Pelvic Health Physical Therapy

 

 

We are a team of orthopedic physical therapists with a wide range of specialized training to offer our patients innovative, effective, and well-rounded care. We treat all orthopedic issues, but we specialize in pelvic health and wellness. We treat the whole body and look beyond your symptoms to the root of the issue.

 

 
 

 
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Women's Health

For women, we treat issues across the spectrum of women’s health. From puberty to post-menopause, we assist in any changes and issues that may arise. Our goal is to promote wellness throughout your life so that you can live life fully and abundantly. We use a variety of methods to assess your body and to compose an individualized approach to healing and wellness for you.

Fertility

Pelvic floor physical therapy can assist with increasing blood flow and improving the health of your reproductive organs. Visceral mobilization and adhesion and scar work help to stimulate the organs to function in a healthy way. We can also help correct any mechanical dysfunction of the pelvis or soft tissue in the pelvic floor that may be affecting the ability to conceive.

Pregnancy & Post-Partum

There are numerous body changes during pregnancy and postpartum that are essential for a successful pregnancy and delivery of your baby. We come along beside you throughout this time to help your body carry and deliver your baby in a healthy, empowered way.

Pelvic pain and symphysis pubic pain are very common due to the shift in hormones to help your pelvis ready itself for delivery. We help your body adjust to these changes and provide manual therapy releases and specific exercises to help your body continue to support your baby throughout your pregnancy. Pain should never be “normal” or endured throughout your pregnancy.

For birthing readiness, we utilize manual techniques/cueing and assist with alignment to help you understand contraction and relaxation of the muscles of delivery (the pelvic floor and abdominals). We can also help align your pelvis so that your body can move throughout the necessary planes of movement during delivery.

Recovery postpartum can include strategies to regain muscle tone in the abdominal wall and pelvic floor - muscles that create your internal girdle of support and are responsible for bowel, bladder and sexual dysfunction. Rib and pelvis realignment is crucial after delivery as many women have difficulty returning to pre-pregnancy alignment. This affects breathing and blood pressure as well as the ability to contract the pelvic floor musculature correctly.

Some women have pelvic pain from scars (c-section, episiotomy), as well as fallen organs or prolapse. Also, the weakened muscle of the abdominal "core" may cause you to change the mechanics of daily tasks, causing low back pain, posture changes, and difficulty performing daily tasks.

This care is so beneficial and life-changing. Care can begin 6-8 weeks postpartum and will be catered and focused on you. Babies are welcome to attend our sessions, and we will assist you in any way so that you can receive the care that you need.

Painful Intercourse

Intercourse should never be painful, but if it is, we can help. The vaginal canal is a complex muscular system that can spasm (just like any other muscle group in the body) causing pain and disruption in your sensory system. We utilize manual techniques and stretches that alleviate the tension and trigger points and teach you stretches to continue your progress at home as well. Painful intercourse is extremely common and greatly improves with treatment.

Men's Health

We offer men relief from pelvic pain (abdominal, rectal, penile, scrotal/testicular), tailbone pain, groin pain, low back pain, hip pain, post-prostatectomy issues, bowel dysfunction (constipation, incontinence, pain) erectile dysfunction, incontinence, and a number of other issues.

Our Pelvic Health Physical Therapists :

Allison Keller, PT, DPT

Amy Moses, PT, DPT, OMT, Director

Sara Lynn Johnson Fultz, PT, MS, MPT, ATC, CSCS

Audra Gehan, PT, DPT


 

FIRST VISIT?

Please come prepared with the following:

  • Doctor referral (if applicable)

  • Payment information

  • Insurance card

  • If covered by Worker’s Comp, bring your claim number and case manager’s contact information

  • If covered by auto insurance or attorney lien, please bring contact and relevant information


INSURANCE INFORMATION:

Pelvic health physical therapy is covered under your physical therapy benefits through your most major insurance companies and we do not need a doctor’s referral for your first session though it is helpful to have one.



Common Pelvic Floor Issues

Pelvic Pain

  • Dysmenorrhea (pain with menstrual cycle)

  • Dyspareunia (pain with penetration, tampon use, OB/GYN exam)

  • Endometriosis and PCOS symptoms

  • Vaginismus

  • Lower abdominal pain that persists and is not alleviated with other modalities

  • Vaginismus

  • Vestibulitis/Vulvodynia

  • Interstitial Cystitis/ Painful Bladder Syndrome

  • Coccydynia (tailbone pain)

  • Symphysis Pubic Dysfunction (“lightning in your pelvis”, pain and/or clicking in your SI joints or in the front of your pelvis, difficulty standing on one leg or with sit to stand, etc)

  • Pudendal Nerve Entrapment

  • Prostatitis

Bowel Dysfunction

  • Fecal or gas incontinence

  • Chronic constipation

  • Pain with bowel movements

  • Sharp pain in rectum

  • Irritable Bowel Syndrome

Sexual Dysfunction

  • Pain with penetration

  • Inability to orgasm

  • Loss of sensation

  • Pain with orgasm or arousal

  • Leaking with intercourse

  • Post-surgery Rehabilitation: (adhesions, scar pain)

    • C-Section

    • Episiotomy or tearing in childbirth

    • Appendix/gallbladder removal

    • Post laparoscopy pain

    • Prostate Removal

  • Pelvic Organ Prolapse (feeling of heaviness, bulging of organs)

  • Low or absent abdominal wall tone:

    • Diastasis Recti

    • Difficulty toning lower abdomen

    • Hernia

  • Hip, Back, Sacroiliac Joint pain or clicking

Urinary Issues

  • Stress: Leaking with jumping, laughing, sneezing, etc

  • Urge: Leaking when trying to get to the bathroom or when bladder is full

  • Voiding Dysfunction:

  • Difficulty initiating flow

  • Dribbling after stream ends

  • Incessant feeling of bladder fullness

  • Having to push to empty bladder

  • Urinary Frequency (overactive bladder)

  • Nocturia (night time urination >2x a night)

  • UTI like symptoms without a positive UTI diagnosis