90-minute evaluations. 60-minute follow-ups. One provider, start to finish. We take the time to understand your whole body so you can get real answers and lasting relief.
Pelvic Health Relief Starts Here
Thorough, One-on-One Pelvic Health Physical Therapy in the Mac-Groveland neighborhood of St. Paul
Sakura Pelvic Health is located in St. Paul and sees patients from across the Twin Cities, including Minneapolis, Mac-Groveland, Summit Hill, Merriam Park, Como Park, Roseville, Mendota Heights, Eagan, Edina, and beyond.
Pelvic Floor Physical Therapy for:
Pelvic Pain | Postpartum Issues | Pregnancy | Urinary Issues | Bowel Issues | Low Back & Hip Pain | Pain with Sex & Sexual Dysfunction | Men's Health
Sarah is such a wonderful therapist. Thoughtful and engaged with each of her clients. She is constantly staying up to date on everything that is going on and learning all the time. She is so supportive and willing to help women at any stage of life and where they are at in their health- postpartum, decades out of menopause or in their throws of perimenopause/menopause. She believes in helping women heal. I am grateful to have a knowledgeable and dedicated colleague like Sarah in my network of providers to reach out to for their guidance on my own clients
You don't have to keep accepting symptoms that are getting in the way of your life. And you don't have to settle for care that feels rushed or incomplete.
At Sakura Pelvic Health, we take the time to look at the full picture, how your whole body is connected to what you're feeling. We want you to understand what's going on and why, so you're not just following instructions but actually feeling confident about what to do next. That's what one-on-one, unhurried care makes possible.
One-on-one care with a board-certified pelvic health physical therapist, start to finish. No hand-offs to aides or assistants.
Whole-body assessment that looks beyond your symptoms to find what's actually driving them.
A plan built around your life, your goals, and your body, so you walk away understanding what to do and why.
Why work with us
What We Treat
Who would benefit from pelvic floor physical therapy?
Pain during sitting, pain during sex, pain that won't go away no matter what you try. Whether you've been diagnosed with a condition like interstitial cystitis, endometriosis, vulvodynia, pudendal neuralgia, or tailbone pain, or you're still looking for answers, we can help. We look at the full picture to find what's driving your pain, not just manage it.
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Our specialized pelvic health therapists provide expert care for pregnancy-related pelvic girdle pain, low back and SI pain, pubic joint discomfort, and other common challenges. Even if you’re not experiencing symptoms, we’re here to help you build healthy habits to optimize your pregnancy and learn strategies to prepare for birth.
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Your body went through something significant, and you deserve real support coming back from it. Whether you're dealing with leaking, pelvic pressure, pain during sex, diastasis recti, or scar tissue from a C-section or vaginal delivery, we can help you understand what's going on and build a path to recovery, no matter how long ago you gave birth.
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Pelvic health concerns aren't talked about enough in men, and that can make it hard to know where to turn. If you're dealing with urinary leaking, pelvic pain, pain after sex, or bowel issues, pelvic floor physical therapy can help. We see men regularly for these concerns and we'll take the time to figure out what's going on.
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You deserve to fully enjoy this part of your life. The pelvic floor plays a key role in sexual function, and when these muscles or the surrounding nerves aren’t functioning well, it can affect how you feel. We understand how sensitive this can be and are here to help you find relief.
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Leaking when you laugh, cough, or exercise. Constantly looking for the nearest bathroom. Dealing with constipation, bloating, or accidents that feel embarrassing to talk about. These are real problems, they're common, and they're very treatable. We'll help you understand why it's happening and work with you to get it under control.
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Being an athlete shouldn’t mean dealing with unwanted pelvic symptoms. We’ll help you understand their causes and guide you toward recovery so you can move confidently and focus on your sport. We’ll also help you recognize when your body is primed for intense training and when it needs recovery to support performance and prevent injury.
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Pediatric incontinence can take a toll on a child’s self-esteem and emotional well-being. At Sakura Pelvic Health, we help families understand why these symptoms are happening and create a gentle, child-focused treatment plan to support recovery. Our goal is to help your child feel comfortable and confident again — so they can focus on playing, learning, and having fun.
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At Sakura Pelvic Health, we provide compassionate, gender-affirming pelvic physical therapy for transgender, nonbinary, and gender-diverse individuals. Our goal is to create an inclusive space where you feel supported and respected. We offer specialized pelvic health rehabilitation before and after gender-affirming surgery to help you heal, restore function, and feel more comfortable in your body.
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Perimenopause and menopause can bring changes that catch you off guard: bladder leaking that wasn't there before, vaginal dryness, pain during sex, pelvic pressure, or a feeling that things just aren't working the way they used to. These are real, physical changes, and pelvic floor physical therapy can make a meaningful difference. We'll help you understand what's happening in your body and what you can do about it.
Read moreFrequently Asked Question
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Before your visit, you'll fill out a detailed medical history form so your therapist can review everything ahead of time. When you arrive, your session starts right on time in a private treatment room. We begin with a face-to-face conversation about what you're experiencing, your history, and your goals. From there, we do a full-body assessment, including how you move, breathe, and use your body day to day. You'll receive treatment during your first visit, and we'll build a clear plan together so you know what to expect going forward.
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No. If you prefer to stay clothed, we can still learn a lot about your body. Just wear flexible, comfortable clothing like yoga pants or loose shorts. If you're comfortable with a pelvic floor exam, we can do one, but only at your pace and with your full consent. The pelvic floor muscles can be assessed externally, even through clothing, or internally. You're always in control of what happens, and we move at your speed.
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We are an out-of-network practice. This means you pay at the time of your visit, and we provide a superbill you can submit to your insurance for potential reimbursement.
We chose this model so we can provide full-length, one-on-one sessions without the constraints that come with insurance-based care. Before your first visit, we recommend calling your insurance company and asking:
Do I have out-of-network physical therapy benefits?
What is my deductible?
What percentage is reimbursed after my deductible is met?
Is there a visit limit?
Do I need pre-authorization?
We also accept HSA and FSA cards.
If you’re navigating pelvic health concerns, you’re in the right place. Below are some of the questions we commonly receive from clients. If you don’t see your question addressed here, please give us a call—our trained pelvic health therapists will get back to you directly.
Sakura Pelvic Health
Why This Practice Exists
Too many people accept pelvic health symptoms as something they just have to live with. Leaking after having kids gets written off as normal. Painful periods get ignored. Children with ongoing accidents get told they'll grow out of it. And people who did try pelvic floor therapy at a busy clinic and didn't get better walk away believing therapy doesn't work, when the real problem was that the care was too rushed to get to the root of what was going on.
Sakura Pelvic Health exists because this work deserves more time, more attention, and more thoroughness than most clinical settings can offer.
Every session here is one-on-one in a private treatment room with the same provider start to finish. Initial evaluations are 90 minutes. Follow-ups are 60 minutes. Nobody gets handed off to an aide or assistant. Nobody gets a generic exercise sheet and a pat on the back.
We look at your whole body, not just the area where you feel symptoms. How you breathe, how you move, how you sleep, what's going on with your stress and your nervous system, old injuries you may have forgotten about. Sometimes a client comes in for leaking and we find that an old ankle injury is part of what's contributing. That kind of connection only shows up when you take the time to look at the full picture.
The goal is never to keep you coming back forever. We want you to understand what's going on in your body, why it's happening, and what you can do about it. Our measure of success is a client who walks out the door feeling confident and capable of managing their own health.
How We Practice
Empowering your wellness journey with compassion and expertise.
Your body's story deserves to be heard — and honored.
I'm Dr. Sarah Glesmann, a board-certified pelvic health physical therapist helping people reclaim comfort, confidence, and control over their bodies.
Whether you're navigating pregnancy, postpartum recovery, pelvic pain, bladder or bowel concerns, perimenopause, or the physical demands of athletics, you deserve more than quick fixes or being told "it's normal." You deserve expert, compassionate care that treats you as a whole person, not just a set of symptoms.
I built Sakura Pelvic Health because I know what it's like to feel unheard in a healthcare system that rushes through appointments and leaves you with more questions than answers. My practice is different: full-hour, one-on-one sessions where we take the time to truly understand your body, your history, and your goals.
Two decades of specialized expertise: rooted in evidence, delivered with empathy.
I've spent over 20 years specializing in pelvic health, with training and clinical experience that spans some of the most respected institutions and communities in the field:
· Board-Certified Women's Health Clinical Specialist (WCS)with advanced training in pelvic floor rehabilitation
· Trained in New York City's specialized pelvic health clinics alongside faculty from the Herman & Wallace Pelvic Rehabilitation Institute, one of the gold standards in pelvic PT education
· Clinical mentor to physical therapy residents at the University of Pittsburgh, where I also lectured medical students on the critical role of pelvic floor therapy
·International educator, teaching pelvic health concepts to physical therapists in Japan and training midwives in Eritrea through the United Nations Population Fund (UNFPA) on pelvic muscle rehabilitation following fistula repair surgeries
I treat pregnancy and postpartum concerns, pelvic pain, bladder and bowel dysfunction, sexual health challenges, perimenopause and menopause transitions, pediatric pelvic health, male pelvic health, non-binary and gender transition care, and female athletes managing pelvic floor function.
Why Sakura?
The name "Sakura" comes from my six years living in Japan, where I fell in love with cherry blossoms (sakura in Japanese) and where the vision for this practice truly took shape.
Cherry blossoms represent renewal, beauty in transition, and the quiet strength of nature. That's what I want for every person who walks through my door.
Your body is changing, adapting, responding to life's demands. What you're experiencing isn't something you need to just accept or push through alone. With the right support and expert guidance, you can move through these transitions with clarity, confidence, and real relief.
Here's what I believe:
Your pelvic health impacts everything: your movement, your confidence, your intimacy, your daily comfort. It's not something you should have to manage alone, normalize, or just "push through."
Healing happens when you're given time, attention, and a plan that's built specifically for your body and your life. That's what you'll get here: hands-on, evidence-based care that empowers you to move forward with clarity and confidence.
If you're ready for care that actually listens, let's start your story.