Please provide us with your full name and email address.

Have you experienced back pain pre- or postnatal?

Have you experienced pain or decreased sensation with intercourse?

Do you have osteopenia/osteoporosis?

Do you experience urine leakage with coughing, sneezing, exercising, etc.?

Have you tried other treatment options (drugs, exercise, surgery, etc.) without full recovery?

Have you tried other treatment options (drugs, chiropractic, exercise, surgery, etc.) without full recovery or relapse?

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