Below is an outline of conditions that are benefitted from physical therapy evaluation and treatment. Each condition will involve a specific set of tests and measurements, treatments and goals, depending on the findings from your evaluation.
Childbearing Year: Pregnancy and Postpartum
- Painful Episiotomy Repair
- Perineal Tearing
- Individualized Exercise and Conditioning
Urinary Incontinence: Stress, Urge, or Overactive Bladder
- Voiding Difficulties
Bowel Dysfunctions
- Fecal or Gas Incontinence
- Constipation — “Defined as having a bowel movement fewer than three times per week. With constipation stools are usually hard, dry, small in size, and difficult to eliminate. Some people who are constipated find it painful to have a bowel movement and often experience straining, bloating, and the sensation of a full bowel.”
- Diastasis Recti Abdominus (DRA)
- Pelvic Floor Muscle Weakness
Pelvic Pain Conditions
- Pelvic Floor Issues
- Chronic Pelvic Pain
- Levator Ani Syndrome — “Episodic urethral, vaginal & rectal pain caused by the spasms of the surrounding muscle, called the levator ani.”
- Vaginismus — “Vaginal tightness causing discomfort, burning, pain, penetration problems, or complete inability to have intercourse.”
- Vulvodynia, Vulvar Vestibulitis — “Vulvodynia is a condition associated with pain in the opening of the vagina. This includes tenderness and profound burning. Vulvar vestibulitis is a related condition marked by redness and inflammation in the vaginal opening.”
- Lichens Sclerosis/ Lichens Planus/ Chronic Lichens Symplex
- Interstitial Cystitis / Painful Bladder Syndrome — “Interstitial cystitis (in-tur-STISH-ul sis-TI-tis) is a chronic condition characterized by a combination of uncomfortable bladder pressure, bladder pain and sometimes pain in your pelvis, which can range from mild burning or discomfort to severe pain.”
- Male Chronic Pelvic Pain or Prostatitis — “Defined as chronic pain, pressure, or discomfort localized to the pelvis, perineum, or genitalia of males lasting more than 3 months that is not due to readily explainable causes (infection, neoplasm, or structural abnormality).”
- Pudendal Neuropathy and Neuralgia — “Also termed pudendal nerve entrapment, this problem afflicts both men and women having immense effects upon quality of life. The pudendal nerve is a sensory, autonomic, and motor nerve that carries signals to and from the genitals, anal area, and urethra. There are three branches of the nerve on each side of the body: rectal, perineal and clitoral/penile. Pudendal neuropathy occurs when the nerve or one of its branches is damaged, inflamed, or becomes entrapped.”
- Erectile Dysfunction — “Described as when it is hard to get or keep an erection that’s firm enough for sex. Most men have problems with erections from time to time, but when this happens more than half of the time, then ED is present. This can happen when health problems limit blood flow or damage nerves in the penis.”
- Premature Ejaculation — “(PE) is when ejaculation happens sooner than a man or his partner would like during sex. PE is also known as rapid ejaculation, premature climax or early ejaculation.”
- Peyronie’s Disease — “Defined as a penis problem caused by scar tissue, called plaque, that forms inside the penis. It can result in a bent, rather than straight, erect penis. Most men with Peyronie’s disease can still have sex. But for some, it can be painful and cause erectile dysfunction.”
- Orgasm Pain/ Persistent Genital Arousal Disorder (PGAD)
- Testicular Pain
- Anorectal Issues — Including hemorrhoids, abscesses, fissures (cracks), and cancer.
- Post Prostatetectomy Rehabilitation
- Post Hysterectomy
- Post Oopherectomy
- Urinary Problems
Musculoskeletal
- Craniosacral Alignment & Balance
- Cervical Vertebra Alignment
- Thorax & Thoracic Ring Correction
- Clavicle / Shoulder / Elbow / Hand
- Lumbosacral Strain/ Herniated Disc/ Bulging Disc
- Pubic Symphosis Pain
- Pelvic Alignment
- Sacroilliac Joint Dysfunction
- Coccyx (tailbone) Pain
- Hip Alignment
- Knee/Ankle Alignment
- Foot Alignment
- Fibromyalgia — “A disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. Researchers believe that fibromyalgia amplifies painful sensations by affecting the way your brain processes pain signals.”
- Osteoporosis — “Osteoporosis is a disease of the bones. It happens when you lose too much bone, make too little bone or both. As a result, bones become weak and can break from a minor fall or, in serious cases, even from simple actions, like sneezing or bumping into furniture.”
- Improvement of Musculoskeletal Function/Abdominal Wall Tone
- Special Low Back, Hip, Pelvic problems that haven’t responded to previous physical therapy
- Endometriosis — “A female health disorder that occurs when cells from the lining of the womb (uterus) grow in other areas of the body. This can lead to pain, irregular bleeding, and problems getting pregnant.”
- Myofascial pain and dysfunction — “Myofascial pain syndrome is a chronic pain disorder. In myofascial pain syndrome, pressure on sensitive points in your muscles (trigger points) causes pain in seemingly unrelated parts of your body. This is called referred pain.”
Sexual Medicine
- Low Libido/ desire
- Excitement difficulties
- Persistent Genital Arousal Disorder (PGAD)
- Anorgasmia
- Sexual Trauma
- Sexual Positions Modifications
- Post Phalloplasty Rehabilitation
- Post Neovaginoplasty Rehabilitation
- All LGBTQ patients welcome