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Your Partner in Wholistic Pelvic Health.

Your Journey to Recovery Starts Here

    The Trampoline Analogy:

    A Dynamic Support System

    Think of your pelvic floor like the center of a trampoline—a responsive, resilient, and dynamic support structure. Just like a trampoline, the pelvic floor must be strong enough to support, flexible enough to move, and coordinated enough to respond to forces from above (like your core and spine) and below (like your legs and feet).

    If any part of the trampoline's frame (your hips, legs, or core muscles) is imbalanced, the center can’t perform its job well. That’s why we don’t isolate symptoms—we look at how your whole body moves, supports, and reacts.

    Our Wholistic Approach Includes:

    • Pelvic floor rehabilitation for pain, incontinence, prolapse, or tension
       
    • Assessment of hip, leg, and core function to support pelvic balance
       
    • Breathwork and diaphragmatic training for internal pressure regulation
       
    • Manual therapy and neuromuscular re-education
       
    • Functional movement retraining—from walking to lifting to running
       
    • Education and empowerment to help you reconnect with your body
       

    Whether you're postpartum, recovering from injury, navigating chronic pelvic pain, or just seeking a more functional foundation, we work with your entire system—not just your symptoms.

    Your Partner in Wholistic Pelvic Health

    We treat a variety of conditions relating to the pelvic floor. Here’s a list of common conditions that respond well to pelvic PT:


    Pelvic Floor Dysfunction

    • Overactive (tight) pelvic floor
    • Underactive (weak) pelvic floor 
    • Coordination issues
       

    Urinary Conditions

    • Urinary incontinence (stress, urge, mixed)
    • Urinary urgency and frequency
    • Overactive bladder
    • Interstitial cystitis/bladder pain syndrome
    • Post-void dribbling
    • Interstitial Cystitis
       

    Bowel Conditions

    • Fecal incontinence
    • Constipation
    • Incomplete emptying
    • Irritable bowel syndrome (IBS)
       

    Pelvic Pain Conditions

    • Chronic pelvic pain
    • Pudendal neuralgia
    • Vulvodynia
    • Vaginismus
    • Dyspareunia (painful intercourse)
    • Endometriosis-related pelvic pain
    • Coccydynia (tailbone pain)
    • Proctalgia fugax
       

    Postpartum & Obstetric Recovery

    • Diastasis recti
    • Pelvic organ prolapse
    • Perineal tearing or episiotomy recovery
    • Pain with intercourse post-delivery
    • Core and pelvic floor reconditioning
    • Cesarean section scar pain or adhesions
       

    Post-Surgical Recovery

    • After hysterectomy
    • after C-section
    • Abdominal or pelvic scar tissue management
    • Post gender-affirming surgeries
       

    Orthopedic & Musculoskeletal Conditions

    • Low back pain
    • Sacroiliac joint dysfunction
    • Hip pain or instability
    • Pelvic girdle pain
    • Tailbone pain
    • Return to sport
       

    Menopause Concerns

    • Vaginal pain
    • Muscle atrophy


    Sexual Health Concerns

    • Pain with sex
    • Difficulty with arousal or orgasm related to pelvic floor issues.




    Your Advocate Throughout Your Pelvic Recovery

    Dr. Mary Costello, PT, DPT, (also known as Casey) is a pelvic floor physical therapist dedicated to helping individuals reclaim strength, function, and confidence through the empathetic application of evidence-based care. 


    Known for her wholistic nurturing  approach, Dr. Costello creates a supportive environment that empowers patients to take ownership of their health journey.


    Casey enjoys kayaking, hiking, yoga, and the arts with her husband and daughter. 

    Proud Ally to the LGBTQ+ Community

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    1 (813) 697 - 4940

    Restoring Balance Physical Therapy

    14021 N. Dale Mabry Highway, Unit N-1, Tampa, FL 33618

    Get Back to Doing What You Love With Restoring Balance Physical Therapy

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