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Women’s Health

Interstitial Cystitis and Bladder Pain Treatment in Bakersfield

Bladder pain and pressure, and needing to go again and again, but the tests keep coming back clear. Tight pelvic floor muscles are often part of the picture, and they can be treated.

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Yes, pelvic floor physical therapy can help interstitial cystitis and bladder pain. Many women with interstitial cystitis (bladder pain syndrome) have tight, tender pelvic floor muscles. Urology guidelines recommend gentle hands-on pelvic floor therapy to relax them, rather than strengthening exercises like Kegels. At ARI Physical Therapy in Bakersfield, pelvic floor therapy is for women, always one-on-one.

Does this sound like you?

✓Pain, pressure or burning in the bladder or low belly, often easing after you urinate
✓Needing to urinate often, including at night
✓Urine tests keep coming back clear, but the symptoms don't go away
✓Pain with sex, or pelvic pain that flares with stress or certain foods
✓Symptoms that flare around your period
✓Kegels made things worse

What interstitial cystitis is

Interstitial cystitis, also called bladder pain syndrome, is long-lasting bladder pain or pressure with frequent urges, without an infection. The cause isn't fully understood, and it often involves a sensitive bladder and pelvic floor muscles that are tight and overactive, which can add to pain and urgency.

How pelvic floor therapy helps

The goal is to help the pelvic floor relax and lengthen, not tighten further. Treatment can include gentle hands-on techniques, breathing and relaxation training, bladder habit strategies and help with flares, alongside your doctor's care. Everything is explained first and done at your pace, with your consent. See also pelvic pain and painful sex.

What treatment at ARI looks like

1
A one-on-one evaluation

Your first visit takes about 45 to 60 minutes. We talk through your symptoms, triggers and history, and explain any assessment before we do it. You decide what you're comfortable with.

2
Calm the pelvic floor

Gentle hands-on care to release tight, tender muscles, breathing and relaxation training, and movement that doesn't aggravate symptoms.

3
Tools for daily life

Bladder habit strategies, a plan for flares, and a home program, coordinated with your doctor's treatment.

No referral needed to start. In California, you can see a physical therapist directly for up to 12 visits or 45 days, whichever comes first. Some insurance plans still require a referral for coverage; call us at (661) 282-8584 and we'll help you check.

When to see a doctor first

See a doctor promptly if you have:

  • Blood in your urine
  • Fever, chills, or back or side pain, which can be a kidney infection
  • Burning with urination along with fever or cloudy, foul-smelling urine: get tested for infection
  • New trouble emptying your bladder

Why patients choose ARI

Care at ARI is always one-on-one and in person with a licensed physical therapist at our Bakersfield clinic: 8200 Stockdale Hwy, Suite B2, in the Town & Country Village center next to Trader Joe's. Our clinic director, Deepa Konnur, PT, MPT, OCS, is a board-certified Orthopedic Certified Specialist. We accept most private insurance plans and Medicare, and we have staff who speak Spanish and Hindi.

Interstitial cystitis FAQs

Usually not. Many women with interstitial cystitis already have tight pelvic floor muscles, and urology guidelines advise avoiding strengthening exercises like Kegels. Therapy focuses on relaxing the muscles instead.
There is no single cure, but pelvic floor therapy can reduce pain, urgency and flares for many women, especially when combined with the care your doctor provides.
Not necessarily. An exam can give useful information, but it's always explained first and it's your choice. Your therapist can also assess and treat in other ways.
For some women, certain foods and drinks trigger flares. Your doctor may suggest tracking triggers, and your therapist can help with bladder habits alongside that.
No. In California you can see a physical therapist directly for up to 12 visits or 45 days, whichever comes first. Some insurance plans still require a referral for coverage, so call us at (661) 282-8584 and we'll help you check.

Ready to feel better?

Talk to a licensed physical therapist at ARI, one-on-one. Request an evaluation and we'll get back to you, usually within one business day.

Sources

  1. Diagnosis and Treatment of Interstitial Cystitis/Bladder Pain Syndrome (2022). American Urological Association (AUA clinical guideline), 2022.
  2. Interstitial Cystitis (Bladder Pain Syndrome). National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK).
  3. Interstitial Cystitis. MedlinePlus, National Library of Medicine.

This page is general information, not a diagnosis. If you have symptoms, a licensed clinician should evaluate you.

Clinically reviewed by Deepa Konnur, PT, MPT, OCS, board-certified Orthopedic Certified Specialist · Reviewed September 2026