Pelvic Floor Physical Therapy in Katy, TX
Leaking, pelvic pain, painful intimacy and postpartum changes often come down to the pelvic floor muscles. Targeted physical therapy can help them work the way they should.
Pelvic floor physical therapy is a specialized form of physical therapy that evaluates and treats the muscles, nerves and connective tissue that support the bladder, bowel and reproductive organs. It is a first-line treatment for many types of incontinence, pelvic pain and pain with intercourse. At our Katy office, licensed physical therapist Sonya Asghari works closely with Dr. Solafa Elshatanoufy to coordinate your care.
What Is the Pelvic Floor?
The pelvic floor is a group of muscles that stretches like a hammock across the bottom of the pelvis. These muscles support the bladder, uterus and bowel, help control urine and stool, and play a role in sexual function and core stability.
Like any muscles, they can become weak, overly tight or poorly coordinated. Pregnancy, childbirth, menopause, chronic straining, heavy lifting, surgery and stress can all affect them. Weak muscles may lead to leakage or prolapse, while tight muscles can cause pain, urgency and difficulty emptying.
Pelvic floor therapy is not just Kegel exercises. Many women actually need to learn to relax these muscles, and a therapist can tell which approach is right for you.
Conditions Pelvic Floor Therapy Can Help
Therapy is often used on its own or together with medical treatment.
Bladder and bowel
- Stress urinary incontinence: leaking with coughing, sneezing or exercise
- Urgency, frequency and urge leakage
- Difficulty emptying the bladder or bowel
- Constipation related to pelvic floor coordination
- Mild pelvic organ prolapse symptoms
Pain, intimacy and life stages
- Chronic pelvic pain and pelvic floor muscle tension
- Pain with intercourse (dyspareunia)
- Vaginismus
- Bladder pain and interstitial cystitis
- Pregnancy-related pelvic and back discomfort
- Postpartum recovery
- Recovery before and after pelvic surgery
When Should You Consider Pelvic Floor Therapy?
- You leak urine with activity or feel sudden urges you cannot hold
- Intercourse, tampon use or pelvic exams are painful
- You have pelvic, hip or tailbone pain that has not resolved
- You are recovering from childbirth and something does not feel right
- You have been diagnosed with prolapse and want to avoid or delay surgery
- You are preparing for or recovering from pelvic surgery
See a doctor first if you have new pelvic pain with fever, bleeding after menopause, blood in the urine, or sudden loss of bladder or bowel control. These need medical evaluation. Call 911 in an emergency.
Meet Sonya Asghari, Licensed Physical Therapist
Sonya Asghari is a licensed physical therapist with more than 20 years of clinical experience, including eight years specializing in pelvic floor physical therapy. Her clinical work includes the evaluation and treatment of vaginismus, painful intercourse, adult bladder dysfunction and urinary incontinence, pelvic floor muscle dysfunction, and pregnancy and postpartum conditions.
Sonya uses a patient-centered approach that combines manual therapy, pelvic floor muscle rehabilitation, therapeutic exercise, neuromuscular re-education, bladder and bowel retraining and education. Working in the same practice as Dr. Elshatanoufy makes it easy to coordinate your medical and therapy care.
Your First Visit
Your first appointment focuses on understanding your symptoms and goals. You are always in control, and every part of the assessment is explained before it happens.
- Conversation about your history: symptoms, pregnancies, surgeries, bladder and bowel habits, and what you hope to achieve.
- Posture, breathing and movement assessment: including the hips, back and abdominal muscles.
- Pelvic floor muscle assessment: which may include a gentle external or internal exam, only with your consent.
- A personalized plan: with exercises to start at home.
What Treatment Involves
Every plan is individualized. Treatment usually combines hands-on care in the clinic with a home program.
In-clinic therapy
- Manual therapy: to release tight muscles, trigger points and scar tissue.
- Pelvic floor muscle training: to strengthen, relax or coordinate the muscles as needed.
- Neuromuscular re-education: to improve muscle control and timing.
- Therapeutic exercise: for the core, hips and posture.
Skills for daily life
- Bladder retraining: urge suppression and gradually lengthening time between bathroom trips.
- Bowel retraining: positioning and techniques to empty without straining.
- Dilator guidance: for vaginismus and painful intercourse.
- Education: safe lifting, return to exercise and protecting the pelvic floor long term.
Pelvic floor therapy is often combined with medical treatment from Dr. Elshatanoufy, such as vaginal estrogen, bladder medication or a pessary.
What Can You Expect?
Most patients attend sessions over several weeks to a few months, along with a short daily home program. Many notice changes within the first several weeks. Progress depends on your condition and on consistent practice at home. Results vary, and your plan is updated as you improve.
Pelvic Floor Therapy in Katy, Texas
Specialized therapy coordinated with a board-certified urogynecologist in the same practice.
- Licensed physical therapist with pelvic floor expertise
- More than 20 years of clinical experience
- Coordinated care with Dr. Elshatanoufy
- Private, one-on-one sessions
- Personalized home programs
- Care for bladder, bowel, pain and postpartum concerns
What Our Patients Say
Patients share their experience of care at our Katy office. Individual results vary.
Dr. Elshatanoufy is simply wonderful! She took the time to thoroughly explain my extensive lab results and other tests, answered all of my questions, and gave me the confidence and peace of mind I needed before moving forward with the procedure.
The entire staff was also incredibly attentive, courteous, and welcoming throughout my visit. I truly loved my experience there and felt very well cared for. I definitely trust Dr. Elshatanoufy and her team with my health needs and would highly recommend them!
I can’t say enough good things about Dr. Solafa. She is warm, attentive, and incredibly compassionate. She takes her time during appointments, listens carefully to concerns, and never makes you feel rushed. Her bedside manner is truly wonderful, and she creates such a comfortable and reassuring environment. You can tell she genuinely cares about her patients. Very sweet, professional, and knowledgeable. I’m so grateful to have found her for my mom’s treatment.
Dr. Elshatanoufy was truly lovely to work with. I’ve had a hard time pinning down my symptoms but she was willing to hear my concerns and do a thorough examination to rule out more serious conditions. She was thorough, efficient, patient, gentle, and kind during the pelvic examination, which is a vulnerable position for women. I felt that she genuinely cared for my wellbeing. After receiving less than ideal care at a neighboring practice in Katy, I am really grateful to Dr. E for validating my concerns, making me feel heard, and reassured with my next steps.
The waiting room was pretty busy and cold when I went. Suggest bringing headphones and some long sleeves!
My experience perfection. From check in to check out. Dia was my MA and she was so professional and a pleasure. She answered all my questions and made sure I was taken care of. Dr Elshatanoufy was AWESOME! Great bedside manner and make my exam comfortable. Then I had the pleasure to check out with Elizabeth and she was just as pleasant. I can tell this is an office that cares greatly for their patients!
This was my first visit at Katy Women’s Pelvic Health. It was a great experience, from checking in with a very helpful and friendly receptionist to being seeing by Nida the office manager, Oyin the NP and Dr. E. Everyone was very friendly, professional, and made the visit very comfortable. They thoroughly explained all the finding and the options for treatment. I highly recommend this practice.
Dr E. and her whole staff are gems! They have the best customer service, energy, and I noticed they are great with all other patients besides me. Dr E. really listens to your problems, offers solutions and she explains things so well. You can tell she loves what she does and does a wonderful job at it. I definitely recommend her practice to anyone seeking top notch, high quality care.
Just the kindest people! I was so at ease with the whole experience!! Very knowledgeable, explained everything and answered all my questions!!! Wish I had found her earlier in my life!!
Mi nombre es Nidia, I am a patient at Katy Women’s Pelvic Health and had my surgery less than 15 days ago. This clinic is highly recommended for its excellent medical and humane care. This type of care is provided by the entire staff, in addition to the doctor, including the receptionist, nurses, and health technicians. The surgeon is Solafa Elshatanoufy, who has more than 20 years of experience in women’s pelvic health, offering modern, effective, and minimally invasive treatments in many cases. She is a compassionate and empathetic person who makes you feel safe, listened to, and cared for by expert and professional hands. The environment is clean and welcoming, and thanks to its modernity, I felt almost no discomfort or pain during the procedures, and everything was quick.
One of the best places to see OBGYN. My mom sees Dr. Solafa. The staffs, nurses, Doctors and the services they provide are very professional and welcoming. Highly recommended.
Top-tier doctor and extremely skilled surgeon, I could not have been more blessed to have her taking care of me. Thank you, Dr. E!
Dr. E is a super great Doctor who listens attentively and collaborates closely with patients throughout every step of the process. Additionally, the office staff was professional, courteous, and efficient.
Dr. E is so kind and professional. She listened to all my concerns and had an answer to all my questions. She made sure I was happy with my medications. Her staff is so helpful and make the visit go quickly and efficiently. I am so glad I found Dr E!
Dr. E has the best bedside manner compared to all the doctors I have seen before. She is so knowledgeable and truly cares for her patients and wants the best for everyone. I feel incredibly lucky to find a doctor willing to always spare time for patients. She is amazing and 1000% worth the wait!!!!
Frequently Asked Questions About Pelvic Floor Therapy
Is pelvic floor therapy just Kegel exercises?
No. Some women need strengthening, but many need to learn to relax and coordinate the pelvic floor. Therapy also includes manual techniques, bladder and bowel retraining and education.
Is an internal exam required?
No. An internal assessment can provide helpful information, but it is always optional and done only with your consent. Therapy can begin with external techniques.
How many sessions will I need?
It varies. Many patients attend sessions over several weeks to a few months, with a home program between visits.
Can pelvic floor therapy help after childbirth?
Yes. It can help with leaking, pelvic pain, painful intercourse and safely returning to exercise after vaginal or cesarean birth.
Can pelvic floor therapy help prolapse?
It can improve symptoms of mild to moderate prolapse and may help prevent progression. It is also helpful before and after prolapse surgery.
Will insurance cover pelvic floor therapy?
Many insurance plans cover physical therapy. Our team can help you check your benefits before you begin.
Do you see patients from outside Katy?
Yes. Women from Fulshear, Richmond, Sugar Land, Cypress and across Greater Houston are seen at our Katy office.
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Physical therapy sessions take place at our Katy office at 410 W Grand Pkwy S, Suite 320. We welcome patients from Katy, Cinco Ranch, Fulshear, Richmond, Sugar Land, Cypress and West Houston.
Ready to Feel Stronger and More Comfortable?
Call our office to ask about pelvic floor physical therapy or to schedule an evaluation.
410 W Grand Pkwy S, Suite 320, Katy, TX 77494