Our visits are private, one-on-one and one hour long with a specialized pelvic health therapist.
SERVICES
Pelvic Health Conditions
-
The gastrointestinal system is complex. Muscle control, fascial mobility, breathing techniques and intra-abdominal pressure are all ways in which a pelvic health specialist can help you tackle issues with digestion or bowel control. We can help with:
• Bloating after eating
• Abdominal pain
• Constipation
• Fecal urgency/Fecal Incontinence
• Rectal prolapse
• Chronic/recurrent fissures
• Abdominal scarring/post-surgical recovery
• GERD
• IBS
• Crohn’s Disease
• SIBO -
Urinary symptoms can appear at different times in life. Whether you’ve had issues since childhood, are pregnant/postpartum, are in your perimenopausal years, or you’ve just had surgery, physical therapy can help. We teach you how to use your muscles correctly to control your bladder and provide education on lifestyle factors and habits that can contribute to symptoms. We can help with:
• Frequency
• Urgency
• Hesitancy
• Incontinence
• Post-void dribble
• Incomplete voiding
• Need to immediately re-void
• Poor/weak stream
• Pain with bladder filling
• Interstitial Cystitis
• Pre- and post-prostatectomy -
It’s scary to have pain, especially in sensitive areas of the body. The good news is that pain is always treatable. We address muscle tension, breathing, body mechanics, stress, and how you use your body so you can do what you want. We can help with:
• Dyspareunia (pain with sex)
• Vaginismus
• Vulvodynia
• Pain with erection
• Pain with orgasm
• Anal or rectal pain
• Genital pain (penis, vagina, labia, scrotal)
• Chronic pelvic pain syndrome
• Pudendal neuralgia
• Coccyx (tailbone)
• SI joint
• Hip
• Buttock
• Low back
• Abdomen
• Dysmenorrhea (painful menstruation)
• Endometriosis
• Interstitial Cystitis
• Gender affirming or other surgeries -
After surgery we can be left with questions about safe return to daily activities or exercise. Bowel and bladder symptoms, scar tightness and pain can also occur as the body is healing. Physical therapy can help reduce pain and other symptoms, and guide you back to your activity and exercise goals without worry or limitations. We can help with recovery after:
• Prostatectomy
• Hysterectomy
• Endometriosis ablation or excision
• Cesarean birth
• Perineal tear repair
• Pelvic organ prolapse repair
• Abdominal surgery
• Hernia repair
• DRA repair
• Bowel resection
• Gallbladder removal -
Pregnancy can come with a host of symptoms that make life more difficult. Pelvic PT with a specialist can help maintain strength of the abdominals, decrease pain, minimize incontinence & prepare the perineum, pelvic floor muscles & pelvis for birth. We can help with:
• Low back pain
• Hip pain
• SI joint pain
• Round ligament pain
• Musculoskeletal pain
• Pubic symphysis pain
• Incontinence -
Taking care of a new human is hard enough without these common postpartum symptoms. Pelvic PT can help resolve them so you can focus and function. We can help with:
• Prolapse
• Diastasis Rectus Abdominis
• Musculoskeletal pain
• Pain with daily activities and/or baby care
• Scar management (perineal & cesarean)
• Urinary incontinence, hesitancy, urgency
• Constipation, pain with bowel movements, gas incontinence, fecal urgency
• Pain with sexual activity
• Safe return to exercise -
Normalization of toileting habits occur across a wide range of ages, and it is common for children to develop symptoms along the way. We provide a lot of education, strategies, stretches and exercises to help with:
• Constipation
• Fecal Incontinence
• Urinary Incontinence
• Urinary urgency and overactive bladder
• Bedwetting
• Adolescent pelvic pain
• Painful periodsWe see pediatric patients from the age of 5 up.
Pregnancy Guidance
-
Every pregnancy changes the shape and function of the body. The abdominal wall stretches, the pelvic floor carries more weight and the way we stand and walk adapt. Prescribed and personalized trimester-specific exercise protects the core and will give you a more comfortable pregnancy and faster postpartum recovery.
-
Birth is comparable to an athletic event. We provide you with the knowledge about how to optimize your joint positions and use your muscles correctly to decrease your risk of injury and enter the birth confidently.
-
Birth is a big event, whether cesarean or vaginal, and it changes how our muscles function. A healed scar isn’t enough to be ready for running, for example, even if you don’t have symptoms. Guided rehabilitation of the pelvic floor & abdominal muscles accelerates recovery and minimizes chances of injury. We design an exercise progression specific to your body and your goals so you get back to it with confidence.
Wellness + Optimization
-
Our bodies deserve preventive care, much like seeing our dentists or doctors for check-ups. Infrequent visits at longer intervals let us catch bad habits and give ourselves an action plan for feeling good, or catching dysfunction that may lead to symptoms down the road.
-
Strategy gets us to the next level more efficiently than pure enthusiasm. Improving athletic performance, getting past fitness plateaus, starting a new type of exercise or just feeling healthier in daily physical activities can be achieved with the right guidance. Working with a physical therapist is essential to successfully make this journey, especially if you’ve had injuries or symptoms in the past. We assess movement patterns, strength, mobility and flexibility to design a program specific to reaching your goals.
Call us at 503-272-1391 to schedule an appointment
-
Your timeline is as unique as your life. We work with you to create a plan of care that makes sense for your life. Each visit gives you valuable tools and information to take forward.
-
It depends. Our goal is to gather the pertinent information to improve your quality of life. If the pelvic floor muscles are involved, treatment outcomes improve significantly if these muscles are examined directly. The decision to perform internal work is one we’ll make together. If you’d like to have a support person in the room, please bring someone.
-
No. In the state of Oregon, seeing a Doctor of Physical Therapy does not require a referral.
-
Have a list of your medications, especially if you are coming in for bowel symptoms. If you are pregnant and comfortable with internal examination but would like official clearance from your OB or midwife, then you can obtain that prior to your visit (this is up to you rather than required). If your schedule allows, wear clothing that doesn’t restrict your movement.
-
Please call us as soon as you know that you will be missing your scheduled appointment time. We do charge $100 for missing without notice or cancellations within 24 hours of your appointment time.
-
Come in! Seeing you when your symptoms are active can be valuable in changing their pattern.
-
Not unless it feels incapacitating. If internal work is a part of your treatment, it doesn’t have to happen during menstruation, but really, menstruation doesn’t impair internal work at all and we are equipped.
-
Yes. Babies and children are a part of the real life function of our bodies and we can work with the practical aspects of muscle retraining with them. It’s true that we may all be more distracted but it’s usually workable and often useful. The clinic is accessed by a flight of external stairs with 1 railing, so bear in mind that strollers would be impractical and think about your comfort carrying a carseat on stairs.
-
Absolutely. Feeling accompanied helps our recovery. Some people want their partners to learn techniques to support them which can be a valuable part of treatment.
FAQ
We have partnered with Reimbursify for you to easily submit your claims for out-of-network health insurance reimbursement from your smartphone. Download the app and get your first claim free!
