What is Pelvic Physical Therapy?
Pelvic Physical Therapy is the rehabilitation of the pelvic region, including low back, pelvis, and hips.  Pelvic muscles, nerves, joints, and connective tissue can be injured, dysfunctional, painful, weak, restricted, or imbalanced.  Despite your current symptoms, there is treatment available with a passionate therapist happy to help in any way they can.

Lily Dawson joined our practice in 2017 to help develop our new Pelvic Floor Rehabilitation Department. She has practiced in both Orthopeadic and Women’s Health fields. Lily integrates yoga and pilates into an in-depth and progressive deep core strengthening and stabilization program. She utilizes manual techniques and an integrative mind-body approach to balance the musculoskeletal system, diminish pain, and restore movement. Her training and work to date highlight her passion for assisting women to attain their highest potential in health.

Common Reasons to Seek Treatment:

Bladder Dysfunction:

  • Incontinence: stress, urge, mixed
  • Urgency and frequency
  • Bladder retention
  • Bladder pain and voiding pain

Bowel Dysfunction:

  • Constipation
  • Incontinence
  • Painful BMs
  • Abdominal pain and bloating

Musculoskeletal:

  • Perineal, genital, and pelvic girdle pain
  • Low back and hip pain
  • Postural weakness and deficits
  • Pelvic floor and core weakness

Lifespan Rehabilitation:

  • Prenatal
  • Postpartum
  • Menopause
  • Post-menopause and Osteopenia/Osteoporosis

Sexual Considerations

  • Pain during or after intercourse
  • Decreased libido
  • Climax difficulty or changes

Cancer Rehabilitation and Post-surgical Rehabilitation

Treatments Include:

  • Bladder and bowel retraining
  • Biofeedback
  • Neuromotor re-education to train muscles and restore posture
  • Strengthening exercises designed for pelvic floor, core, and hips
  • Flexibility focus to facilitate pain free and effortless movement
  • Soft and deep tissue mobilization, internal and external, including myofascial release and neural mobilization
  • Manual therapy to restore inadequate joint movement
  • Desensitization techniques to reduce hypersensitivity
  • Yoga and pilates integration to home exercise programs
  • Patient and Partner/Caregiver education
  • Progressive muscle relaxation
  • Individualized treatments developed to balance, strengthen, and restore full and pain-free movement

Listen to our graduates:

Dr. Lily Dawson is the best doctor I’ve ever been to. She treated me with a holistic approach, which I prefer. Her physical therapy truly does wonders and I am able to continue her exercises and treatment as a preventative. She is also a very supportive, positive, and up-lifting person, which I believe also helps with healing her patients. I’m sad I will no longer have her as a doctor, but I’m finally back to normal again :)- Annalea P.

Working with Lily Dawson, PT, was extremely beneficial to my health and my life. She was patient, kind, and made me feel comfortable in what could be an uncomfortable conversation. She’s knowledgeable, professional, and friendly. If you’re having concerns, don’t hesitate. Lily will empower you to love your body and your life!- Kate B.

I went into my physical therapy not knowing what to expect.  From the very first day, Lily made me feel comfortable and optimistic that we could work together to address the issues that have plagued me for years. She was focused on me and catered my therapy plan around my whole body and life!   After going through the program, I have never felt better. I left with the tools and know how to continue my therapy on my own with confidence. I highly recommend Lily and the rest of the team at the Center for Women’s Sexual Health.  I’ve been going to them for over ten years and couldn’t see myself going to anyone else! Jen B.

I have been dealing with dryness, pain and other things for several years.  I went and seen Dr. Dalm I has the diva treatment which helped some but after a couple months was starting to go backwards on the progress that was made. Then I saw Nisha my pH was not good again in pain and dryness was starting to come back . She put me on some medicine and suggested pelvic floor therapy with Lily.  I was really not sure what to expect for therapy and was a little surprised. Lily was very nice and help me get through all of it and I am so glad I did all of the therapy and everything. I am at this time so much better than I have been in over 5 years and would highly recommend. I am so glad I went and seen Dr. Dalm , Nisha and Lily. Annette D.

What to expect during your first visit:

Getting to know you:  A chance to tell your story, describe your current symptoms in detail, and anything else you think your PT should know.  Questions regarding your daily behaviors and habits will be asked, most specifically regarding bladder, bowel, digestive, and sexual functions.  This is a great way for you and your PT to get to know one another.

Evaluation and Assessment:  A general orthopedic assessment of your posture, range of motion, strength, and flexibility will be performed first.  A more specialized and focused evaluation of your pelvis will follow. This may include external and/or internal pelvic floor muscle assessment for range of motion, coordination, strength, endurance, and tenderness.  You will lie on a treatment table undressed from the waist down, covered with a sheet. Your PT will make sure you are comfortable and ask permission to continue with the evaluation, at which time she will explain each task before proceeding.  With a gloved finger and lubrication, she will perform an internal vaginal exam to assess muscle function, tension and tone, evidence of prolapse, and tissue/myofascial integrity. This process may be performed anally as an alternative.

Discussion:  After gathering information obtained in the introduction and evaluation, your PT will discuss her findings with you and answer any questions you may have.  Together you will discuss a treatment plan and establish goals. This will be sent to your Provider to update them and invite them to collaborate with us during your treatment.

Treatments:  Bi-weekly or weekly treatments will be recommended as determined by your PT.  It is imperative during the course of your treatment that you follow your PT’s recommendations as best you can.  Your treatment sessions may include manual treatment, therapeutic exercise, functional training, behavioral retraining, relaxation guidance, and neuromuscular re-education.  Please be prepared to move, dress appropriately, bring water to hydrate, and eat prior to your session.

FAQs:

  • I’m on my period, should I still come to PT?  
    • Yes!  Treatment may be adjusted based on your cycle and preferences.  There is always something to learn, someway to move, and an option to heal.
  • Will insurance cover PT?
    • Most insurances cover PT, however, as a general rule, we encourage patients to know their benefits prior to starting treatment to avoid surprises.
  • Can I come to PT on the same day as my Provider appointment?
    • Most insurances will not cover multiple medical appointments in the same 24 hour period.
  • Do I need to wear athletic clothing?
    • Nope.  Wear garments that are stretchy and comfortable, something you don’t mind moving around in.
  • What if I need to cancel my PT appointment?
    • Our practice policy for no show appointments and late cancellations (<24 hours) are listed in your new patient paperwork.  If you need to cancel, please call at least 24 hours prior to your appointment time.