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Pelvic Floor Rehab


Most people are not aware that pelvic health issues can be successfully addressed by anyone, let alone a physical therapist. Because the pelvic floor and core are vital in overall musculoskeletal balance, a pelvic floor therapist is also able to effectively address general orthopedic issues as well. Please see below for specific conditions that we can help you with. 

What We Treat

Female Pelvic Floor


Urine/Bowel Leakage

Urine/Bowel Frequency

Urine/Bowel Retention

Pelvic Organ Prolapse


Bladder Mesh/Sling Rehab

Pain with Intercourse

Endometriosis Pain

Prenatal/Postpartum Issues

Chronic Pelvic Pain

Pudendal Neuralgia




Rectus Diastasis

Male Pelvic Floor


Urine/Bowel Leakage

Urine/Bowel Frequency

Urine/Bowel Retention


Post- Vasectomy

Penile and Testicular Pain

Chronic Pelvic Pain

Chronic Prostatitis




Sperm Granuloma

Orthopedic Issues


Back Pain

Neck Pain

Shoulder Pain

Hip Pain

Knee Pain

Foot/Ankle Pain

Tailbone Pain

Pre- and Post-Operative Rehab

Sport Specific Issues

Practice and Fees



  • A thorough medical history review
  • A musculoskeletal assessment that evaluates your posture, movement patterns, strength, and range of motion
  • A pelvic floor assessment based on the needs of your condition and your comfort level
  • An opinion about your potential for improvement and meeting your therapy goals
  • A series of appointments to treat your condition and guide your progress
  • A specific, recommended home program that requires your full, active participation

I use various modes of therapy to treat both pelvic and orthopedic conditions. My style of therapy is very wholistic in that I aim to treat the cause of your symptom, not just the symptom itself, which often results in full and long-term resolution. Treatment options include manual therapy, therapeutic exercise, biofeedback, joint mobilization, electrical stimulation, soft tissue mobilization, and education regarding behavioral techniques and activity modification. 



In Washington state, you have access to evaluation and treatment by a physical therapist without a physician's referral. However, problems with bowel, bladder, or pelvic pain should be evaluated first by your medical doctor.  If you come to therapy without a medical referral we may request you visit your healthcare provider if the therapist feels it is in your best interest. Also, your insurance provider may require a doctor's prescription or a pre-authorization for you to be reimbursed.



My fees are based on the time spent with you and the treatments performed during your appointment. 

  • $150 per 60 minute initial evaluation
  • $100 per 60 minute treatment session
  • $50 per 30 minute treatment session
  • $50 for cancellations with less than 24 hours notice or no shows

Payment in full is due at the time of service. Checks and cash preferred. I also accept credit card (VISA, MasterCard, American Express, or Discover).



Please check with your medical insurance plan for possible reimbursement. Plans vary and may require pre-authorization for reimbursement. It is your responsibility to check with your insurance provider regarding the requirements of your plan. I can provide you with an insurance benefits worksheet to help you in this process.

  • I am an out-of-network licensed physical therapist.
  • I am not a preferred provider for any insurance plan.
  • I am not a Medicare provider.
  • I do not bill insurances, but supply you with the appropriate receipt and information for reimbursement.



"I was referred to Amanda by another medical practitioner who felt I needed a pelvic floor specialist. My issues were longstanding. Over the years I had been examined by doctors, endured sophisticated tests and worked with a number of physical therapists, all unable to accurately diagnose or effectively treat my condition. Amanda, on the other hand, made progress quickly. She listened very carefully to my history, asking focused questions. She performed a variety of hands-on tests, some including biofeedback, to narrow down the problem. Most notably she made me comfortable addressing something that's not so comfortable to address. When the treatments began, it wasn't long before I started to experience some relief. Amanda is patient and attentive and her knowledge and skills are extensive. Her techniques for both pelvic floor and orthopedic issues are effective."

- Larry K.

"I appreciate the care and attention I received with Fruition Physical Therapy. Amanda is professional, educated, kind, and comfortable to be with. The work she did for me helped immediately, and I left with the tools I needed to continue doing exercises at home, with a complete write up for further care. I’m so grateful to be a patient of hers!"

- Andrea L.

"Amanda is tentative and truly cares for her patients’ well being. If she cannot find an answer she will research or ask for help. Her education on pelvic floor therapy is by far the best in the area. She continues to seek education to help her knowledge grow. I had the pleasure of working with her for 3.5 years on and off. I am forever grateful for wisdom and help."

- Hollie D.

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About me


Amanda Hurlburt has practiced physical therapy since 2014 after earning her Doctorate of Physical Therapy from the University of Puget Sound. She began her career at the Naval Hospital in Bremerton, WA, and has focused her practice on pelvic floor rehabilitation since 2015. Amanda received her Pelvic Rehab Practitioner Certification (PRPC) in 2019 and is skilled in treating both men and women for bowel, bladder, pelvic pain, post-partum, and orthopedic issues. 

Amanda began Fruition PT in early 2018 with the goal of utilizing this expertise to benefit her community. 

With an undergraduate background in Exercise Science and Nutrition from Central Washington University, Amanda is passionate about her patients’ overall wellbeing. She enjoys teaming with other peers and professionals to holistically address each individual’s needs. She also loves reaching out to her community by providing classes on pelvic health and supporting events that inspire a fit lifestyle.  

In her free time, Amanda enjoys thrifting and antiquing, exploring the PNW, spending time with family and friends, and crossfit. On the weekends, she can typically be found reading a book with her kitty, Rogue, in one hand and a good snack in the other. Her guilty pleasure is a Burger King chicken sandwich and she is known to sing 80’s classics with the windows down on a sunny drive.  


My Blog

Upcoming Events

PT & Yoga for Pelvic Floor Strength


Join Amanda and Katie West of Soulful Sequences Viniyoga for a PART TWO of pelvic floor, sacral, and lumbar health, but this time with an emphasis on strengthening!
Having a strong core and pelvic floor is vital for a healthy body, specifically for issues such as urinary incontinence, pelvic organ prolapse, urinary urge/frequency, and more.
Lecture will be led by Amanda, followed with a yoga sequence by Katie that you don't want to miss!

WHEN: June 23rd, 2-4 pm

WHERE: Harbor Fit

COST: $40


Contact Us

Send Message

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Call or Message to Schedule an Appointment

Please feel free to contact me with any questions. To reschedule/cancel appointments within 24 hours of your scheduled appointment, please call directly.

Fruition Physical Therapy

11515 Burnham Drive Northwest, Ste 101, Gig Harbor, Washington 98332, United States

(360) 535-4559

Hours may vary by week. Please call or message for most updated clinic availability.

Leave a Review

We care about your expectations and satisfaction. Please leave a review of your experience with us.

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The content of this website does not constitute medical advice, nor is it a substitute for personalized healthcare. If you have concerns about a medical condition, diagnosis, or treatment, you should consult with a licensed healthcare provider. If you are experiencing a medical emergency, you should call 911 immediately.