Comprehensive Therapy Services

Comprehensive Therapy Services Comprehensive Therapy Services (CTS) is a multidimensional rehabilitation facility serving San Diego.

The body is vastly interconnected. 🤝Many patients who experience pelvic pain don't realize that stress is highly correla...
05/29/2026

The body is vastly interconnected. 🤝

Many patients who experience pelvic pain don't realize that stress is highly correlated to their symptoms.

This is a result of the pelvic stress reflex response, in which the pelvic floor muscles actively contract in response to physical or mental stress.

Our cortisol levels vary throughout the day, increasing ⬆ in the morning to help wake up the body, then decreasing ⬇ as the day passes.

When the body is under stressful conditions the adrenal glands release high levels of cortisol which accumulate in the body.

Constant stressors demand a constant release of cortisol, thus depleting the body of nutrients needed to produce the hormone. 😫

In numerous conditions related to pelvic pain, like Endometriosis, Interstitial Cystitis (IC), Vulvovaginal Candidiasis, and Vulvodynia, cortisol levels are lower than usual because the body has reached that exhaustion phase and the body is depleted of nutrients to produce cortisol.

So... how can you cope? 🤔

Your can use various strategies to increase awareness of your pelvic floor muscles in order to help you build self-management skills to cope with symptoms and stress.

When you're feeling stressed, remember to breathe deeply through your belly, exhale slowly, and visualize something peaceful.

One tool in our toolbox is diaphragmatic breathing 😤 (schedule an appointment to learn more!)

Sometimes taking specific vitamins or supplements which can increase the production of cortisol can help. We can recommend the right ones for you.

It's important to take a look at the whole picture and identify the cause of the problem, instead of putting band-aids on the symptoms.

It's also important to know you are not alone. 🤗

We're here to help - 858-457-8419 📞

The American Academy of Orthopaedic Surgeons estimates that the typical computer user hits their keyboard up to 200,000 ...
05/11/2026

The American Academy of Orthopaedic Surgeons estimates that the typical computer user hits their keyboard up to 200,000 times per day. ⌨️

This can have an enormous effect on our shoulders’ deltoid, subclavius, and trapezius muscles. Luckily, movement can help.

Here are four quick shoulder stretches that you can do at work to help alleviate shoulder pain. 👇

1️⃣ Desk Angels

🔹 Sit straight in your chair and place your arms at shoulder level with a 90-degree bend in your elbows.

🔹 Keeping your head and torso stationary, slowly move your arms overhead, reaching your hands toward the ceiling. Try to keep your arms in line with your ears as you move up to the ceiling and slowly back to the starting position.

🔹 You should feel some pulling in your midback, which helps to relax your spine. Repeat 10 times.

2️⃣ Shoulder Rolls

🔹 Keep your back straight and your chin tucked in.

🔹 Roll your shoulders forward, up, back, and down in a circular motion. Repeat 10 times, then reverse.

3️⃣ Upper Trapezius Stretch

🔹 Sitting with your back straight, tilt your head sideways toward your shoulder.

🔹 For a larger stretch, drop your shoulder blade on the opposite side toward the floor.

🔹 Hold for 10 seconds. Repeat twice on each side.

4️⃣ Armpit Stretch

🔹 Sit with your back straight and rotate your head sideways so that your nose is directly above your armpit.

🔹 Hold the back of your head with your hand and use it to gently push your nose closer to your armpit. Don’t push to the point of discomfort.

🔹 Hold for 10 seconds. Repeat twice on each side.

In addition to these stretches, “active” sitting can keep your body in motion and prevent the pain that results from being sedentary.

Lean back in your chair occasionally, swivel your seat from side to side, and stand up for a few moments at least once every hour.

If you continue to experience pain or discomfort, your can help.

Give us a call! 858-457-8419 📞
courtesy healthline.com 🔗 link in bio

04/22/2026

WAYS TO PERFORM DEEP SQUAT AT HOME🏡

Deep squat encourages pelvic floor relaxation by physically lengthening the muscles, utilizing gravity to ease tension, and aligning the pelvis for optimal opening, which aids in relieving hypertonic (tight) pelvic floor muscles.

This may be useful if you have pelvic pain, pain with in*******se, constipation and more! This can be used for any gender as our pelvic floor is lengthened in this position for both male and female anatomy.

If you have any questions DM us or comment 💬

04/17/2026

POV: you leak a little when you laugh, cough, or sneeze 👀💦

Try these 3 pelvic floor strengthening exercises 👇
- Bridge with ball squeeze
- 90-90 heel taps
- Squat

✨ Focus on EXHALING with the movement to support your core + pelvic floor

DM us or comment with questions! 💬

April is 🤱 and we know that C-Section recovery can feel long and daunting. We're here to help! 🙋‍♀️DISCLAIMER ⚠️ Consu...
04/06/2026

April is 🤱 and we know that C-Section recovery can feel long and daunting. We're here to help! 🙋‍♀️

DISCLAIMER ⚠️ Consult your doctor before engaging in any . 👩‍⚕️

After a C-Section delivery, it's important to activate and strengthen your abdominal and pelvic floor muscles so they can provide support, decrease your risk of injury, and help you make a full recovery postpartum.

These gentle exercises can help you regain strength gradually and return to the activities you love with ease: 👇

1️⃣ BELLY BREATHING

Diaphragmatic breathing helps retrain the core muscles to work together during daily activities.

2️⃣ SEATED KEGELS

While they aren't the solution for every one‼️ are a great exercise to strengthen and activate the pelvic floor.

☎️ Call your PT to make sure they're right for you and you're doing them correctly!

3️⃣ WALL SIT

This full-body isometric exercise is an excellent way to get all the muscle groups to work together in unison.

4️⃣ SCAR MASSAGE

As a C-Section scar heals, the different layers of skin and fascia can become adhered to each other, limiting your range of motion, potentially leading to future problems like urinary frequency, or hip or back pain.

A scar tissue massage helps break up the adhesions and assists with proper tissue healing.

⚠️ Only begin scar massage after your scar is healed and your doctor gives you the green light. 🟢 Call your PT to learn proper technique!

5️⃣ LEG SLIDES

This beginner core exercise helps engage the core muscles in a gentle but effective way. The transverse abdominis muscle is an important area to strengthen as it supports the body core.

Your can help you heal while empowering you to take an active part in your .

Give us a call - 858-457-8419 📞

Learn how to do each exercise, courtesy healthline.com 🔗 linktr.ee/comprehensivetherapyservices

03/19/2026

Two of our pelvic floor therapists, Sarah and Courtney, joined this beautiful community to walk and spread awareness about Endometriosis.

Approximately 1 in 10 women worldwide have endometriosis, an inflammatory condition where endometrial tissue grows outside the uterus.

If you are an Endo warrior, keep advocating for yourself! If you haven’t found answers yet, that doesn’t mean there aren’t out there.

Comment or DM us if you have any questions on how pelvic floor therapy can help!

Approximately 1 in 10 women worldwide have endometriosis, an inflammatory condition where endometrial tissue grows outsi...
03/13/2026

Approximately 1 in 10 women worldwide have endometriosis, an inflammatory condition where endometrial tissue grows outside of the uterus, creating lesions that thicken during your menstrual cycle and bleed during menstruation.

Endometriosis commonly causes chronic, severe pelvic pain, heavy periods, pain during or after intimacy, infertility, debilitating cramps, lower back pain, painful bowel movements/urination, fatigue, and bloating, to name a few.

Symptoms are often worse during periods and can significantly impact daily life.

Pelvic floor PT addresses the musculoskeletal system and soft tissue dysfunction contributing to pain, helping to improve the function, flexibility, and strength of the pelvic floor muscles.

While there's no cure, working with a pelvic floor PT can provide many benefits: 👇

🔹 Relieve Endometriosis Pain 💥

Excision surgery is often used to treat endometriosis, which involves surgical removal of endometrial-like tissue.

Your PT can help re-train pelvic muscles so they’re able to relax and coordinate contractions.

🔹 Reduce Painful Intimacy 💕

Working with a pelvic floor PT to help reduce spasms and relax your pelvic muscles can help make intimacy less painful.

🔹 Alleviate Abdominal Bloating

Excessive bloating, known as Endo belly, can occur when inflammation causes a buildup of endometrial tissue, leading to distention of the abdomen.

Pelvic floor tightening can also lead to constipation, which can contribute to bloating.

Pelvic PT helps reduce inflammation, constipation, and spasms, which can improve distention.

🔹 PT Goes Beyond Each Session

Your can determine how your pelvic floor muscles contribute to your symptoms and provide customized treatment and an individualized home exercise program to improve results.

If you're an Endo warrior, keep advocating for yourself. If you haven't found answers yet, that doesn't mean they aren't out there.

We're here to help. 🤗 Call us today! 858-457-8419 📞

03/05/2026

There is a common misconception that you HAVE to give birth on your back. While that is a common position in the medical field, there are plenty of other positions (with or without epidural) that you can use!

1. Side lying with peanut ball
2. Deep squat with bar
3. Standing with partner assist

Comment or message us if you have any questions!

02/21/2026

Try these 5 gentle exercises to support digestion, relax your pelvic floor, and help your gut do its thing 👇

🧘‍♀️ Single Knee to Chest
🧘‍♀️ Double Knee to Chest
📖 Open Book
🔄 Lumbar Rotation
🌬️ Diaphragmatic Breathing

These moves help stimulate bowel movement, reduce abdominal tension, and improve mind–gut connection 💛

02/14/2026

💗 Valentine’s Day tip: intimacy starts with feeling good in your body 💗

If you have pain with in*******se, try these gentle mobility + relaxation exercises to help calm your pelvic floor and reduce tension:

✨ Cat–Cow – improve spine + pelvic mobility
✨ Child’s Pose + Diaphragmatic Breathing – relax the nervous system + pelvic muscles
✨ Happy Baby – gently open hips and release deep tension

Because love isn’t about pushing through pain…
It’s about comfort, confidence, and connection 💌

Message or comment with any questions!

Address

5440 Morehouse Drive, Suite 2900
San Diego, CA
92121

Opening Hours

Monday 7am - 7pm
Tuesday 7am - 7pm
Wednesday 7am - 7pm
Thursday 7am - 7pm
Friday 7am - 7pm

Telephone

+18584578419

Website

Alerts

Be the first to know and let us send you an email when Comprehensive Therapy Services posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Practice

Send a message to Comprehensive Therapy Services:

Shortcuts

Featured

Share

Category