Our therapists are leaders in the field of pelvic health with combined decades of experience. We understand that no two people are the same and we take the time to understand your specific problems and needs. Many of our patients come to us and find relief after not seeing results with other physical therapists. We listen carefully to your story and make a personalized and hands-on treatment plan to help you reach your goals.
We can help you! Depending on your problem, some parts of your pelvic floor may actually be too tight. You may need treatments focused on releasing tension before you start strengthening exercises. You may also benefit from hands-on training to do pelvic floor/kegel exercises in the way that is most beneficial for you. We will do a comprehensive evaluation to uncover the factors contributing to your problem and design a treatment program that is tailor-made for you, which might include kegels or might not.
All of them! If you have a pelvic floor problem we want to help you. We strive to create a safe and welcoming environment for all of our patients. You can read more about our commitment to LGBTQIA+ healthcare.
Yes! Male patients are part of the backbone of our practice. All of our therapists have specialized training (and a ton of experience) providing top-quality treatment for a wide variety of male pelvic floor problems.
Absolutely not! We are very experienced with and focused on limiting pain and helping our patients feel safe during examination and treatment. We will be in continuous communication with you to make sure you are comfortable with each procedure before we start and to modify things as we go if something isn’t working for you.
We would be more than happy to work with you in a way that works for you. We understand that past experiences can have a huge impact on your symptoms and your experience with healthcare providers. We can learn a lot about what’s going on with your body through conversation and observation and we can begin treatment with education and exercises. Then, if and when you’re ready, we can start hands-on work by focusing on areas of the body that feel relatively safe for you. We are also happy to collaborate closely with your psychotherapist if that would be helpful for you.
It depends what you are comfortable with. Normal menstrual bleeding is not a problem for pelvic floor physical therapy from a medical perspective. However, if you are physically or emotionally uncomfortable with internal or external pelvic floor work during your period, your therapist can work with you to modify the plan for that day and you can still get excellent treatment!
Your first appointment will last an hour and 20 minutes and will have 3 components – history, examination, and treatment.
1. History– Before doing any examination or treatment, we want to learn all about your symptoms, what brings you to therapy, your medical history, and any imaging or surgeries you may have had. Since the pelvic floor is involved in bowel, bladder, and sexual function we may also ask questions about these topics. Please do not feel like any detail is too small or personal. It’s all part of understanding the full picture of your symptoms so we can help you to feel better. We also want you to feel safe and comfortable, so if you’re not ready to talk about a topic on day one (or day 17), that’s ok! You get to set the pace. We will also ask about your goals for physical therapy and what feeling better looks like for you!
2. Examination – We will begin the examination by evaluating your posture, how you move and walk, your strength, and your range of motion, with particular focus on your back and hips, since these areas frequently play a role in pelvic floor problems. For this first part of the exam, it can be helpful to bring clothes that you can comfortably move in, like shorts and a t-shirt. We will discuss everything that will happen ahead of time, and will only move at a pace you are comfortable with. If you are comfortable and it is medically appropriate, we may also do a pelvic floor exam to directly assess how your pelvic floor muscles move and function. To prepare for a pelvic floor exam, your therapist will step outside of the room and ask you to undress from the waist down and cover your lower body with a sheet that we provide. Using a gloved hand, your therapist will examine your pelvic floor muscles externally and may also complete an internal vaginal or rectal exam using a gloved hand and lubricant. The way in which we approach your evaluation, including whether we assess your internal and/or external pelvic floor muscles, will strongly depend on your individual symptoms and, above all, your comfort. You may also choose to have a friend or family member in the room for any and all portions of your visit. It is our top priority for every single patient to feel safe, comfortable, and in control during our appointments.
3. Treatment – After your examination, your therapist will share their findings, how they relate to your symptoms, and how frequently we would recommend you should come to physical therapy. In most cases, you will also begin your treatment on the first day. This may include hands-on manual therapy, exercises to do at home, or tips and tricks to help control your symptoms. Please remember that the evaluation is about you – we want to answer any questions that you have during the appointment!
Let’s talk! We offer free 15-minute phone consultations with our pelvic floor specialists to help you understand how pelvic floor therapy can help you and what treatment might look like for you specifically. Fill out a short form and we will be in touch soon!
Pelvic floor muscle dysfunction can cause incontinence, pain, and sexual dysfunction. We use a compassionate and trauma-informed approach to develop a treatment plan specifically focused on your needs and goals.
Organs need to glide to allow the body to move fully and without pain and support healthy digestion. We are specially trained to identify and resolve these restrictions to support a more complete and lasting recovery.
A light touch, non-invasive technique to balance the bones, nerves, fluids, and connective tissues around the brain and spinal cord and support healing by releasing restrictions and calming your fight or flight response.