Women's Pelvic Health Casper, Glenrock, Cheyenne, Laramie, WY

Women’s Pelvic Health

We offer an innovative approach to women’s physical therapy in a supportive environment—that’s designed by women for women.

Better Care for Better Quality of Life

Millions of women suffer from pelvic floor dysfunction which can lead to urinary and/or bowel incontinence and pelvic pain. Pregnancy, childbirth, chronic constipation, chronic coughing, surgery, trauma, and aging can cause pelvic floor muscle tension, incoordination and weakness. Physical therapy may help!

At Hands On, High Country & Wind City Physical Therapy, we understand the intimacy of these issues. Our specialty-trained healthcare professionals are devoted to treating a variety of musculoskeletal conditions by providing one-on-one care and customized treatment programs in a discreet and comfortable environment. Our physical therapists offer Women’s Health services and expert therapy for pelvic health and obstetrical care. Treatment can often address the cause of issues and improve your quality of life.

Our goal is to provide you with expert care in a comfortable atmosphere with plenty of patient education, so you’re at ease right from the start.

Please select a topic below to learn more about what conditions we treat and how physical therapy can help. Contact our offices today with any additional questions you may have or to schedule a free consultation with one of our specialized pelvic health therapists.

  • Pelvic Pain
  • Bowel/Bladder Dysfunctions
  • Pelvic Organ Prolapse
  • Pregnancy/Postpartum Care
  • Pre/Post-Surgical Care

Pelvic Pain

Chronic pelvic pain is a complex and multifactorial health problem affecting approximately 1 in 7 women. Often, those experiencing symptoms of chronic pelvic pain will also experience associated problems, such as bladder/bowel dysfunction, sexual dysfunction, and depression/anxiety that could negatively impact the quality of life and self-image. Physical therapy may help!

We understand the intimacy of these issues. Our physical therapists have advanced, specialized training in the management and treatment of symptoms and dysfunction associated with chronic pelvic pain conditions. We are devoted to providing one-to-one care with individualized treatment programs in a peaceful and supportive environment.

Types of pelvic pain treated (but not limited to):

How can physical therapy help?

The goal of physical therapy is to normalize pelvic floor and surrounding lumbopelvic muscle tone/activity, motor control, and coordination. Focus is on improving neuromuscular awareness to promote optimal muscle length and function. Appropriate functional strengthening to assist in pelvic girdle stability is incorporated once neuromuscular awareness/coordination and optimal muscle length are present. Education regarding proper bladder/bowel habits, postural needs, and ergonomics are also addressed to aid rehabilitative outcomes. Our Women’s Health physical therapists seek to provide the optimal treatment to address individual concerns or needs.

Treatment options vary by condition and may include:

  • Internal and external soft tissue mobilization, myofascial and trigger point release, connective tissue manipulation and visceral mobilization
  • Neuromuscular re-education using electromyographic and tactile biofeedback for downtraining the pelvic floor musculature
  • Completion of total body awareness activities and calming of heightened Autonomic Nervous System
  • Instruction regarding normal voiding and defecation mechanics
  • Behavioral training, bladder/bowel education, postural training, and self-management techniques
  • Treatment of related lumbosacral, hip, SI joint, coccyx, and pelvic girdle conditions
  • Home dilator instruction
  • Electrical stimulation, TENS, ultrasound, heat/cold therapy
  • Comprehensive home exercise program instruction

 

Bowel/Bladder Dysfunction

Bladder and bowel conditions are common health problems affecting millions of women. Often, those experiencing symptoms will limit their physical activity and social interactions, associating their symptoms with a decreased quality of life and a poor self-image. Physical therapy may help!

We understand the intimacy of these issues. Our physical therapists have advanced, specialized training in the management and treatment of symptoms and dysfunction associated with bladder and bowel conditions. We are devoted to providing one-to-one care with individualized treatment programs in a peaceful and supportive environment.

Types of bowel and bladder dysfunction treated (but not limited to):

How can physical therapy help?

The goal of physical therapy is to normalize the abdominal and pelvic floor muscle tone/activity, motor control, and coordination. Pelvic floor muscle contractions (commonly known as Kegels) will be incorporated once involved musculature is in its optimal length and neuromuscular control is present. In addition, education regarding proper bladder/bowel habits, postural needs and ergonomics may positively influence rehabilitative outcomes. Our Women’s Health physical therapists seek to provide the optimal treatment to address individual concerns or needs.

Treatment options vary by condition and may include:

  • External and internal soft tissue mobilization, myofascial and trigger point release, connective tissue manipulation, visceral mobilization
  • Neuromuscular re-education using electromyographic and tactile biofeedback for downtraining and/or uptraining the pelvic floor musculature
  • Instruction regarding normal voiding mechanics
  • Instruction regarding normal defecation mechanics (coordination of abdominal muscle contraction for a gradual increase in intra-abdominal pressure combined with pelvic floor muscle relaxation)
  • Behavioral training, bladder/bowel education, postural training, and self-management techniques
  • Treatment of related lumbosacral, hip, SI joint, coccyx, and pelvic girdle conditions
  • Electrical stimulation, TENS, ultrasound, heat/cold therapy
  • Comprehensive home exercise program instruction

Pelvic Organ Prolapse

Pelvic Organ Prolapse (POP) is the descent of one or more pelvic structures/organs through the vaginal and rectal openings from their normal anatomical position. Although POP is more common in older women, it can affect women of all ages. Research shows that its cause is multifactorial (i.e. the effects of aging, vaginal childbirth, decreased muscle strength, etc.). At Hands On, High Country & Wind City Physical Therapy, we understand how POP can negatively influence physical activity, self-image and ultimately the quality of life. Physical Therapy may help!

Our physical therapists have advanced, specialized training in the management and treatment of symptoms and dysfunction associated with pelvic organ prolapse. We are devoted to providing one-to-one care with individualized treatment programs in a peaceful and supportive environment.

Types of pelvic organ prolapse treated (but not limited to):

How can physical therapy help?

The goal of physical therapy is to normalize abdominal and pelvic floor muscle tone/activity, motor control, and coordination to assist in improving the support and strength of the pelvic floor musculature and aid in reducing symptoms associated with pelvic organ prolapse. Pelvic floor muscle contractions (commonly known as Kegels) will be incorporated once involved musculature is in its optimal length and neuromuscular control is present. In addition, education regarding proper bladder/bowel habits, postural needs and ergonomics may positively influence rehabilitative outcomes. Our Women’s Health physical therapists seek to provide the optimal treatment to address individual concerns or needs.

Treatment options vary by condition and may include:

  • External and internal soft tissue mobilization, myofascial and trigger point release, connective tissue manipulation, visceral mobilization
  • Neuromuscular re-education using electromyographic and tactile biofeedback for downtraining and/or uptraining the pelvic floor musculature
  • Instruction regarding normal voiding mechanics
  • Instruction regarding normal defecation mechanics (coordination of abdominal muscle contraction for a gradual increase in intra-abdominal pressure combined with pelvic floor muscle relaxation)
  • Behavioral training, bladder/bowel education, postural training, and self-management techniques
  • Treatment of related lumbosacral, hip, SI joint, coccyx, and pelvic girdle conditions
  • Electrical stimulation, TENS, ultrasound, heat/cold therapy
  • Comprehensive home exercise program instruction

Pregnancy/Postpartum Care

Our Women’s Health physical therapists have advanced, specialized training in the management of musculoskeletal conditions during and after pregnancy that may lead to pain and dysfunction.

During the prenatal period, physical and hormonal changes occur, which can affect the musculoskeletal system.  These changes include altered posture, shortened muscles, potential muscle imbalances, as well as changes in spinal mobility and bony alignment.

During the postpartum phase, fluctuating hormone levels combined with additional physical changes as a result of delivery may also result in musculoskeletal concerns, such as excessive joint mobility, potential muscle imbalances, weakness of the core stabilizers and altered spinal mobility and function.

Diagnoses treated (but not limited to):

How can physical therapy help?

The goal of physical therapy during the prenatal and postpartum periods is to address spinal and pelvic joint dysfunction, instruct in exercises to address muscle weakness and imbalance, as well as provide guidance and instruction related to the modification of ADLs that may be difficult during these phases of life.

Treatment options vary by condition and may include:

  • Muscle energy techniques to realign the pelvic girdle joints and lumbar spine
  • Soft tissue mobilization and gentle joint mobilization during the prenatal phase
  • External/internal soft tissue mobilization, scar mobilization, visceral mobilization and/or joint mobilization during the postpartum phase
  • Pelvic floor muscle neuromuscular re-education, coordination, and strength training
  • Lumbopelvic stabilization exercises and core strengthening program
  • Postural strengthening
  • Diastasis recti correction
  • Optimal body mechanics education
  • Modalities as appropriate pending prenatal/postpartum status (moist heat, cold therapy, electrical stimulation, ultrasound)
  • Pregnancy support belt fitting and dispersal
  • Self-management strategies to expedite the transition to a home program

Pre/Post-Surgical Care

Diagnoses treated (but not limited to):

  • Hysterectomy
  • Cesarean section recovery
  • Episiotomy
  • Sling procedure
  • Prolapse repair

Treatment options vary by condition and may include:

  • External and internal soft tissue mobilization, myofascial and trigger point release, connective tissue manipulation, visceral mobilization
  • Neuromuscular re-education using electromyographic and tactile biofeedback for downtraining and/or uptraining the pelvic floor musculature
  • Instruction regarding normal voiding mechanics
  • Instruction regarding normal defecation mechanics (coordination of abdominal muscle contraction for a gradual increase in intra-abdominal pressure combined with pelvic floor muscle relaxation)
  • Behavioral training, bladder/bowel education, postural training, and self-management techniques
  • Treatment of related lumbosacral, hip, SI joint, coccyx, and pelvic girdle conditions
  • Electrical stimulation, TENS, ultrasound, heat/cold therapy
  • Comprehensive home exercise program instruction

For more information contact us today at Casper, Glenrock, Cheyenne, Laramie, WY centers.