Low Back Pain Treatment
Low Back Pain Physical Therapy in Utah Valley
When low back pain won’t go away. The missing link in chronic low back pain is often the pelvic floor and deep core. Get treatment that addresses the root cause—not just the symptoms.
The Pelvic Floor Connection
Why Your Low Back Pain Isn’t Getting Better
You’ve tried everything for your low back pain—chiropractors, massage, stretching, regular physical therapy. Maybe it helps for a few days, but the pain always comes back.
There’s a reason: the root cause hasn’t been addressed.
Your pelvic floor muscles are the floor of your deep core canister. They work with your deep abdominal muscles, diaphragm, and spine to stabilize your trunk and absorb load. When the pelvic floor is weak, tight, or poorly coordinated—which is extremely common after pregnancy, surgery, or prolonged sitting—your back loses its base of support and the back muscles compensate by overworking. That compensation creates pain.
Dr. Danaya evaluates the whole system—pelvic floor, deep core, hips, and spine together—to find what’s actually driving your low back pain. For many women, addressing the pelvic floor and deep core component is the missing piece that finally provides lasting relief.
Conditions We Treat
Types of Low Back Pain We See
Chronic Low Back Pain
Persistent back pain that hasn’t responded to traditional treatment. Often caused by deep core and pelvic floor weakness that leaves the spine unsupported—especially common postpartum and in women with sedentary jobs.
Postpartum Back Pain
Back pain that started during pregnancy and never fully resolved after delivery. Research shows that diastasis recti over 3cm is directly associated with weakened abdominal muscles and increased low back pain. Often a combination of diastasis, pelvic floor coordination issues, and alignment changes.
Learn about diastasis recti →Pregnancy Low Back Pain
Low back pain during pregnancy that’s making walking, sleeping, or daily life painful. PT during pregnancy is safe and effective—we work on alignment, core coordination, and pelvic floor function to keep you mobile through delivery.
Learn about pregnancy PT →Sciatica & Nerve Pain
Shooting, burning, or tingling pain down the leg. While often attributed to disc issues, pelvic floor tightness and piriformis tension can compress or irritate the sciatic nerve and produce identical symptoms.
Learn about pelvic floor muscle spasm →SI Joint Pain
Pain at the sacroiliac joint where your spine meets your pelvis. Feels like deep aching in one side of your low back or buttock. Often confused with general low back pain but treated differently.
Learn about SI joint pain →Low Back Pain With Incontinence
Back pain combined with leaking when you cough, sneeze, exercise, or lift. This combination is a strong signal that your pelvic floor and deep core aren’t supporting your spine the way they should.
Learn about incontinence treatment →Back Pain With Lifting or Exercise
Back pain that flares with squats, deadlifts, kettlebell work, or just picking up your toddler. Often a breath-and-pressure coordination issue—your pelvic floor isn’t timing with your diaphragm to manage load.
Desk Job Low Back Pain
Chronic stiff, achy low back from sitting all day. Pelvic floor tension from prolonged sitting is one of the most missed contributors to this pattern—and one of the most treatable.
Not sure where to start? Schedule a Free Consultation →
How PT Helps
A Whole-Body Approach to Lasting Back Relief
Unlike traditional physical therapy that focuses only on the spine, pelvic floor PT addresses the entire system that supports your pelvis and trunk. This whole-body approach is why it often succeeds where other treatments have failed.
Treatment Includes:
- Pelvic Floor Assessment: Evaluating whether your pelvic floor muscles are contributing to your back pain through weakness, tension, or poor coordination
- Deep Core Rehabilitation: Rebuilding the connection between your pelvic floor, deep abdominals, and diaphragm for true spinal stability
- Manual Therapy: Hands-on treatment of tight muscles, trigger points, and restricted joints in the spine, pelvis, and hips
- Alignment Correction: Addressing postural habits and movement patterns that contribute to back pain
- Breathing Strategies: Using your diaphragm properly to support the core and reduce strain on the back
- Strength & Stability Training: Progressive exercises to build lasting support for your pelvis and spine
- Dry Needling: Thin needles target trigger points and tight muscle bands in the low back and glutes to release deep tension and reduce pain. Learn more about dry needling →
- Activity Modification: Learning how to lift, carry, and move without aggravating your pain
Who This Helps
- Postpartum moms whose low back pain never resolved after pregnancy
- Pregnant women with low back pain that’s limiting daily activity or sleep
- Women with desk jobs dealing with chronic sitting-related back pain
- Athletes and lifters with back pain that limits their training
- Anyone whose chronic low back pain hasn’t improved with other treatments
Common Questions
What You Need to Know
Can pelvic floor PT really help my low back pain?
Yes. Many cases of chronic low back pain have a pelvic floor component that gets missed. The pelvic floor is the floor of your deep core canister—when those muscles are weak or poorly coordinated, your low back loses its base of support and compensates by overworking.
I’ve had low back pain for years and nothing has helped. Is this different?
Pelvic floor PT looks at the whole system—hips, pelvis, core, and pelvic floor together. Many chronic back pain cases are driven by pelvic floor dysfunction or deep core weakness that traditional PT doesn’t address.
Is my back pain related to having babies?
Very possibly. Pregnancy changes your alignment, loosens ligaments, and weakens your deep core and pelvic floor. Many women develop chronic back pain postpartum that doesn’t resolve without targeted pelvic floor rehabilitation.
How is this different from regular physical therapy?
Regular PT focuses on the spine and surrounding muscles. Pelvic floor PT addresses the deep core system—including pelvic floor muscles, diaphragm, and transverse abdominis—that are often the missing piece in chronic back pain.
How long will treatment take?
Most patients notice improvement within 4-6 sessions. Significant relief typically comes around 8-12 sessions. Chronic, long-standing pain may take longer, but consistency with treatment and home exercises accelerates progress.
Related Reading
Learn More
Related Conditions
You May Also Be Interested In
Medically reviewed by Dr. Danaya Kauwe, DPT, PRPC, Cert-DN · Last reviewed
Ready to Find the Root Cause?
Schedule Your Free Consultation
Let's figure out why your low back pain hasn't resolved and create a plan that addresses the real cause—including your pelvic floor and deep core.
Or call/text: (385) 204-4135
In-home pelvic floor physical therapy throughout Utah Valley