Compassionate pelvic floor therapy, right at your door.

Bladder, bowel, or sexual dysfunction can feel isolating and scary, but change is possible. I see it every day. Through trauma-informed, holistic care, I’m here to help you: 

  • Reconnect to your body

  • Reclaim your power and independence

  • Re-establish connections with your loved ones and communities 

  • Safely prepare for childbirth and recovery

Jess Bigness, Pelvic OT, Headshot
View of Central Park in NYC

Serving the Upper West Side

I am a licensed and registered occupational therapist in New York State, currently offering concierge pelvic health services on the Upper West Side of New York City.

Specialized Pelvic Healthcare for Women & Vulva Owners

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Who I Treat

I provide pelvic floor therapy for women and vulva owners suffering from bladder, bowel, or sexual dysfunction.

Growing up alongside three sisters, I witnessed the ways healthcare so often falls short for women/vulva owners across every stage of life. That experience fuels my dedication to filling those gaps and offering services that give people a genuine sense of ownership and confidence over their health and bodies.

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Common Conditions

  • Pelvic pain conditions (including endometriosis, interstitial cystitis, PCOS)

  • Pain with intercourse

  • Incontinence

  • GI issues

  • Prenatal birth prep

  • Postpartum healing

  • Pelvic organ prolapse

  • Pre/post surgical

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What to Expect

Getting to know each of my clients and their stories is at the heart of my work. What makes you unique matters, both to me and to the work we do together.

As an OT, I approach treatment holistically, recognizing that the mental, physical, and emotional aspects of a person are all equally important. This is a true collaboration. You have agency and autonomy in our sessions. My services include:

  • Manual Therapy

  • Custom Pelvic Health Exercise Plans

  • Education for improved body literacy

  • Therapeutic Pilates classes (mat or reformer, if available)

About Jess

Bio

My own experience with trauma led me to explore the ways in which I have physically held onto the events of my life for years. I have made it my mission to provide a safe, compassionate, and welcoming space to those I work with. I believe that mindful movement can serve as a powerful tool for release and healing, both physically and mentally, and I’m thankful to integrate my therapeutic and Pilates experience to provide a holistic approach to care.

When I’m not working, I love taking walks in Central Park, exploring new restaurants, and traveling with my husband.

Education & Certifications

  • Licensed and registered occupational therapist in New York State

  • Master of Occupational Therapy, Louisiana State University Health Sciences Center, New Orleans

  • Pelvic Health Rehabilitation Training

    • Herman & Wallace Institute

    • Laura Rowen of Essential Pelvic Health

  • Pregnancy/Postpartum Corrective Exercise Specialist (PCES)

  • Certified Pilates Instructor, Club Pilates 500-hour Teacher Training program (included specialties in TRX, barre, and trigger point release)

Professional Experience

  • Pelvic Health OT

    • The Lifted Lotus, NYC

    • Spear Physical & Occupational Therapy, NYC

  • Pilates Instructor

    • Romney Studios, New Orleans, LA

    • Club Pilates, New Orleans, LA, NYC

Client Reviews

“During postpartum, I was dealing with so much physical discomfort and pain, and mentally I was not in a great place either. I decided to give pelvic floor therapy a try…

Jess has been exactly the person I needed during this difficult time. She is incredibly professional, yet also personable, kind, and welcoming. She creates such a safe and supportive space, and every session feels like dedicated time for healing and improvement. What I appreciate most is how focused Jess is on my individual healing journey. She takes the time to listen carefully, explain everything thoroughly, and create a realistic plan that works for me and my lifestyle. Her energy is calming, encouraging, and genuinely caring.”

— S.H.


“Came [to pelvic floor therapy] in pain, confusion, and frustration after not getting helpful info from my primary care doctor about my bladder issues. From my first visit, I've gotten empathy, education, and relief thanks to pelvic floor therapy. I can't recommend this enough. I've been seeing Jessica for a couple of months and I'm healthier, happier, and much more knowledgeable about my body. I recommend for everyone, but especially anyone in pain where your legs and body meet, or having weird things like bladder issues. This has been life-changing!”

— E.L.


“I worked with Jess during my recovery from endometriosis related surgery. I'm so thankful for everything she taught me and I still use the techniques we covered every week. Thank you Jess!!!”

— N.W.

FAQ

What are your rates?

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Initial Evaluation (90 minutes): $325

Follow-up Session (60 minutes): $250

Private Pilates (50 minutes): $120


Do you accept insurance?

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I offer cash-only services. I currently do not accept insurance or provide Superbills for treatment.


Do you treat men?

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While I have worked with men/penis owners successfully throughout my career, currently I’m only providing concierge pelvic health services to women and vulva owners.


How do I know if pelvic floor therapy is right for me?

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Let’s chat! Schedule a 15-minute complimentary consultation call with me to ask questions and gain a clear understanding of what pelvic floor therapy can offer.