Dr. Koch joins Springs Chiropractic in Colorado Springs as a pelvic floor physical therapist to offer specialized PT services. Although she focuses on treating pelvic floor dysfunction in individuals of all ages and genders, she has extensive experience in all areas of orthopedics. Her approach is characterized by empathy, expertise, and a deep understanding of the complexities of pelvic health. Dr. Koch utilizes a personalized combination of manual therapy, muscle re-education, functional movement training, strengthening, dry needling, focused shockwave therapy, and self-care strategies to help patients move more efficiently, reduce pain, and achieve their functional goals.
Conditions treated by Dr. Koch:
Pelvic Pain: Dyspareunia, Vulvodynia, Pudendal Neuralgia, Coccydynia,
Painful Bladder Syndrome
Urinary and Fecal incontinence (leakage)
Overactive Bladder
Pelvic Organ Prolapse (POP)
Perinatal and Postpartum Pain Conditions
Post-Prostatectomy Urinary Incontinence
Orthopedic Injuries
Lumbar Spine and SI Joint Pain
Hip Pain
The Value of Pelvic Floor Physical Therapy
Pelvic floor physical therapy is a specialized form of treatment designed to address dysfunction, pain, weakness, and movement limitations involving the muscles, ligaments, connective tissues, and nerves of the pelvic region. While many people associate pelvic floor therapy primarily with pregnancy and postpartum recovery, it can benefit individuals of all ages experiencing a wide range of pelvic health concerns.
The pelvic floor plays a critical role in supporting the bladder, bowel, and reproductive organs while also contributing to core stability, posture, balance, and overall movement. When these muscles become weak, tight, overactive, or poorly coordinated, symptoms such as pelvic pain, urinary leakage, urgency, constipation, painful intercourse, low back pain, hip pain, and feelings of pelvic pressure can develop. Unfortunately, many people assume these symptoms are simply a normal part of aging, pregnancy, or childbirth when, in reality, they are often treatable.
Pelvic floor physical therapy focuses on identifying the root cause of dysfunction rather than simply managing symptoms. Through a comprehensive evaluation, a specially trained physical therapist can assess muscle strength, coordination, mobility, posture, breathing patterns, and movement mechanics to develop a personalized treatment plan. Treatment may include manual therapy, muscle re-education, therapeutic exercise, movement retraining, dry needling, shockwave therapy, and self-care strategies designed to improve function and reduce pain.
One of the greatest benefits of pelvic floor physical therapy is its conservative, non-invasive approach. Many patients experience significant improvements without relying on medications, injections, or surgery. By restoring proper muscle function and movement patterns, patients can often return to exercise, work, recreational activities, and daily tasks with greater confidence and less discomfort.
Whether someone is recovering from pregnancy, dealing with chronic pelvic pain, managing bladder or bowel concerns, or simply seeking to improve overall function, pelvic floor physical therapy can be a valuable tool for restoring health, improving quality of life, and helping individuals move with greater comfort and confidence.