Pelvic and Women’s Health Rehabilitation:
Pelvic Health or Women’s Health rehabilitation appointments begin with a specialty-trained therapist who is able to address issues related to the deep core (diaphragm, transverse abdominus, multifidi, pelvic floor) and provides whole body integration to reach each individual’s goal. There are a wide variety of issues that could include musculoskeletal, nerve, fascial or neuro-motor roots. These issues may lead to challenges with movement, problems with voiding, sexual function &/or pain. Ultimately, it is a brain-body connection that is imperative to address from an integrated approach and tailored to each patient.
For this arena of rehabilitation I work with children and women of all ages, from high-level athletes, child-bearing ages, as well as peri-menopausal women. Additionally, my original speciality in early years as a clinician was in pediatrics-including congenital malformations and chronic neurological disorders, as well as musculoskeletal dysfunctions & burns. My goal is to help you to find the pathways that improve your quality of life in a sustainable way. These appointments are generally reimbursable by your insurance company pending your out of network coverage. Please see FAQs for more information. I am always happy to coordinate care with other clinicians involved in your care if that is of value to you.
Common Health Problems:
- Musculoskeletal pain related to pregnancy and post-partum
- General pelvic pain disorders, may be related to low back pain with related pelvic floor symptoms
- Urinary incontinence
- Fecal incontinence
- Chronic recurrent cystitis
- Diastasis Rectus Abdominus
- Dyspareunia/painful sexual intercourse
- Osteoporosis-building safe strength training programming
- Pelvic floor muscle dysfunction
- Irritable Bowel Dysfunction (IBS)
- Irritable Bowel Disorders (Crohn’s, Ulcerative Colitis)
- Interstitial Cystitis (IC)
- Orthopedic injuries
- Sacroiliac joint pain
- Mastectomy rehabilitation
- Hysterectomy rehabilitation
- Cesarean and vaginal delivery rehabilitation
- Pre/Post Intervention for individuals who do need surgery such as (neuro-stimulators, uro-gynecology issues, etc)
My initial appointment with you (&/or with you and your child) will include a thorough evaluation. This includes background and current medical history, completion of a bowel & bladder diary for at least 48 hours as well as more in-depth questions about your eating, drinking, and voiding habits. An orthopedic and possibly neurological examination will further my understanding of your body’s current status. Additionally, when indicated, use of either the Selective Functional Movement Assessment (SFMA) or possibly the Functional Movement Screen (FMS) will help me understand how you move your body & the best pathways to help you to reach your goals.
In addition to a more traditional orthopedic evaluation, the muscles of your pelvis (the pelvic floor) will be evaluated to determine any issues with their function (over-activity, under-activity, hernias, prolapses) and dyscoordination that might be contributing to your symptoms. This may include an external assessment and may include an internal assessment to determine your strength of these muscles, as well as the anatomical position of your muscles and the organs they support. I am also happy to report that I have wireless ultrasound and will be able to add this tool to my clinical practice to enhance not only the accuracy of my own assessment, but also you will be able to actually “see” your motor actions on the screen and we can work to further improve your coordination and assess changes over time. The ultrasound can be used both across the abdomen &/or across the perineum (not intravaginally or intrarectally). This allows us to look at how you are moving/contracting your muscles in real-time. Having this also cuts down on your medical “red tape” because I am able to assess if you/your child have complete voided the bladder and you will not have an additional cost/scheduling an ultrasound to look at that important information.
You will leave your initial visit with beginning understanding of your areas of need, and we’ll work to start on not just exercises (of course you’ll have those from someone like me!) but also on cognitive techniques to address the role of the brain in directing your body and reaching your goals. Because the initial evaluation can take quite some time, in order to leave with some treatment techniques, I prefer to take a longer initial appointment, than is allowed through insurance based practices.