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  • Writer's pictureNicole Cozean

What are the 4 Foundations of Pelvic Health?

How do we build resilience in our body so symptoms not only can go away, but stay away? At PelvicSanity, we do this by addressing both the muscles of the pelvic floor, but also the 4 Foundations of pelvic health.

What are the 4 Foundations of Pelvic Health?

Finding Pelvic Sanity Group - Have you joined Finding Pelvic Sanity yet? It's a totally free, supportive online group of 5,000+ members dealing with pelvic floor dysfunction. It's moderated by the team at PelvicSanity, so you'll know you're getting great information a positive environment. Make sure to join here


The pelvis doesn't exist in isolation. It's affected by the rest of the body and other major symptoms. These often are major underlying causes of problems in the pelvic area.

We need to address the actual pelvic floor dysfunction, but we also have to build resilience in the system by improving these 4 foundations in order to make lasting change.

The four foundations of pelvic health are:

  • Movement

  • Sleep

  • Nutrition

  • Stress Management

Your physical therapist should not just be working on the muscles of the pelvic floor, but thinking about your overall global health as well.

Improving movement improves circulation and reduces inflammation in the tissues.

Increasing the quantity and quality of our sleep allows the body to heal as we rest.

Doing better with our nutrition reduces inflammation, gives us more energy and the building blocks for the body to recover.

And reducing stress can 'turn down the volume' on our nervous system, reducing symptoms and allowing the body to spend more time in the 'rest & relax' mode instead of 'fight or flight.'

This is a both/and situation....we need to address the immediate cause of pain or pelvic floor symptoms. But unless we improve these four foundational systems, symptoms often return or manifest in a different way.

What are the 4 Foundations of Pelvic Health?

As Nicole said in the full 'sode of the podcast on this topic...

"Your physical therapist should not just be working on the muscles of the pelvic floor, but thinking about your overall global health as well." -Nicole Cozean, Pelvic Sanity

If you’re dealing with pelvic health issues, make sure you join our free FB support group (Finding Pelvic Sanity), follow us for more information on Instagram (@pelvicsanity) and subscribe on Apple Podcasts, Spotify for wherever you get your podcasts!


Who are we at PelvicSanity?

At PelvicSanity, it's our mission to support patients with pelvic pain and pelvic floor symptoms, regardless of where you live. We can help with:

- In-person treatment for those in Southern California at the PelvicSanity clinic

- Immersive Out-of-Town program for those able to travel

- Remote Consultations to get you expert 1:1 help, advice and an action plan

- Online patient courses on Interstitial Cystitis and Movement for Pelvic Health

- A Facebook support group for patients called Finding Pelvic Sanity.


Nicole Cozean

Dr. Nicole Cozean is the founder of PelvicSanity Physical Therapy in Orange County, CA. PelvicSanity treats patients from all over the world with remote consultations and the Immersive Out of Town Program. She also runs Pelvic PT Rising, training other pelvic PTs to better serve patients.

Named Physical Therapist of the Year, Dr. Nicole is author of the award-winning book The Interstitial Cystitis Solution and the first PT to serve on the ICA Board of Directors, Her passion is helping those with pelvic health issues - regardless of where they live - find lasting relief.

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