PELVIC health

Fertility Support

If you are having trouble getting pregnant, the number one thing your doctor and fertility specialist is telling you is: don’t stress about it – as stress and the shift in hormones that occur with stress reduce your chances of getting pregnant. So, how do you not stress about trying to get pregnant when you want nothing more than to start or grow your family? The Associative Awareness Technique is your answer!
The combination of the passive, comfortable treatment to instantly reduce your stress and the 4 to 5 additional techniques you can use at home to keep stress from affecting your body in a negative way will promote a perfect home for your new pregnancy to be successful!

Diastasis Rectus - "Mummy Tummy"

Can’t seem to figure out why you still look pregnant months after giving birth? Read below for our Mummy Tummy Treatment:

  • Mummy Tummy is medically defined as Diastasis Rectus or a tear or split in your abdominal muscle wall where the muscles connect around your belly button
  • Mummy Tummy can be experienced as lose abdominal muscles (still looking pregnant after you have had the baby), abdominal muscle pain and/or low back pain, or the persistent feeling of weakness or lack of support in your trunk
  • It can be caused by pregnancy, and/or rapid weight gain
  • Usually not noticed until after you have the baby, or lose weight
You’re going to get better in… 6 to 12 visits!
Diastasis Rectus Treatment Includes:
  • Therapeutic Exercise: a personalized, gradient progression of trunk stability that brings your abdominal muscles together and keeps them together during functional activity
  • Therapeutic Massage
  • Joint Mobilization and/or Joint Manipulation to stabilize pelvis and spine and facilitate the muscles rebonding
Our message to new mama’s:
Start your motherhood as strong and healthy as you can! Get evaluated for Diastasis Rectus, pelvic floor and/or SI Joint Dysfunction (low back pain) as early as 2 weeks post-partum. This will ensure healthy healing of your trunk, pelvis and low back and will enable you to stay stable and centered through this wonderful life change.

Incontinence (Bowel/Bladder)

  • Incontinence refers to the involuntary loss of bladder control.
  • There are several different types of incontinence. The most common types are stress and urge urinary incontinence. Stress Incontinence refers to the leakage of urine with activities that increase abdominal pressure such as laughing, coughing, sneezing and jumping. Urge Incontinence refers to the involuntary loss of urine that occurs secondary to strong urge and bladder contractions at inappropriate times.
  • Causes include weakness of pelvic floor musculature that can occur after pelvic surgery, post-partum or with age.
  • Men also experience this associated with prostate enlargement, prostate cancer and prostate removal.
  • It is also associated with certain central nervous system conditions including multiple sclerosis, Parkinson’s disease, and stroke.
You’re going to get better in … 8 to 10 visits!
Incontinence Treatment Includes:
  • Pelvic Floor Muscle Re-education and Coordination Training, followed by strengthening
  • Behavioral Modification is especially beneficial in combating these types of issues

Pain with Pregnancy

  • A woman’s body experiences many changes both during pregnancy and after delivery. Pain with pregnancy can be very frustrating.
  • Common issues that women experience during pregnancy include: pregnancy-related low back pain and mid back pain, abdominal pain, pubic pain and tailbone pain.
  • Pain with pregnancy is typically related to changes in hormones that decrease the stability of the pelvic ring (hips, pubic bone, and tail bone). The growing fetus pulling forward on the ligaments and joints of the lower back and pelvis can also cause back pain.
You’re going to get better in … 4 to 10 visits!
  • Pain with Pregnancy Treatment Includes:
  • Education regarding posture and positioning changes
  • Gentle back and hip stretches that are modified for your growing baby
  • Manual Therapy to help alleviate joint pain and inflammation

Pain with Sex (Dyspareunia)

  • Dyspareunia is defined as difficult or painful sex that is often associated with some type of dysfunction of the pelvic muscles or vaginal tissues
  • Dyspareunia can also present as pain with pelvic examinations or pain with tampon use
  • this condition is often experienced as sharp pain or even a feeling of tightness with vaginal penetration. Some women also experience a lingering dull and achy pain following intercourse, pelvic exams or tampon use.
  • There are several causes for Dyspareunia including: over-activity of the pelvic floor or inability of the pelvic floor to relax, imbalance of pH within the pelvic tissues leading to inflammation and subsequent pain, remnants of the hymen which block the vaginal opening.
  • Dyspareunia can also be a symptom of other conditions such as pelvic organ prolapse or constipation.
You’re going to get better in … 12 to 16 visits! Dyspareunia (Pain with Sex) Treatment Includes:
  • Muscle Release
  • Biofeedback Training
  • Relaxations Techniques
  • Stabilization Exercises and addressing biomechanical dysfunctions within the pelvis

Pelvic Floor Rehabilitation

  • Pelvic Floor Rehab at Coal Creek Physical Therapy includes treatment for men and women with urinary or fecal incontinence, urgency/frequency of urination, and/or pain in the pelvic region.
  • This includes: pain in the abdominals, buttocks, pelvic floor, tailbone, vagina, rectum, penis or testicles. The pelvic floor muscles may become weak, tight or spastic as a result of disuse, surgery or trauma, Pelvic Floor Rehabilitation reeducates these muscles and reduces pain and inflammation.
Who would benefit from Pelvic Floor Rehab?
People experiencing…
  • Incontinence
  • Pelvic Pain
  • Chronic Back Pain
  • Pain with Sex (Dysperenia)
  • Women needing Post-Partum Wellness Care

Pelvic Pain

  • Pelvic Pain is defined as pain in the abdomen or pelvic area not caused by diseases such as endometriosis, IBS, dyspareunia, etc.
  • It can present in the following ways: vulvar pain, testicular pain, low back pain, groin pain, hip pain and abdominal pain.
  • It has several causes including pelvic floor muscle tension, inflammation at the coccyx or tailbone, inflammation or dysfunction of the sacroiliac joint, issues with the pubic bone, and post surgical inflammation (i.e. post hernia repair, after a cesarean section, post-prostatectomy, after repair of pelvic prolapse, etc.)
You’re going to get better in …. 12-16 visits depending on the chronicity, severity, and source of pelvic pain.
Pelvic Pain Treatment intervention is based on clinical findings but often involves:
  • Relaxation Techniques
  • Trigger Point Release
  • Soft Tissue Mobilization along muscles of the hips, back and pelvis.
  • Strengthening and stabilization for the hips, pelvis and spine is often the final portion of treatment. This helps reduce the likelihood of the recurring symptoms in the future.

Perimenopausal Symptoms

  • Perimenopausal symptoms arise as the natural shifting of hormones women experience as they enter the stage in life where their menstrual cycle stops
  • Perimenopausal symptoms can be experienced as insomnia, wide-spread muscle ache, increased pain levels, mood-swings, anxiety, weight gain or weight loss due to excessive Cortozol (stress hormone) levels, and/or hot flashes
  • While we can’t cure you of having to go through this inevitable stage in your life, we can help make the symptoms much more comfortable! The symptoms that physical therapy treatments can help with include: muscle ache, increased pain levels, mood swings, anxiety, insomnia and the balancing of Cortozol levels, which can affect your weight, positively.
You’re going to get better in 8 to 12 visits!
Perimenopausal Treatment Can Include:
  • Associative Awareness Technique (for the pain, insomnia, anxiety, Cortozol levels (stress), and mood swings)
  • Joint Mobilization (for the muscle and joint pain)
  • Joint Manipulation (for the muscle and joint pain)
  • Soft Tissue Mobilization (for the muscle and joint pain)
  • Therapeutic Exercise (for the muscle and joint pain, and sometimes for mood swings, insomnia and anxiety)

Post-Partum Neck Pain

  • Whether this is your first delivery or your fifth, post partum recovery can take time and patience. Often times, women experience post partum lower back pain, secondary to the changes in alignment and stretching that occurs within the pelvis as your pregnancy progresses. This can be addressed with hands on treatment from a skilled physical therapist and strengthening of the core and hips.
  • Another, not so commonly reported issue that women can experience in their “fourth trimester” (post partum), is upper back and neck pain. After having a baby, your daily activities change: breast feeding, changing diapers, carrying your baby, maneuvering car seats, etc. all become a routine part of the day. These activities require adequate strength and endurance of your neck and upper back muscles and knowledge of the effects that body mechanics and posture can have on the health of your spine.
What does it feel like?
Neck issues commonly present themselves with stiffness, and referred pain. Referred pain means that the pain is felt at a location away from the source of the pain. Pain between the shoulder blades and even into the arms can stem from the joints in your neck. Pain can also be referred from a rib mobility issue. This may occur during the post partum period due to postures taken throughout the day when taking care of your baby. Your rib cage and diaphragm also under go major changes during your pregnancy, which can lead to issues in the post partum period. How can Physical Therapy Help?
A physical therapist can evaluate the source of your upper back and neck pain, and use manual therapy to help decrease the pain and inflammation you are experiencing. More importantly, a physical therapist can prescribe specific exercises to address the root cause of the issue. How long does treatment take?
Treatment usually takes 8-12 visits!

Postpartum Care

  • Taking care of yourself postpartum is essential!
  • Postpartum care is important to keep your body happy and healthy, post-pregnancy.
  • Lifestyle changes and body changes in the postpartum period can cause a myriad of issues for women.
  • These issues range from low back/pelvic pain to carpal tunnel syndrome and pain with intercourse.
You’re going to get better in … 8 to 12 visits!
Postpartum Care Includes:
  • Gentle manual therapy to address pain, exercises to help re-strengthen the core, back and pelvic floor
  • Education regarding positioning techniques when breast feeding and carrying your new baby!

Postpartum Depression

“The birth of a baby can trigger a jumble of powerful emotions, from excitement and joy to fear and anxiety. But it can also result in something you might not expect — depression. Many new moms experience the “postpartum baby blues” after childbirth, which commonly include mood swings, crying spells, anxiety and difficulty sleeping. Baby blues typically begin within the first two to three days after delivery, and may last for up to two weeks.But some new moms experience a more severe, long-lasting form of depression known as postpartum depression. Postpartum depression isn’t a character flaw or a weakness. Sometimes it’s simply a complication of giving birth. If you have postpartum depression, prompt treatment can help you manage your symptoms — and enjoy your baby.” –The Mayo Clinic Postpartum Depression Treatment:

  • Associative Awareness Technique (AAT)
  • Joint Mobilization
  • Joint Manipulation
  • Therapeutic Massage
  • Individualized self-care program to keep the nervous system balanced & healthy