One-on-one pelvic floor evaluation and treatment from board-certified physical therapists, in Center City Philadelphia and Narberth on the Main Line.
Rebalance was founded by Hina Sheth, PT, OCS, MTC, a board-certified Orthopedic Clinical Specialist with more than 25 years of clinical experience. Hina trained in pelvic floor rehabilitation at the University of Pennsylvania in 2004, contributed to NIH-funded research on interstitial cystitis, has taught at Temple, UPenn, Jefferson and other medical institutions, and delivered a TEDx talk on why low back, hip, pelvic and sexual pain are so often missed.
The team she has built and trains is what makes the practice work. Every clinician is a licensed physical therapist with post-graduate pelvic health training, following an approach Hina designed, and several hold additional board certifications, including Joanna Hess, DPT, board-certified in Women’s Health (WCS). You are treated by your therapist for the entire session. There are no techs, no aides, and no shared appointments.
We built Rebalance as an out-of-network practice on purpose. It lets us treat patients with full autonomy, without an insurance company dictating what we can and cannot do. It means we can give each patient our undivided attention, work hands-on, and look at the whole person rather than a single diagnosis. That freedom is also why we can blend evidence-based care with clinical experience and both Eastern and Western approaches, and use whatever we believe will actually help you get better. Our team treats around 75 to 100 pelvic floor patients every week.
Pelvic pain is caused by over 15 conditions, including injury, nerve sensitivity, childbirth, muscle tension, & male pelvic pain conditions.
Common causes of pain during intercourse include Vaginismus, vulvadynia, Pudendal Neuralgia, and Endometriosis.
For new mums, postpartum injuries can lead to issues with pain, healing, and inflammation in the pelvis
Creating feelings of heaviness, discomfort, bulging, and pain from pelvic organs shifting downwards.
Involuntary urine leakage from coughing, running, sneezing, and general daily movement.
Bowel dysfunction and severe constipation can create issues with straining, difficulty emptying, or loss of control.
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Your Rebalance PT will assess your medical history, symptoms, pain levels, and pelvic floor function.
You’ll receive a targeted treatment plan, whether you are postnatal, rebuilding strength and function, or recovering from surgery.
We offer a range of therapies, including 100% manual therapy, biofeedback, targeted exercises, and holistic therapies.
Our clients typically see improvements within a few weeks, with most programs usually lasting for 6-12 sessions.
The first visit is 55 minutes, one-on-one, and it is an evaluation in the full sense: history, movement, breathing mechanics, hips, spine, core coordination, and, with your consent, an internal pelvic floor muscle assessment graded on the Oxford Scale. Internal assessment is the most accurate way to measure muscle tone, strength and coordination, and it is the step most patients tell us nobody offered them before.
About half the people who come to us have already had pelvic floor physical therapy somewhere else and are looking for a different approach, or feel they never got where they wanted to be. The difference at Rebalance is that we look at the problem from many angles. We do not just focus on the pelvic floor, we look at how the rest of the body may be contributing and treat those orthopedic connections too. Our treatment is very hands-on, and we are detailed in how we assess, and in how we sequence treatment based on what we find.
Because we are not tied to one hospital system, we have built a large network of trusted specialists across many disciplines and institutions, and we refer out when someone needs a more multidisciplinary approach. It is usually the combination of all of these things that helps people who have tried treatment before but still are not where they want to be.
You leave the first visit with a working diagnosis, a customized plan of care, defined functional goals, and clear discharge criteria. Most plans run 6 to 12 sessions. If we think you need a different specialist, we tell you at visit one, not visit ten.
“I’ve been to so many different doctors and providers and felt like I was just being passed around. This is the first time someone has actually put everything together and made me feel like it’s not all in my head. I finally feel like I have a plan and people who actually care about figuring this out with me.”
That is what a new patient told us recently. It is the sentence we hear, in one form or another, more than any other.
Treatment is hands-on and matched to what the evaluation actually found. Two patients with identical symptoms can need opposite treatment, which is the single most misunderstood thing about pelvic floor care.
Take a weak versus a tight pelvic floor. If your pelvic floor is weak, strengthening helps. If it is tight and overactive, which is just as common, pelvic floor strengthening, the Kegels most people have been told to do, can make the problem worse. A meaningful share of our patients arrive having spent months strengthening a muscle group that needed to be released first. That is not their failure. It is what happens when exercises are prescribed without an accurate internal assessment.
Depending on your diagnosis, your plan of care may include pelvic floor muscle training (PFMT), down-training and release work for overactive floors, internal manual therapy, myofascial trigger point release, dry needling, bladder retraining and behavioral therapy for urgency and frequency, vaginal dilator therapy for pain with penetration, visceral manipulation for fascial restriction around the bladder and bowel, and manual biofeedback so you can feel what your pelvic floor is doing while you retrain it.
Pelvic floor dysfunction shows up differently depending on where life finds you. The treatment plan changes accordingly.
Leakage that has outstayed its welcome, heaviness or prolapse symptoms, C-section and perineal scar restriction, diastasis recti, pain with intimacy, and the return-to-running question the six-week clearance never actually answers. Pregnancy and postpartum are among the largest groups we treat.
Pelvic girdle and pubic symphysis pain, and staying strong safely to full term.
New leakage, urgency, prolapse or pain symptoms decades after childbirth are usually tissue and hormone changes acting on an old vulnerability. Very treatable, and almost never explained to women that way.
Leaking during lifts, runs or box jumps is common in strength and impact sport. It is not a reason to stop training. It is a pressure management problem, and it responds to treatment.
Interstitial cystitis, endometriosis, vulvodynia, pudendal neuralgia and related diagnoses. These are the conditions people search hardest for help with, and pelvic floor therapy is a core part of managing them.
Chronic pelvic pain, testicular and perineal pain, post-prostatectomy leakage, and the years-long prostatitis diagnosis that turns out to be pelvic floor muscle dysfunction. It is one of the most underserved groups in pelvic health, and one we treat often.
Rebalance is a fee-for-service, out-of-network physical therapy practice. We do not bill insurance directly. After each visit you receive a superbill, an itemised receipt you can submit to your insurer for out-of-network reimbursement. Many PPO plans reimburse a meaningful portion once the out-of-network deductible is met.
HSA and FSA funds can be used. Payment is due at time of service.
If you are unsure what your plan covers, call us before your first visit. Our front desk walks patients through the superbill process every day and can tell you exactly what to ask your insurer.
Pelvic pain | Painful intercourse (dyspareunia) | Vaginismus | Vulvodynia | Pudendal neuralgia | Urinary incontinence | Urgency and frequency | Interstitial cystitis | Endometriosis | Pelvic organ prolapse | Constipation and bowel dysfunction | Diastasis recti | C-section scar complications | Tailbone pain | Male pelvic pain
No. Pennsylvania permits direct access to physical therapy. Some insurers require a referral for reimbursement, so check your plan if you intend to submit superbills.
We are a fee-for-service, out-of-network practice. You pay at time of service and receive a superbill for reimbursement. Call us and we will explain how it works with your specific insurance.
A 55-minute one-on-one evaluation with a licensed physical therapist, including an internal pelvic floor assessment if appropriate and consented. You leave with a diagnosis and a plan of care.
No. It is the most accurate way to assess the pelvic floor and we recommend it, but it happens only with your consent and only when you are ready.
Most plans of care run 6 to 12 sessions. Your therapist sets expected duration and discharge criteria at the first visit, so you know what finished looks like before you commit.
Rebalance Physical Therapy & Wellness.
Center City: 1601 Walnut St, Suite 1504, Philadelphia.
Main Line: 319 Price Ave, Narberth.
267-282-1301.
