Pelvic floor and orthopedic physical therapy, tailored to your needs

Meet Dr. Monika

Dr. Monika Tangney is a licensed Doctor of Physical Therapy, a mom of two, and founder of Active Wellness Physical Therapy. She is a pelvic floor and orthopedic physical therapist who cares for patients of all ages. She grew up in Northern California and came down to San Diego to pursue her career in PT. She completed her B.S in Kinesiology at SDSU and her Doctorate in Physical Therapy at The University of St. Augustine.

She began the early years of her career focused on orthopedic PT, treating post operative patients, sports injuries and the geriatric population. After the birth of her first son, she had the stark realization of how little care the postpartum population receives which in turn sparked her interest in Women’s Health.

For the past 7 years her focus has been on pelvic floor physical therapy, working with pregnant and postpartum patients along with women suffering from a wide range of pelvic floor dysfunction.

Dr. Monika is most passionate about educating her patients in prevention and increasing their confidence to live a pain free, functional life. She shares a wealth of knowledge with her patients and provides her real-life experiences of being a mom of two. While providing therapeutic exercise to address strength deficits, she also looks to support her care with manual treatments along with a holistic approach to meet the goals of the patient.


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Here's What We Treat



  • Myofascial mobilization
  • Therapeutic exercise / stretching
  • Joint mobilization
  • Cupping
  • Therapeutic massage
  • Postural analysis
  • Visceral mobilization
  • Nutrition considerations
  • Scar mobilization
  • Dietary modifications
  • Neuro reeducation 
  • Lifting/running mechanics
  • Postpartum return to exercise
  • Bladder training
  • Pre/post-operative rehabilitation
  • Sports related injuries
  • Sprains and strains
  • Low back/neck pain
  • Sciatica
  • Disc herniation 
  • Torn ligaments (ACL/MCL, meniscus)
  • Chronic ankle/knee pain
  • Joint replacement surgery
  • Migraines
  • TMJ
  • Limited joint mobility due to arthritis

Orthopedic Conditions

Pelvic Floor Conditions

  • Pregnancy pelvic pain
  • Labor/delivery considerations
  • Childbirth education
  • Fourth trimester preparation
  • Nursing posture education
  • Safe baby wearing
  • Scar mobilization (c-section or vaginal birth)

Prenatal & Postpartum

  • Pelvic pain (perineal, tailbone, pubic symphysis)
  • Dyspareunia (pain with intercourse)
  • Pelvic Organ Prolapse (POP)
  • Stress/Urge Urinary Incontinence (SUI)
  • Interstitial cystitis 
  • Post hysterectomy 
  • Diastasis recti (abdominal muscle separation)
  • Constipation
  • Vaginismus

What is the Pelvic Floor?

A combination of muscles, ligaments and connective tissue that support the pelvic organs - the bladder, rectum, vagina and uterus. Due to a variety of factors, including pregnancy or childbirth, surgery, heavy lifting, obesity, aging and chronic medical conditions, the pelvic floor may become weak or painful over time. 

1 in 4

women have 1 or more pelvic floor disorders


will develop a pelvic floor disorder after giving birth

How It Works

Book an initial evaluation directly at the top of the screen, Or if you're unsure, schedule a free 15 min phone consultation.

Book appointment

Fill out the required paperwork online then visit our clinic in Encinitas for an initial evaluation. 

Initial evaluation

Weekly or bi-weekly visits can be scheduled until your personal goals are met.

follow-up visits

How long is each session? What are your cash rates?

The initial evaluation is $195 and lasts 60-90 minutes. Follow up treatments are $195 and last up to 60 minutes. The entirety of every session is spent directly with Dr. Monika without the use of aides or techs. 

Frequently Asked Questions

What should I expect during the evaluation?

We will discuss your subjective history where you can tell me your story about what brought you to PT (symptoms, diagnosis, birth history, surgical history). I will assess the mobility of your joints and the strength of your muscles as well as observe your posture and the way you breathe/move. For pelvic floor cases, if appropriate, I can do a vaginal internal exam to assess strength and tone of your pelvic floor muscles/tissue. Don’t worry, it is not as scary as it sounds! I don’t use a speculum or stirrups. Lastly, we come up with goals/exercises you would like to work towards in therapy and I provide you with pertinent resources/education all conveniently emailed to you via a private link.

What if I’m not sure I need Physical therapy?

What are the benefits of seeing a Pelvic Floor Therapist postpartum? Is this necessary care?

I offer a free 15-minute phone consultation where we can talk in more detail regarding your questions or concerns. 

Do you accept insurance?

We are an out of network provider so we do not bill directly to insurance. However, when requested I can provide patients with a superbill containing the necessary ICD-10/CPT codes that they can submit to their insurance provider. The superbill provided is not a guarantee that your specific insurance provider will reimburse for the services you have received. 

Can I come see you if I’m pregnant?

Of course you can! I prefer to see my patients throughout their pregnancy so I can provide specific education such as birth preparation, laboring positions, and postpartum tips/tricks. If you are concerned about your pregnancy and arriving to PT, I can always contact your OBGYN/Midwife/Doula to get more information. 

Every woman would benefit from pelvic floor PT postpartum, regardless of delivery type (c-section or vaginal). In both scenarios, the mother's body goes through extreme changes during pregnancy and birth that if not proactively addressed leads to long term deficits in a high percentage of women. My goal is to proactively help you prevent those deficits from occurring!  

Can I use my HSA (Healthcare Savings Account) to pay for my visit?

Yes! Physical therapy is an eligible expense and you can use your HSA debit card to pay for your visit.  

Schedule an Appointment

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Active Wellness Physical therapy is located in beautiful North Country San Diego in the city of Encinitas. Suite #120 inside of the Salon World Suites building, next to Total Wine, inside the Target parking lot.  

Visit Our Clinic

1022 N El Camino Real, STE 120 Encinitas, CA 92024

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I completely understand. Send me an email with any questions you have or schedule a free 15-minute consultation. 

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