every step of the way.”
-S.W.
"Elisa is wonderful to work with! She is able to make patients/clients comfortable enough to address issues that can be, by nature, uncomfortable. Working with her in preparation for my third birth experience definitely made a difference, and I was able to "bounce back" faster than my previous two. The sooner you do this important work, the more time you will have to enjoy better function, and Elisa is your must-have guide!"
-Ruthie
After having my baby, I had leaking, pressure, and didn’t feel like myself. Dr. Bri helped me reconnect to my core and pelvic floor in a way that felt safe and gentle. She never rushed me and always validated how hard postpartum can be. I finally feel strong again.”
-Emma
"After just a few sessions with Elisa I understood so much more about how my body is shaped, and what positions I could deliver in. Our sessions helped give me the confidence to have an unmedicated birth, and a great deal of knowledge about how my body would recover. In this, my third pregnancy and birth, I felt like I finally know what I should have know all along thanks to Elisa."
-Shev
"I struggled with chronic pelvic-floor pain and Vaginismus for years. I had a traumatic experience at the gynecologist in my early 20s and dreaded going to exams or checkups. During my first visits with Elisa, she was patient and non-judgmental. Through our time working together she assisted with recognizing a chronic condition called Vestibulodynia, which was confirmed by an OB specializing in vulvar pain. Elisa’s experience, vast knowledge base, and patience helped me to trust in her and my own body again."
-Devorah
While we do not bill insurance directly, many patients choose to use HSA or FSA cards for eligible services. Some insurance plans may also offer out-of-network reimbursement—though coverage varies.
We’re always happy to provide a detailed receipt (superbill) upon request so you can check with your insurance provider if reimbursement is available.
Optimize is a self-pay, out-of-network practice. This allows us to provide longer, one-on-one sessions without the limitations often required by insurance companies.
- Longer appointments
- Personalized, unrushed treatment
- Care driven by your needs—not insurance restrictions
Frequently Asked Questions
You can begin at any stage of pregnancy. Whether you’re early in your pregnancy and want to learn more about your pelvic floor or getting closer to delivery and preparing for birth, we’ll tailor your care to your needs and stage of pregnancy.
Not at all! Pelvic floor therapy can also help you prepare for birth, understand your changing body, learn breathing and pushing techniques, and plan for postpartum recovery. You don’t have to wait until something feels wrong to seek support.
Your recovery is unique, and there isn’t one timeline that works for everyone. You can schedule an evaluation to discuss your birth experience, healing, symptoms, and goals. Your therapist can help determine an appropriate plan and timeline for your needs.
Yes, pelvic floor therapy can be helpful after both vaginal and cesarean births. Pregnancy itself places demands on your pelvic floor and core, and postpartum care can address breathing, strength, mobility, scar-related concerns, and returning to activity when appropriate.
Your appointment begins with a conversation about your symptoms, health history, and goals. Your therapist may assess breathing, posture, mobility, strength, and coordination. An internal pelvic floor examination may be offered when appropriate, but it is optional and requires your consent. Your therapist will explain your options and prioritize your comfort.
Prenatal bodywork is similar to a massage session, but it's provided by a certified pelvic floor therapist who also considers how muscle tension, movement, and pelvic floor function relate to your pregnancy. Supportive pillows and bolsters help keep you comfortable throughout your session.
Absolutely! The Bump to Baby Bundle is an optional package for expecting moms. If you prefer to book individual appointments, you can schedule an initial evaluation for prenatal or postpartum pelvic floor therapy and add follow-up visits as needed.
Every person and every recovery is different. Some people benefit from just a few visits, while others prefer ongoing support as they progress through pregnancy or postpartum recovery. Your therapist will work with you to determine a plan that fits your needs and goals.
Optimize Physical Therapy and Wellness is located in St. Charles County, Missouri at two locations; The Back Pain Center at
2530 State Hwy K, O'Fallon, MO 63368 and Mirella Aesthetics at 400 Lake St Louis Blvd #1, Lake St Louis, MO 63367.
Optimize Physical Therapy and Wellness is proud to serve patients from Lake Saint Louis, Troy, Wentzville, O’Fallon, New Melle, St. Peters, Weldon Spring, Wright City, Moscow Mills, Warrenton, and the greater St. Louis Area.
