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Pelvic 
Services

Pelvic physical therapy is an uncommon area of specialty practice. Unfortunately, due to lack of availability and knowledge of how pelvic PT can help, patient's often suffer with symptoms for a long time before seeing a provider. 

Women Practicing Yoga

Conditions Treated

  • Pediatric bed wetting (after age 5)

  • Pediatric potty-training problems

  • Urinary incontinence 

  • Fecal/bowel incontinence

  • Pain with intercourse (Dyspareunia)

  • Peri-Partum care

  • Post-Partum recovery

  • Painful periods (Dysmenorrhea)

  • Endometriosis

  • Polycystic Ovarian Syndrome

  • Vaginismus

  • Vulvodynia

  • Orgasm disorders

  • Interstitial Cystitis

  • Pelvic Organ Prolpase (POP)

  • Infertility related issues

  • Sciatica during pregnancy

  • Pubic symphysis pain

*Note: We are currently only able to provide services for individuals who were born biologically female. We seek to provide only high-quality care and our staff have not completed the necessary specialty coursework to evaluate and treat gender reassignment surgeries, or adult patients born biologically male.

What to Expect - Adult Patients

     Similar to a traditional physical therapy experience, pelvic physical therapy begins with an evaluation. You and your therapist will discuss your goals, symptoms and concerns. Your physical therapist will then evaluate the strength, flexibility, and joint mobility of your back, hips, and pelvic girdle. For many pelvic patients, this will often include an internal evaluation to fully assess their symptoms.

     This can cause anxiety for some people, especially if you have a history of pain with gynecology exams or a history of trauma. Pelvic PT does not involve a speculum, and you are welcome to bring a chaperone with you to your visit if it helps you to feel more comfortable. We seek to provide trauma informed care and have strategies to work around these difficult issues. We encourage you to discuss your concerns with your therapist so we can develop a plan to make this experience one that puts you on a path to healing.

Bladder Services

Did you know your bladder is a muscle? It can be trained like the rest of your muscles. Many bladder control problems can be improved or resolved with physical therapy.

  • Stress incontinence

  • Urge incontinence

  • Overactive bladder (Urinary frequency)

  • Nocturia (waking to urinate >1x/night)

  • Urinary hesitancy - difficulty initiating urination

  • Slow stream
  • Difficulty fully emptying the bladder

Fertility Concerns & Pregnancy

Pelvic PT can help you have a healthy pregnancy from start to finish and beyond. We can assist with:

  • Infertility associated with a tipped cervix

  • Infertility associated with scarring and tissue adhesions from PID, endometriosis, and surgeries

  • Sciatica in pregnancy

  • Sacroiliac joint pain

  • Round ligament pain

  • Pubic symphysis pain

  • Post-Partum urinary incontinence

  • Post-Partum recovery from episiotomy or tearing

  • Post-Partum recovery from caesarian birth

  • Core muscle recovery and diastasis recti management

Legal Considerations

1.) We reserve the right to request photo identification for all pelvic patients, including minors, regardless of payment method for therapy. This is to ensure that we are not unknowingly providing care to a missing person.

2.) While you can request to have a chaperone present during an internal examination, we reserve the right to request that your chaperone leave the room during your initial evaluation to ask questions regarding sexual activity and feelings of safety in the home. This is to ensure patients feel free to answer these questions honestly.

3.) While patients are guaranteed the right to privacy under HIPPA, there are some exceptions. Physical therapists are mandated reporters in instances where a person is a danger to themselves or others, as well as if abuse or neglect of a child is suspected.

What to Expect - Pediatric Patients

     Similar to a traditional physical therapy experience, pelvic physical therapy begins with an evaluation. Your therapist will talk with you and your child about your goals, symptoms and concerns. It is important that both the child and the parent's input is heard.

     Your physical therapist will then evaluate your child's motor development to see if they are on track for their age. This involves evaluation through observing how your child plays. The therapist may also test specific strength, flexibility, and joint mobility of your back, hips, and pelvic girdle. 

     Evaluation of pre-pubescent children typically does not include an internal examination. This generally is not necessary to address issues related to potty training, and bed wetting.

Bowel Services

Bowel problems can significantly impact your quality of life. PT can assist in correcting and better managing:

  • Fecal incontinence

  • Constipation

  • Difficulty passing stool/straining

  • Pain with bowel movements

  • Irritable Bowel Syndrome

  • Crohn's disease

  • Surgical adhesions after bowel resections

Sexual Medicine & Pelvic Pain

Sexual function is an intimate area of life and problems can lead to painful experiences physically, emotionally, and relationally. Pelvic PT can help with:

  • Pain with penetration during intercourse

  • Dyspareunia

  • Orgasmic disorders

  • Vaginismus

  • Vulvodynia

  • Pudendal neuralgia

  • Coccydynia (tailbone pain)

  • Endometriosis

  • Polycystic Ovarian Syndrome (PCOS)

  • Dysmenorrhea (painful periods)

  • Interstitial Cystitis

  • Phantom pelvic pain

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