Login
Register

Home

About Us

Diagnoses

Treatments

Classes

Resources

Media

Testimonials

Blog

Account

Diagnoses
Register

Diagnoses We Treat, Including Female Sexual Pain Syndromes, Incontinence, and Other Pelvic Floor Issues

At Femina Physical Therapy, we specialize in treating these conditions that are all too often misunderstood by the medical community. What sets us apart from other physical therapy offices is we provide one-on-one care by licensed physical therapists for 60-90 minutes. In certain circumstances we offer appointments over 2 hours. No unlicensed personnel are used at any time, making the quality of care we provide at the highest level.

In depth evaluations, manual therapy, exercise prescription, and many of the other services we offer will have their greatest impact on your recovery when done by skilled, licensed providers that also participate in ongoing continuing education. This practice model also allows us to quickly identify when changes in your treatment plan are needed, maximizing each treatment session. Make an appointment at one of our offices today to get on the path to healing tomorrow.

Diagnoses:

Orthopaedic and Sports Medicine

Our physical therapists all started out as Orthopaedic and/or Sports physical therapists and continue to see the common ailments here. With our one-on-one set-up, we are equipped to treat even the most stubborn of pain, dysfunction or loss of use. Give us a call today so you can be back to your favorite activities painfree tomorrow!

Photo by Alexander Krivitskiy on Unsplash

What is abdomino-phrenic dyssynergia?

Abdomino-phrenic dyssynergia (APD) is a functional gastrointestinal disorder (FGID). This condition occurs when the brain cannot coordinate the correct movement of the diaphragm in relation to the fullness of the abdomen (abdominal muscles) via the phrenic nerve, causing uncomfortable abdominal distension and bloating.

The diaphragm is a dome-shaped muscle that divides the chest and abdomen, our bodies use this muscle to help us breathe. Normally when the stomach is full of food or gas, the diaphragm will relax and release upward, in order to give the organs in the abdomen extra room.

Read more: Abdominal Phrenic...

woman in bed suffering from Dyssynergic Defecation

Pelvic Floor Dyssynergia, Dyssynergic Defecation, and Chronic Constipation

Can pelvic floor therapy help with the various forms of constipation?

It's National IBS Month! We are continuing our bowel health series to help you achieve optimal pelvic health. Having bowel movements is something everyone must do, and sometimes it is difficult to have a bowel movement. While the causes for constipation can vary, today we want to talk about a particular dysfunction that pelvic floor therapy can greatly help with: dyssynergic defecation.

What is dyssynergic defecation and how common is it?

Dyssynergic Defecation is a muscle coordination issue where you think you are relaxing your anal sphincter to defecate, but in reality you are actually contracting your muscles and closing off the sphincter. In short, your pelvic floor muscles are doing the opposite of what your brain is telling them to do. Dyssynergic defecation is common; an estimated 40% of patients with chronic constipation also have dyssynergic defecation, according to this study.

Read more: Chronic Constipation and...

We can help with a large range of pregnancy and post-partum related disorders. We also offer a post-hysterectomy recovery program and many other pregnancy and non-pregnancy related services.

Read more: Pregnancy & Postpartum...

“Urogenital prolapse occurs when there is weakness in the supporting structures of the pelvic floor allowing the pelvic viscera to descend and ultimately fall through the anatomical defect.”

- Bo, Kari, Berghmans, Bary, Morkved, Siv, Van Kampen, Marijke, Evidence-Based Physical Therapy for the Pelvic Floor, Elsevier Ltd., 2007.

Read more: Urogenital Prolapse

Our experience solving a wide range of pelvic floor issues is unmatched in our field, including some less common issues that other therapies cannot always find answers for.

Read more: Other Pelvic Floor Issues

physical therapy for post surgery issues

Symptoms We Treat to Ease Recovery After Surgery:

We can help with many of the various issues that can arise after surgery and help reduce the associated pain and discomfort. Our licensed therapists are experts in dealing with a variety of symptoms that can make recovery difficult. These include:

Read more: Post Surgical Conditions

We offer a comprehensive cancer survivor rehabilitation program, including Lymphaedema therapy.

Read more: Cancer Rehabilitation

Incontinence is the inability to control bodily functions resulting in the loss of urine or feces.

Physical therapy treatments are important to restore the normal bladder and bowel functions through strengthening, use of behavioral modification strategies, correction of faulty patterns and habits and use of biofeedback and electrical stimulation as appropriate to enhance pelvic floor rehabilitation.

Read more: Incontinence

Symptoms of a Pudendal Neuralgia Diagnosis:

A Pudendal Neuralgia diagnosis has been described as throbbing or severe stabbing pain along the pathway of the pudendal nerve that runs through the gluteal, pudendal canal and perineal region. This pain typically increases during sitting and is reduced or relieved by sitting on a toilet seat.

Read more: Pudendal Neuralgia Diagnosis

Specialized Physical Therapy for Pelvic Cancer Treatment

Physical therapy for pelvic cancer can relieve pain with sex and general pelvic pain that results from gynecological cancer of the female reproductive organs.

Types of Gynecologic Cancer

  • Cervical cancer begins in the cervix, which is the lower, narrow end of the uterus. (The uterus is also called the womb.)
  • Ovarian cancer begins in the ovaries, which are located on each side of the uterus.
  • Uterine cancer begins in the uterus, the pear-shaped organ in a woman’s pelvis where the baby grows when she is pregnant.
  • Vaginal cancer begins in the vagina, which is the hollow, tube-like channel between the bottom of the uterus and the outside of the body.
  • Vulvar cancer begins in the vulva, the outer part of the female genital organs.
    CDC, 2020

Read more: Physical Therapy for Pelvic...

Anorgasmia / Dysorgasmia - No Orgasms, Diminished Orgasms, Painful Orgasms

Anorgasmia / Dysorgasmia - Orgasm Related Problems and Solutions

Anorgasmia and Dysorgasmia are clinical terms whose symptoms include complete lack of orgasm, diminished orgasms, and even painful orgasms. Causes can include physical, mental, and emotional factors.

Dysorgasmia / Painful Orgasms

Dysorgasmia is defined as a painful orgasm, but without any prior pain during sexual intercourse. The pain often manifests as a cramping sensation in the pelvis, buttock(s) or abdomen. The duration of pain from dysorgasmia can last from seconds to minutes to several hours.

Read more: Anorgasmia / Dysorgasmia -...

Vaginismus Recovery - Diagnoses and Treatments

Vaginismus Recovery is Possible

Is it painful to insert a tampon, get through a gynecological pelvic exam, or engage in intercourse? Have you always just thought maybe it’s just supposed to hurt and began to shy away from it all? You’re not alone. There are many women who have felt and thought the same things. What you are feeling is real and the culprit may be a condition called Vaginismus.

What is Vaginismus?

The definition of Vaginismus has been debated over the years and was first introduced into the Diagnostic and Statistical Manual of Mental Disorders (DSM), Third Edition in 1980. It was defined as a “recurrent or persistent involuntary spasm of the musculature of the outer third of the vagina that interferes with sexual intercourse”.1 And now in the DSM, Fifth Edition categorized as a disorder in which any form of vaginal penetration or insertion such as tampons, a digit, gynecological exams, vaginal dilators and intercourse is painful or impossible. Women have described it as “hitting a wall”. This disorder has been put under the umbrella of genito-pelvic pain/penetration disorder (GPPPD) in conjunction with dyspareunia (“recurrent or persistent genital pain associated with sexual intercourse”).2

Read more: Vaginismus Recovery -...

Endometriosis and Chronic Pelvic Pain

How Endometriosis can cause or contribute to chronic pelvic pain, and what pelvic floor therapy can do to help alleviate it

What is Endometriosis?

Endometriosis is a condition where endometrial-like tissue grows outside of the uterus (endometrial tissue is tissue that usually grows inside of the uterus and sheds each month). The most common area for it to grow is in the abdominal cavity, where it can implant on the surface of other structures including the ovaries, bladder, rectum, and along the walls of the abdomen and pelvis.

The true prevalence of endometriosis is unknown since it takes a laparoscopic procedure to confirm the diagnosis, and many women either have no symptoms or seek no treatment (Signorello, Harlow, Cramer, Spiegelman, & Hill, 1997). However, up to 78% of women undergoing laparoscopic investigation for infertility and up to 82% of women investigated for pelvic pain were found to have endometriosis in one study (Schenken, 1996; Wellbery).

Actress Lena Dunham has been vocal about her experiences with endometriosis, most recently publishing an essay in American Vogue on electing to have a total hysterectomy after years of chronic pain due to the condition.

Read more: Physical Therapy for...

Vulvar Vestibulitis/Vestibulodynia:

Vulvar Vestibulitis/Vestibulodynia is a form of vulvodynia with tenderness specific to the vulvar vestibule. This occurs with pressure to the site causing pain at the vaginal opening with touch or attempted penetration (provoked vestibulodynia) or can also present as constant or frequent pain, irritation, or itching of the vulvar vestibule (unprovoked vestibulodynia). Tissues may also be red or swollen at times.

Read more: Vulvar Vestibulitis...

What is Vulvodynia?

Vulvodynia means “vulvar pain” or pain of the external female genital region. Symptoms include burning, stinging, and irritation of the tissues in this region. Light touch or pressure can cause severe pain with sitting, walking, riding a bicycle, and sexual intercourse. Vulvodynia is a general term, and there are many subtypes, including vulvar vestibulitis (inflammation of the vulvar vestibule), vestibulodynia (pain in the vulvar vestibule) and clitorodynia (painful clitoris).

Physical Therapy Treatments for Pelvic Pain Syndromes:

Most pelvic pain syndromes such as vulvodynia are related to overactivity of the pelvic floor muscles.

Read more: Vulvodynia Symptoms and...

Dyspareunia:

From Wikipedia:
"Dyspareunia is painful sexual intercourse due to medical or psychological causes. The symptoms are significantly more common in women than in men. The pain can primarily be on the external surface of the genitalia, or deeper in the pelvis upon deep pressure against the cervix. It can affect a small portion of the vulva or vagina or be felt all over the surface. Understanding the duration, location, and nature of the pain is important in identifying the causes of the pain."

Read more: Dyspareunia Symptoms and...

Painful Bladder Syndrome / Interstitial Cystitis:

This pain or discomfort is perceived to be related to the bladder upon filling or often immediately after emptying. Symptoms include urinary urgency with pressure, burning and aching pain along with increased frequency, > 8 times per day, and > 3 months duration.

Read more: Painful Bladder Syndrome /...

** This information is for educational purposes only **

What They Say About Us

  • Testimonials

    • Testimonial by S.H., age 24

      I just wanted to thank you for everything you've done for me for the past 19 months. I literally could not have reached my goals without you and your practice. You gave me the courage to keep moving forth with my treatment no matter how afraid and anxious I was. You were always there to answer questions and made this whole process so much easier than I expected it to be. It's because of you that my marriage is on the right track, that I can get pregnant and that this part of my life is finally...

      Read more Testimonial by S.H., age 24

  • Testimonials

    • Testimonial by Rosanna R., age 35

      Heather has affected my life in the MOST POSITIVE way and I am forever grateful. My husband refers to her as the "sex doctor" so you can only imagine how happy he is with my therapy outcome. After the birth of my son I suffered from "Vaginismus", however, at the time I just thought I was broken. My "broken vagina" affected me physically but it was an emotional struggle as well. Many women in my life also suffered with pain from sex after their babies were born so I knew I wasn't alone. They...

      Read more Testimonial by Rosanna R., age 35

Subscribe To Our Newsletter

captcha