Our pelvic health division has a strong passion for helping both men and women dealing with these very personal and sometimes embarrassing conditions. We understand what you are dealing with and provide a comfortable environment for you to share your story.

What should I expect on my first visit?

Many people are apprehensive about the first visit, but I assure you there is nothing to worry about!  I start by taking a detailed history of your symptoms, and then we set goals for therapy. I then do a simple pelvic floor assessment.  No speculum, no stirrups. The exam starts with looking externally at the perineum and having you engage your pelvic floor muscles in different ways so I can see what your coordination is like.  Then I insert one finger vaginally (rectally for men) and measure your pelvic floor strength, endurance, and ability to relax the muscles. Then I press on different pelvic floor muscles to determine if any of them are tight or loose or reproduce symptoms.  Once your pelvic floor is assessed, then I can determine what treatment will look like. Then time permitting, I’ll assess you orthopedically, looking at pelvic alignment, back and hip mobility, strength, posture, and breathing. It’ll be a comprehensive session to identify the many facets of pelvic floor dysfunction.

I am open to patients deferring the internal exam until they feel ready to do so.  Comfort and trust in this type of PT is #1, and we never have to do anything you do not feel ready for.

What symptoms can be addressed with pelvic floor physical therapy?

Incontinence (leakage of any kind), urinary frequency, urinary urgency, pelvic pain, pain with intercourse, constipation, prolapse, fecal incontinence, obstetric or other surgical scar difficulties, hemorrhoids, anal fissures, and vulvar pain…just to name a few.

What if I have my period when I’m supposed to come in for an appointment?

Please come in!  I give my patients the option of internal work or not when they’re on their period.  I do not mind doing internal work, as I have disposable pads and work with gloves anyway.  However, I do have women who do not want internal work on their period, and that’s okay! We can work on all the other aspects of treatment like exercises and other strategies for controlling symptoms.

Can I bring my child to the appointment?

I welcome the little ones who aren’t mobile yet.  Our offices are not child-proofed, so as long as your child stays put, he or she will be safe.

What should I wear for my first visit?

Please wear comfortable clothes; you’re going to be moving around!  You don’t necessarily need workout gear per se; just wear something in which you’ll be comfortable doing exercise or having your legs moved around.  Translation: avoid skinny jeans, short or tight skirts, etc.