Physical Therapy includes diagnosis and management of movement dysfunction and enhancement of physical and functional abilities. It includes restoration, maintenance, and promotion of optimal physical function, fitness and wellness, and optimal quality of life as it relates to movement and health; and prevention of the onset, symptoms and progression of impairments, functional limitations, and disabilities that may result form disease, disorders, conditions, or injuries.

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Physical therapists diagnose and treat people of all ages, including newborns, children, and elderly individuals. They may consult and practice with other health professionals to help you improve your pain and function.

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Your physical therapist will teach you how to prevent or manage a health condition and help motivate you during your treatment so you can function optimally. We will work with you to help you understand your body so you will achieve long-term health benefits.

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Let us help you to regain your independence through awareness and education of your impairment and how to avoid future injury.

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Physical therapy services include:

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Injury prevention and rehabilitation

Orthopedic rehabilitation: pre- and post- operation

Concussion rehabilitation 

Workers compensation cases

Motor vehicle accident 

Chronic pain 

Benign Paroxysmal Positional Vertigo

Pelvic floor physical therapy

Balance disorders

Manual therapy

ASTYM® treatments

Ultrasound therapy

Transcutaneous electrical nerve stimulation

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Now offering Pelvic Floor Physical Therapy:

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Pelvic floor dysfunction occurs when there are impairments of the trunk, pelvis, or hips, and difficulties with the bowel, bladder, and sexual health.  These issues include urinary & bowel incontinence, constipation, pelvic pain, painful intercourse, pain related to pregnancy,  lymphedema,  and post-cancer treatment (radiation induced vaginal stenosis, pelvic pain, post-mastectomy).  Women, men, and children experience incontinence and pelvic pain.  It is estimated that 25% of females in the United States have some form of pelvic floor dysfunction. 

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Incontinence

Incontinence is defined as the involuntary leaking of urine or bowel, usually as a result of underactive pelvic floor muscles.  There are many types of incontinence, but most fall under the categories of urge, stress, and mixed incontinence.  Urge incontinence occurs when one has a sudden desire to pass urine, which is difficult to defer.  People with urge incontinence generally report having a difficult time “making it to the bathroom”.  Stress incontinence is leaking that occurs when one exerts an effort (such as moving, exercising, or jumping) or has a sudden increase in abdominal pressure, such as during laughing, sneezing, or coughing.  Mixed incontinence has characteristics of both urge and stress incontinence. 

 

Causes of incontinence include injury during childbirth (both vaginal and cesarean deliveries), obesity, chronic cough, asthma and smoking, repetitive lifting, chronic constipation, high impact exercise (52% of female athletes experience urine loss during sport or daily activities), joint malalignment of the low back and pelvic girdle, sexual abuse, bowel and bladder disorders, infection/disease, and age, and surgical history (hysterectomy, prostate, and colon surgical intervention.  Although there is variability in studies, it is generally thought that the prevalence of incontinence is 30-50% in women and 3-10% in men.  Men have a chance of developing urinary incontinence after radical prostatectomy or transurethral resection of the prostate.

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Physical therapy treatment of incontinence involves bladder retraining techniques, education on bowel health (if you struggle with constipation), lifestyle changes, pelvic floor muscle re-education, and progressive core (abdominal and pelvic floor), electrical stimulation to facilitate muscle activity, and hip strengthening.  Men who experience erectile dysfunction may also benefit from performing pelvic floor exercises.  Your physical therapist may also suggest other treatment options, specific to your symptoms and lifestyle including the use of continence products, medications and surgical interventions. 

 

Pelvic Pain

Pelvic pain is burning, aching, and/or pain in the abdominal, pelvis, trunk, or pelvic floor region that lasts longer than 3-6 months duration. Both men and women have pelvic pain, and it can make gynecological examinations and sexual intercourse painful.

 

Oftentimes pelvic pain is caused by problems in pelvic alignment, muscles and nerves. Asymmetries and dysfunction of the pelvis can cause changes in the length and tension in muscles, leading to overactive and underactive muscles.  Overactive trunk, hip, and pelvic floor muscles can contribute or cause tender points and discomfort in the pelvic floor.  In some cases, pelvic pain can be caused by entrapment or pressure on nerves within the pelvis.  Scarring from birth, surgery, and prior trauma to the pelvic floor can also produce pain. 

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Physical therapy treatment of pelvic pain involves correcting pelvic asymmetries through muscle energy techniques, stretching and strengthening muscles, core muscle strengthening to decrease pressure on the pelvic floor, down-training/up-training pelvic floor muscles, and manual therapy to help corrective imbalances in muscle activity.  Other treatment options include autonomic nervous system quieting, use of dilators, and education on lifestyle changes.  Your physical therapist may also suggest other treatment options, specific to your pain. 

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