Your First Visit
Most importantly, you will be listened to.
We spend as much time as you need to give us a detailed history of your present symptoms and concerns. We will ask questions to gain better understanding of your goals and expectations. We also want to know what you have tried in the past and what has worked and what hasn’t.
After taking your history and answering your questions, we will educate you on the anatomy of the spine, abdominal muscles, pelvic bones, and pelvic muscles. We use multiple ways to educate so that you can visualize and understand the musculoskeletal system we will be evaluating.
We will then look at your alignment and how you move, sit, stand, and walk. We will educate you on how these things are related to your abdominal and pelvic muscles. We will review the purpose of the pelvic floor evaluation and what we will be looking for. With your permission, we will perform and external and internal pelvic floor evaluation to assess muscle strength, tissue mobility, and nerve function. We ask your feedback during the entire process to gain a better understanding of what may be causing your specific symptoms.
Then, we will discuss with you what we found and why you are experiencing your symptoms. We will review the treatment methods you will benefit the most from. We will give you exercises you can do at home, which could include yoga or walking, diet changes, and/or breathing exercises. This will give you the tools you need to start your journey to lasting relief.
We will develop a plan of care and schedule follow up treatments. You will be an active participant in this process. The PT may suggest a certain frequency, but we understand life’s requirements and we will meet you where you are and form a plan together that will work best for you, so that you get the best results in the least amount of time.
What does physical therapy treatment consist of?
Visits will be at least 60 minutes with the same therapist you saw the first time. You will update the PT on your progress, setbacks, and how your home exercise program is going. If you had difficulty with an exercise, you will let the PT know and she can adjust the exercise so that you get the most benefit. This is NOT “no pain, no gain” therapy…. This IS “let’s do what’s best for YOU” therapy.
Manual Therapy
Hands on therapy, myofasical work, deep connective tissue therapy, superficial therapy, trigger point release, visceral mobilizations, craniosacral therapy, mobilization of scar tissue or adhesions
Neuromuscular Re-education
(Re-Training your muscles to work more effectively), Tapping, positional release, positional exercises, Kinesio-Taping,
Muscle Relaxation
Target musculature, total body, breathing exercises, proper breathing techniques, guided imagery
Postural Exercises
Finding YOUR neutral alignment, utilizing proprioception, mirror, and tactile cues. Postural endurance training, education on proper postures/alignment during daily activities, education on great tools so that you don’t have to be “aware” of all these things during the day
Electrical Stimulation
TENS, Neuromuscular E-Stim
Used to treat incontinence (stress, urge), urinary/fecal urgency, urinary/fecal incontinence, and pelvic girdle pain.
Education
Knowing the cause leads to rehabilitation. Please ask questions! The phrase we use is “Know Pain, Know Gain”!