Skip to content

Conditions we treat

Specialty Conditions We Treat

KOH Physical Therapy Lab provides individualized physical therapy in Irvine and Long Beach for pediatric, pelvic health, hypermobility, jaw, vestibular and other chronic or complex conditions. Explore the specialty conditions we treat, common symptoms and concerns, and how physical therapy may help.
Request an appointment(949) 540-5641

Condition directory

Find a Condition

Explore specialty conditions and symptoms treated at KOH Physical Therapy Lab.

  • Pediatric Conditions

    Infant Torticollis & Plagiocephaly

    A head tilt or a preference for turning one way in a baby, sometimes with flattening on one side of the head.

  • Pelvic Health

    Diastasis Recti & Postpartum Core

    Separation of the abdominal muscles along the midline during or after pregnancy, sometimes with core weakness.

  • Pelvic Health

    Pelvic Pain in Men

    Ongoing pain or discomfort in the pelvic region, which can involve tender pelvic floor muscles.

  • Chronic & Complex Conditions

    Long COVID, Dysautonomia & POTS

    Lasting fatigue, lightheadedness or a fast heart rate, and symptoms that can worsen after exertion.

  • Jaw & Orthopedic

    TMJ & Jaw Pain

    Jaw pain, stiffness, painful clicking or limited jaw movement.

  • Pelvic Health

    Pelvic Floor Dysfunction

    Bladder leaking, pelvic pain or pressure, and bowel concerns related to the pelvic floor muscles, in women and men.

Don't see your condition?

This is not a complete list of conditions we treat. If you do not see your diagnosis or condition, contact KOH Physical Therapy Lab to ask whether physical therapy may be appropriate for your needs.

See more conditions we treat

Contact us

Pediatric Conditions

Infant torticollis and plagiocephaly physical therapy

Also called: Congenital muscular torticollis (CMT), Head tilt in babies, Positional plagiocephaly, Flat head syndrome

What are infant torticollis and plagiocephaly?

Congenital muscular torticollis (CMT) is a tightness or shortening of the neck muscle on one side (the sternocleidomastoid). A baby with torticollis typically tilts the head toward one shoulder and turns the face the other way.

When a baby rests the head in the same position most of the time, one area of the skull can flatten. This is called positional plagiocephaly, sometimes known as flat head syndrome, and it can appear alongside torticollis.

Common symptoms and concerns

Parents of babies with torticollis or plagiocephaly may notice:

  • Head tilt toward one shoulder
  • Preference for turning the head one way
  • Difficulty turning the head to the other side
  • Flat spot on one side or the back of the head

A head tilt can have other causes. Your pediatrician or a physical therapist can evaluate your baby.

How can physical therapy help a baby with torticollis?

  • The clinical practice guideline from the APTA Academy of Pediatric Physical Therapy recommends that infants with a head tilt, turning preference or other asymmetry be referred to a physical therapist as soon as it is noticed.
  • The same guideline describes first-choice care: gentle neck stretching, active neck and trunk movement, development of symmetrical movement, changes to positioning and the baby's environment, and parent education.
  • The guideline reports that infants who start physical therapy early, in the first month of life, usually regain near-normal neck movement sooner than infants who start later.

Frequently asked questions about infant torticollis and plagiocephaly

How early should a baby with a head tilt be seen by a physical therapist?
The APTA Academy of Pediatric Physical Therapy guideline on congenital muscular torticollis recommends referral to a physical therapist as soon as a head tilt, turning preference or other asymmetry is noticed. You do not need to wait, and you can contact KOH Physical Therapy Lab to schedule an evaluation.

Physical therapy at KOH for infant torticollis and plagiocephaly

  • We assess neck range of motion, head position, head shape and early motor skills.
  • We teach parents a home program: positioning, carrying, feeding positions and playful stretches.
  • We recheck progress over time. If your baby's presentation suggests something beyond muscular torticollis, we will recommend follow-up with your pediatrician.

Telehealth: Parent coaching and progress check-ins can work by telehealth. Hands-on assessment and treatment happen in person.

Related physical therapy services

Sources

Pediatric Conditions

Physical therapy for infant feeding difficulties related to neck and jaw tension

Also called: Breastfeeding difficulty with torticollis, Infant jaw and oral tension

How can neck and jaw tension affect infant feeding?

Feeding asks a baby to coordinate the head, neck, jaw and body. When neck muscles are tight on one side, as in torticollis, a baby may have trouble turning comfortably or holding a position to feed.

Feeding difficulty has many possible causes, and most are not musculoskeletal. Physical therapy addresses only the musculoskeletal part: neck and jaw mobility, posture and positioning. Milk transfer, latch technique and weight gain are assessed by a pediatrician or an International Board Certified Lactation Consultant (IBCLC).

Common symptoms and concerns

Babies with neck tightness may show feeding concerns such as:

  • Difficulty latching
  • Difficulty sucking
  • Poor feeding alongside a head tilt or turning preference

Feeding concerns should be discussed with your pediatrician, especially if your baby is not gaining weight as expected.

How can physical therapy help with infant feeding difficulties?

  • A clinical article in the Journal of Human Lactation reports that infants with one-sided neck muscle tension may feed poorly, and describes positioning, alignment and handling techniques used in practice. This is expert opinion rather than trial evidence.
  • Physical therapy for torticollis works on neck movement, symmetry and positioning. Whether that changes feeding has not been well studied, so it is offered as support, not as a treatment for feeding problems.

Physical therapy at KOH for infant feeding difficulties

  • We assess head and neck movement, jaw and oral area mobility, posture and body symmetry.
  • We teach gentle hands-on techniques and feeding positions you can use at home.
  • We tell you when a concern is outside physical therapy, so you can raise it with your pediatrician or lactation consultant.

Telehealth: Some consultation and coaching can happen by telehealth. Hands-on care is done in person.

Related physical therapy services

Sources

Pelvic Health

Diastasis recti physical therapy and postpartum core rebuilding

Also called: Diastasis rectus abdominis (DRA), Abdominal separation after pregnancy, Postpartum core weakness

What is diastasis recti?

Diastasis recti, or diastasis rectus abdominis, is a widening of the connective tissue (the linea alba) between the two sides of the rectus abdominis muscle. It is common during and after pregnancy.

It happens when the linea alba stretches as the abdomen expands. A physical therapist measures the separation and looks at how the abdominal wall manages load during movement.

Common symptoms and concerns

People with diastasis recti may notice:

  • Doming or tenting along the middle of the belly
  • Abdominal separation after pregnancy
  • Feeling weak through the midsection
  • Low back, pelvic or hip pain

These symptoms can have other causes. A physical therapist or other healthcare professional can evaluate what is contributing to them.

How can physical therapy help with diastasis recti?

  • A 2021 systematic review found that the evidence for specific exercise programs for diastasis recti after pregnancy is of very low quality. In two small trials, deep abdominal muscle training reduced the distance between the muscles slightly more than minimal intervention.
  • Research does not yet show which exercise program works best, so a plan is based on your evaluation and goals, not on closing the gap alone.
  • Breathing and deep abdominal training are used to work on how the core muscles function together.
  • A graded plan can help you return to lifting your baby, exercise and sport.

Physical therapy at KOH for diastasis recti

  • We measure the separation and assess how your abdominal wall and pelvic floor manage pressure during movement.
  • We build a progressive core program that starts with breathing and coordination and advances to strength.
  • We coach everyday movement, such as lifting, carrying and getting up from the floor.

Telehealth: Education and exercise progression can be done by telehealth after an in-person evaluation.

Related physical therapy services

Sources

Hypermobility & Connective Tissue

Ehlers-Danlos syndrome and hypermobility physical therapy

Also called: Ehlers-Danlos syndromes (EDS), Hypermobile EDS (hEDS), Hypermobility spectrum disorders (HSD), Joint hypermobility

What are Ehlers-Danlos syndromes and hypermobility spectrum disorders?

The Ehlers-Danlos syndromes (EDS) are a group of 13 genetically linked connective tissue disorders. Hypermobile EDS (hEDS) and hypermobility spectrum disorders (HSD) both involve joint hypermobility with symptoms. According to APTA's ChoosePT guide, hEDS is a systemic syndrome with more severe and wide-ranging symptoms than HSD.

EDS and HSD are diagnosed by a physician. Physical therapy does not diagnose or cure these conditions. It focuses on joint control, strength and day-to-day function.

Common symptoms and concerns

People with Ehlers-Danlos syndromes or hypermobility spectrum disorders may experience:

  • Loose or very flexible joints
  • Joint instability
  • Partial or full joint dislocations
  • Chronic pain
  • Frequent sprains and other injuries
  • Reduced sense of joint position

Flexible joints alone do not mean a person has EDS or HSD. A physician makes the diagnosis.

How can physical therapy help with EDS and hypermobility?

  • The Ehlers-Danlos Society says exercise is important for people with EDS and HSD because it improves muscle strength, which helps stabilize hypermobile joints.
  • Balance and joint-awareness (proprioception) activities are part of physical therapy for hypermobility.
  • Education covers posture and ways to do daily tasks that are less painful.
  • Programs start low and go slow. The Ehlers-Danlos Society notes that careful, gentle stretching can help when muscles are tight, while overstretching beyond the normal range of motion can be harmful.
  • Some physical therapists use gentle manual therapy to help reduce pain.

Physical therapy at KOH for Ehlers-Danlos syndrome and hypermobility

  • We take a detailed history and assess joint mobility, control, strength and your daily demands.
  • We build a slow, steady strengthening and stabilization program with clear guidance for flare-ups.
  • We adjust the plan to your symptoms from visit to visit.

Telehealth: Exercise progression and check-ins can be done by telehealth once a plan is in place.

Related physical therapy services

Sources

Pelvic Health

Physical therapy for pelvic pain in men

Also called: Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), Male chronic pelvic pain, Pelvic floor muscle pain (myalgia)

What is chronic pelvic pain in men?

Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is pain or discomfort in the pelvic region that has lasted at least three months without another identifiable cause. Despite the name, the American Urological Association (AUA) notes that CP/CPPS is not due to an ongoing infection.

Tenderness in the pelvic floor muscles is found in many men with chronic pelvic pain. Pelvic pain has many possible causes, and a physician or urologist evaluates and manages the medical ones.

Common symptoms and concerns

Men with chronic pelvic pain may experience:

  • Pain or discomfort in the pelvic region
  • Pain with urination
  • Tender pelvic floor muscles

These symptoms can have other causes. A physical therapist or other healthcare professional can evaluate what is contributing to them.

How can physical therapy help with pelvic pain in men?

  • The American Urological Association's 2025 guideline on male chronic pelvic pain includes a conditional recommendation that clinicians may offer individualized manual physical therapy techniques, such as myofascial release, to men with pelvic floor or abdominopelvic muscle pain.
  • Pelvic floor relaxation training, breathing and movement retraining are used to address muscle tension.
  • Physical therapy addresses the muscle and movement part of pelvic pain. It does not replace a medical evaluation.

Frequently asked questions about pelvic pain in men

Is pelvic health physical therapy for men private?
Yes. Sessions take place in a private treatment room. Your therapist explains each part of the assessment and treatment before it happens, and you can ask questions or stop at any time.

Physical therapy at KOH for pelvic pain in men

  • We discuss your symptoms privately and explain each part of the assessment before it happens, with your consent throughout.
  • We assess posture, hips, abdomen and pelvic floor muscle tension and control.
  • We build a plan that may include hands-on care, pelvic floor relaxation training, breathing and a home program.

Telehealth: Education and some exercise sessions can be done by telehealth. Assessment and hands-on care happen in person.

Related physical therapy services

Sources

Chronic & Complex Conditions

Physical therapy for long COVID, dysautonomia and POTS

Also called: Post-COVID conditions, Post-exertional malaise (PEM), Post-exertional symptom exacerbation (PESE), Postural orthostatic tachycardia syndrome (POTS)

What are long COVID, dysautonomia and POTS?

Long COVID is a chronic condition that follows a COVID-19 infection and is present for at least three months, according to the CDC. It is diagnosed and medically managed by a physician.

Some people with long COVID have post-exertional malaise (PEM), a worsening of symptoms after even minor physical or mental effort. The CDC notes that symptoms typically worsen 12 to 48 hours after the activity and can last for days or weeks. Some develop dysautonomia, a problem with the body's automatic regulation of heart rate and blood pressure. Postural orthostatic tachycardia syndrome (POTS) is one form, in which the heart rate rises sharply on standing.

Common symptoms and concerns

People with long COVID may experience:

  • Fatigue
  • Symptoms that worsen after exertion
  • Lightheadedness
  • Fast heart rate or heart palpitations
  • Brain fog or difficulty concentrating
  • Shortness of breath

These symptoms have many possible causes and should be evaluated by a physician. Chest pain, fainting or severe shortness of breath need prompt medical attention.

How can physical therapy help with long COVID?

  • World Physiotherapy's briefing paper on safe rehabilitation for long COVID says people should be screened for post-exertional symptom worsening before physical activity is recommended. When it is present, the paper says graded exercise therapy or fixed activity prescription should not be used.
  • For people with post-exertional symptoms, the same paper describes pacing, activity management and heart rate monitoring as approaches that may be effective.
  • The paper also recommends screening for orthostatic intolerance, including POTS. Any change in activity is based on your symptoms, not on a fixed schedule.

Frequently asked questions about long COVID, dysautonomia and POTS

I have long COVID and exercise makes me feel worse. Is physical therapy appropriate for me?
It can be, with a different approach. Your therapist asks about post-exertional malaise before recommending any activity. If you have it, care focuses on pacing and energy management rather than graded exercise, consistent with World Physiotherapy guidance. Talk with your physician about your symptoms as well.

Physical therapy at KOH for long COVID, dysautonomia and POTS

  • We ask about post-exertional symptoms and symptoms on standing before recommending any activity.
  • We teach pacing, heart rate awareness and a symptom diary.
  • We change activity only when your symptoms allow, and we do not push through worsening symptoms.

Telehealth: Education and pacing sessions can be done by telehealth, which can also save energy on travel days.

Related physical therapy services

Sources

Jaw & Orthopedic

TMJ and jaw pain physical therapy

Also called: Temporomandibular disorders (TMD), TMJ dysfunction, Temporomandibular joint pain, Jaw clicking

What is a temporomandibular disorder (TMD)?

Temporomandibular disorders (TMD) are a group of more than 30 conditions that cause pain and dysfunction in the jaw joint and the muscles that control jaw movement, according to the National Institute of Dental and Craniofacial Research (NIDCR).

"TMJ" is the name of the joint itself, the temporomandibular joint, although many people use it to mean the disorder.

Common symptoms and concerns

People with a temporomandibular disorder may experience:

  • Jaw pain
  • Pain with chewing
  • Pain that spreads to the face or neck
  • Jaw stiffness
  • Limited jaw movement
  • Painful clicking, popping or grating in the jaw joint

These symptoms can have other causes. A physical therapist or other healthcare professional can evaluate what is contributing to them.

How can physical therapy help with TMJ pain?

  • NIDCR recommends conservative treatments for TMD and avoiding treatments that permanently change the jaw joints, teeth or bite.
  • According to NIDCR, research suggests that manual therapy, in which a therapist uses their hands to stretch the soft tissues and muscles around the joint, can help improve function and relieve pain.
  • Jaw stretching and strengthening exercises and self-management are also part of conservative care.

Frequently asked questions about TMJ and jaw pain

Is jaw clicking a sign of a TMJ problem?
Not necessarily. According to the National Institute of Dental and Craniofacial Research, clicking or popping sounds in the jaw joints without pain are common, are considered normal and do not require treatment. Clicking that is painful, or that comes with limited jaw movement, is worth having evaluated.

Physical therapy at KOH for TMJ and jaw pain

  • We assess jaw opening, joint sounds, chewing muscles and neck mobility.
  • We provide hands-on care and a home exercise program for the jaw and neck.
  • Oral appliances such as night guards are provided by dentists, not by physical therapists. We will tell you if we think a dental or medical evaluation is worth asking about.

Telehealth: Education and home exercise progression can be done by telehealth.

Related physical therapy services

Sources

FAQ

Questions about physical therapy for specialty conditions

Do I need a doctor's referral for specialty physical therapy?
California allows you to see a physical therapist directly for a limited period without a physician referral. Some insurance plans still require a referral or authorization. Check your benefits or coverage with your insurance plan before you start.
Is physical therapy for these conditions covered by insurance?
Coverage depends on your plan and your diagnosis. KOH Physical Therapy Lab works with most PPO, EPO and POS plans and Medicare. Check your benefits or coverage with your insurance plan before you start.
Can any of these conditions be treated by telehealth?
Some visits, such as education, parent coaching and exercise progression, can be done by telehealth. Assessment and hands-on treatment happen in person. We will recommend the right mix for your condition.
Where does KOH Physical Therapy Lab provide care for specialty conditions?
We see patients at our clinics in Irvine, in Orange County, and in Long Beach. The specialty conditions on this page are treated at these clinic locations. Text or call (949) 540-5641 to schedule at the location that suits you.

This page is general information, not medical advice, and it cannot tell you whether you have a condition. Your physical therapist will recommend care based on your evaluation. If you are having a medical emergency, call 911.

Physical therapy in Irvine and Long Beach

KOH Physical Therapy Lab sees patients at its clinics in Irvine, in Orange County, and in Long Beach. The specialty conditions on this page are treated at these clinic locations.

Ready to talk about your condition?

Book an evaluation with a physical therapist, who will assess your condition and build a plan with you. Request an appointment online, or text our scheduling team to book at the right clinic.

Request an appointment(949) 540-5641