Women's Health & Pelvic Therapy

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Women’s health and pelvic physical therapy involve detailed examination of the pelvic, hip, lumbar, and lower extremity region in order to prevent, identify and correct dysfunction that leads to pain and disability. Our physical therapists are board certified Women’s Health Clinical Specialists by the American Board of Physical Therapy Specialties. This advanced education helps them to provide the highest level of care for non-operative and post-surgical rehabilitation. When physical therapy alone is not enough to achieve success, we work closely with your other healthcare providers to coordinate multidisciplinary treatment.

When most women hear about women’s health physical therapy, they assume it is only “Kegels” and crunches. When the pelvic floor muscles are underactive, Kegels can be helpful but many women aren’t able to perform the Kegels correctly. The best method to ensure a proper contraction is with internal palpation by a trained physical therapist 1. When the muscles are overactive, painful conditions in the pelvis result. When you have pelvic pain and perform Kegels, you could actually be making your pain worse2. Postpartum women often want to return to the pre-baby body as soon as possible, but may injure themselves with rigorous and unsafe exercise. It is important to assess for diastasis recti, a common but abnormal separation of the abdominal muscles, that jeopardizes a woman’s ability to properly use her abdominal muscles3. While most pregnant women should return to exercising, they often need to make adjustments to their routines.

Men who have prostate enlargement or have their prostates removed can have another set of issues both from the surgery and the poor habits leading up to surgery. Men’s pelvic health is not the same as women’s pelvic health—there is a difference in the method of contracting these muscles 4 .

If this all sounds overwhelming, contact us for help. Jenn is a highly trained, nationally recognized professional who can confidentially and compassionately help you navigate the mysteries of the womanhood/manhood. Jenn is also trained in working with pediatric patients between the ages of 7-21.

These are just some of the conditions we treat:

    •    Vulvodynia
    •    Localized provoked vulvodynia
    •    Vestibulodynia
    •    Vaginismus
    •    Dyspareunia (painful sex)
    •    Dysfunctional voiding
    •    Dyssynergic voiding and defaecation
    •    Constipation
    •    Incontinence (all forms including stress, urge, mixed, faecal and anal)
    •    Abdominal pain
    •    Pelvic organ prolapse (cystocele, rectocele, urethrocele, apical)
    •    Cesarean scars
    •    Pre- and post-prostatectomy
    •    Chronic/persistent pelvic pain
    •    Pudendal neuralgia
    •    Endometriosis
    •    Interstitial cystitis
    •    Defecation disorders
    •    Pregnancy related pain
    •    Postpartum pain
    •    Diastasis recti
    •    Coccyx pain (coccydynia)
    •    Chronic prostatitis
    •    Sacroiliac joint pain
    •    Gynecological cancer
    •    Pre- and post-gynecological surgery
    •    Pre- and post-colorectal surgery
    •    Post-surgical transgender

 

1.    Bø, K., & Finckenhagen, H. B. (2001). Vaginal palpation of pelvic floor muscle strength: Inter‐test reproducibility and comparison between palpation and vaginal squeeze pressure. Acta obstetricia et gynecologica Scandinavica, 80(10), 883-887.
2.    Thibault‐Gagnon, S., & Morin, M. (2015). Active and passive components of pelvic floor muscle tone in women with provoked vestibulodynia: a perspective based on a review of the literature. The journal of sexual medicine, 12(11), 2178-2189.
3.    Acharry, N., & Kutty, R. K. (2015). Abdominal exercise with bracing, a therapeutic efficacy in reducing diastasis-recti among postpartal females. International Journal of Physiotherapy and Research, 3(2), 999-1005.
4.    Stafford, R. E., Ashton‐Miller, J. A., Constantinou, C., Coughlin, G., Lutton, N. J., & Hodges, P. W. (2016). Pattern of activation of pelvic floor muscles in men differs with verbal instructions. Neurourology and urodynamics, 35(4), 457-463.