FIRST PHYSICAL THERAPY VISIT
A complete Evaluation will take place on the first visit. This typically takes 60 minutes and includes history, symptoms, assessment of posture, tissue mobility, orthopedic screening, internal and external pelvic exam as needed. No speculums are used in the evaluation or treatments.
The findings are discussed and plan of care is designed to fit your needs. A home program will be initiated on that day and start of treatment if time allows.
Follow up treatment will last for 60 minutes depending on your needs. All visits are one on one and completed in a comfortable, private treatment room.
Restoring soft tissue and joint restrictions in and around the pelvic girdle is performed with a gentle hands on approach to reduce tension and pain while improving function. The most common techniques will be MFR, Muscle energy techniques, Trigger point release and Joint Mobilizations.
This includes Pelvic Floor strengthening and/or relaxation to improve Pelvic muscle co-ordination and control. Postural correction, CORE strengthening, and re-education of the structures that affect Pelvic Floor function are also addressed.
All patients will be instructed in a home program. The home component is critical in the success of therapy. This may include relaxation exercises, diaphragmatic breathing, stretches, strengthening or change to your Activities of Daily living which means adjusting or modifying your activities and how you approach your daily life to optimize Pelvic Health. This knowledge is what will empower you to keep your Pelvic Floor healthy and well functioning after therapy has ended.
Biofeedback may be used if necessary to help you improve your awareness of your pelvic floor. It will help you "Feel" the contraction or tension since it is not something you can see. Biofeedback can be used to uptrain/ strengthen or downtrain/ relax the pelvic muscles.
Vaginal/Rectal Dilators are tools used to help you slowly stretch your pelvic floor muscles and tissues gradually at home. This is very helpful to facilitate forward progress in addition to the manual vaginal/rectal stretching we would perform in the office.
Exercises may include stretches and strengthening for any areas that are pulling your body out of symmetry or causing poor posture. This could range from the hip and thigh to your CORE muscles or your spinal alignment. It is imperative that the pelvic floor does not get pulled at from tight or weak structures that surround it. With fascia in mind, stretches are held longer than traditional stretches.
MOST COMMON DIAGNOSES TREATED
Pelvic Pain acute or chronic:
- Levator ani syndrome
- Pudendal neuralgia
- Interstitial Cystitis (IC)
- Endometriosis related pain
- OB pain/dysfunction, post partum dysfunction
- Abdominal, Hip, SI Jt or Low back pain
- Post surgical pain/adhesions
Additional Pelvic Dysfunction:
- Pelvic Organ Prolapse (Cystocele, Rectocele)
- Urinary Incontinence (urge, stress, mixed)
- Dysfunctional Voiding (frequency, hesitancy, retention)
- Fecal Incontinence
- Diastasis Recti
Myofascial Release Treatment For:
-Back Pain/Chronic Pain
-Chronic Fatigue Syndrome
-Restricted Motion/Decreased Body Awareness