Services

  • A comprehensive hour-long examination is performed to assess your spine and hip mobility, postural and pelvic alignment, movement patterns, strength, and coordination. In addition, an abdominal wall and breathing mechanics assessment is done. An internal exam of the pelvic floor will be conducted (unless otherwise stated) to assess skin integrity, sensation, coordination, strength, flexibility, and tone of your pelvic floor muscles. This involves one gloved lubricated finger into the vaginal or rectal canal.

    At the end of the evaluation, you will be provided with assessment points and what will need to be addressed based on your goals. Education and treatment is included. Intentional time to share your story and answer questions is built in.

  • A 60-minute session based on your individualized plan of care. This includes neuro re-education such as learning how to improve your brain-to-body connection and how to coordinate your deep core muscles and pelvic floor as the foundation. Manual therapy and holistic techniques include soft tissue mobilization (manual massage, massage cupping, and/or gua sha), myofascial release, visceral mobilization, and pelvic realignment with aromatherapy and breath work. Other treatment interventions include but are not limited to somatic exercises, nervous system regulation strategies, vagal nerve stimulation, Mat Pilates/therapeutic exercises, creative functional activities, and holistic education and treatment. Self-treatment techniques and “homework" included.

  • If coming in-person is difficult or you live far away, we are happy to meet with you virtually to offer wellness sessions to guide you through any pelvic floor issues you are struggling with; or during your pregnancy and postpartum period.

  • We offer concierge in-home mobile services which means we come to you in the comfort of your own home. A massage table and all supplies are brought to conduct the evaluation and treatment. This service does cost more than an in-person evaluation and follow-up, especially for distances more than 20 miles. Reach out for more information.

  • Vaginal or yoni steaming consultations coming soon!

  • As a social-justice-minded practitioner, we are open to collaborations and providing workshops for community-based groups, agencies, and organizations. Reach out for more information.

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What I Treat

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What I Treat 〰️

Pelvic Pain & Sexual Dysfunction

Pelvic pain and sexual dysfunction can result from pelvic floor muscle overactivity or tension, hypervigilance, hypersensitivity, nerve irritation or dysfunction, trauma, scar tissue from giving birth or from post-operative surgery, and/or hormonal changes.  

Through a trauma-informed lens, we help you connect with your pelvic floor to build awareness of what and where your pelvic floor is and how to coordinate those muscles. Treatment can consist of helping you build a toolbox of nervous system regulation and mindfulness strategies, review of breathing mechanics, internal and external myofascial work throughout the body and/or pelvic area, visceral mobilization, and down training strategies to help facilitate pelvic floor lengthening and relaxation to relieve pain symptoms.  Holistic education and lifestyle modification related to hormone changes and imbalance is discussed. Afterall, it’s not just about kegels. 

Common issues treated include (but not limited to):

  • Pain with intimacy

  • Issues from birth or abortion 

  • Dyspareunia

  • Vulvodynia/Vestibulodynia

  • Vaginismus

  • Pudendal Neuralgia

  • Endometriosis and adenomyosis

  • Polycystic Ovary Syndrome (PCOS)

  • Interstitial Cystitis (IC) or painful bladder syndrome 

  • Painful menstruation

  • Perimenopause and menopause 

  • Pubic symphysis and/or groin pain

  • Sacroiliac or SI joint pain

  • Tailbone pain

Urinary Issues

Urinary dysfunction can happen with coughing, sneezing, laughing, running, jumping, lifting, bending, or reaching. On the other hand, it can feel like you can’t completely empty your bladder or you’re rushing to the bathroom every hour or less with intense waves of urinary urgency.

Pelvic floor therapy treatment includes assessing your pelvic floor muscle strength and coordination (especially in the activity you want to get back into such as running, lifting, or childcare), posture, delving into your dietary and lifestyle habits, education on the impacts of stress and environment, as well as your breathing mechanics.

Common urinary issues treated (but not limited to):

  • Stress urinary incontinence

  • Urge urinary incontinence

  • Urinary urgency and frequency

  • Leakage with orgasm

  • Pelvic organ prolapse 

  • Overactive bladder 

  • Interstitial Cystitis (or painful bladder syndrome)

  • Chronic UTIs, yeast infections, or bacterial vaginosis (BV)

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Bowel Issues

Bowel issues are symptoms such as chronic constipation, fecal or anal leakage, pain with defecation, inability to completely empty your bowels, persistent abdominal or rectal pain, and/or digestive issues.  These issues occur for a variety of reasons.  

Pelvic floor therapy can help by assessing your pelvic floor muscle strength and coordination as well as your breathing mechanics; delving into your dietary and lifestyle habits to optimize digestive function and stool texture, and education on the impacts of stress and environment. Treatment can also consist of internal and external manual work throughout the body and/or pelvic area, abdominal visceral release, neuro re-education, as well as nervous system regulation and mindfulness strategies to help coordinate your pelvic floor and improve bowel emptying.

Common bowel issues and conditions treated (but not limited to):

  • Constipation

  • Fecal smearing or leakage

  • Irritable bowel syndrome (IBS)

  • Colorectal conditions (i.e. Crohn’s disease, ulcerative colitis)

  • Pelvic organ prolapse (i.e. rectocele or enterocele)

  • Anal fissures or fistulas 

Pelvic Organ Prolapse

Sensations of heaviness, seeing “something” at the opening of the vulva, feeling as if “something is falling out,” or being diagnosed with prolapse can be scary.  You do not need immediate surgery to correct it. You have options! Pelvic floor therapy is the first line of conservative treatment to manage symptoms associated with pelvic organ prolapse (POP).  Many people have some degree of prolapse throughout their lives, often without knowing it. “Just doing your kegels” is not the answer, it is more nuanced and complex than that. 

Pelvic floor therapy can address symptoms of prolapse through a comprehensive assessment of your posture, breathing mechanics, strength, coordination, and assessment of the core and pelvic floor. Treatment includes but is not limited to education on how to functionally manage your prolapse through pressure management, optimizing bladder and bowel function, reviewing posture and lifting mechanics, as well as strengthening your  core and pelvic floor muscles.  

Get help to resolve your symptoms, avoid surgery, and get back to doing the things you love (like running, weight lifting, playing with your kids) confidently and without worry!

“From the beginning, Rose made me feel comfortable and valued. She was knowledgeable, professional, and personable. I have grown to admire her patience and sincere passion for helping others. She has taught me so many techniques for achieving and maintaining pelvic health, including proper breathing, correct body mechanics for lifting, and strength training, including other areas of muscle pain and weakness that were contributing to my physical discomfort. I now feel an overall balance in my muscles, which has worked wonders for my physical comfort and well-being, and alleviated the symptoms I had begun experiencing with age. I have regained my self-esteem!

Rose has educated me by simplifying concepts and providing visual examples in a way that has enhanced my ability to grasp, properly utilize, and incorporate them into my daily routine. It has motivated me to be consistent in my home exercise program. I believe that this has contributed to my success in managing my pelvic floor problems and regaining my quality of life. I can now navigate my life daily without the uncomfortable issues I was experiencing or the fear of worsening my condition. I have the knowledge and the confidence to enjoy effective gym workouts, which is improving my overall well-being. Rose has been a champion in helping me overcome my struggles and regain my life and for that, I am so thankful for her.”

- Tina B.

Pregnancy, Postpartum, & Birth Prep

Whether you’re in your first trimester or two weeks from delivery, pelvic floor therapy can have a life-changing impact.  Starting as soon as your first trimester, we help you minimize pain, condition your pelvic floor, and keep you working and exercising safely. In addition, we help decrease any bodily aches and pains throughout pregnancy due to the hormones that create laxity in your pelvis to prepare you for childbirth or due to other musculoskeletal changes/issues. Pelvic floor therapy includes an evaluation of your alignment, posture, strength, and coordination of your core and pelvic floor muscles.

Prepare for Delivery

As your due date approaches, we equip you with knowledge on how to safely “push” your baby out and reduce the risk of perineal tearing. We also teach you and your partner perineal massage, counter pressure techniques, and explore labor positions that are optimal for your unique pelvic floor.  In addition, manual techniques can be performed to release any tension surrounding the pelvic area to prepare for labor and delivery.

Postpartum

During the postpartum and “fourth trimester” phase, treatment will include helping you restore your pelvic floor and core, provide advice, and support you in feeling capable of doing everyday tasks that parent and personal life requires.

Common issues treated include (but not limited to):

  • Pelvic girdle pain 

  • Pubic Symphysis Dysfunction or “lightning crotch” 

  • Diastasis Recti (DRA)

  • Pelvic organ prolapse

  • Sciatica or other nerve issues/dysfunction 

  • Low back pain

  • C-section recovery 

  • Perineal tears after delivery

  • Urinary or bowel issues 

  • Core and pelvic floor muscle incoordination or weakness

  • Neck, shoulder, or back pain from child care or chest feeding 

  • Returning to sex, exercise, or work

Male Pelvic Disorders

Men have pelvic floors too!  They deal with the same pelvic floor issues - pain, urinary issues, bowel health problems, & sexual dysfunction.  Few clinics offer male pelvic health support, and here at The Healing Pelvis, we have the qualifications and skill set to help you. A comprehensive evaluation will include assessment of your spine and hip mobility, abdominal wall assessment, alignment, posture, strength, and coordination of your core and pelvic floor muscles.  Treatment includes (but is not limited to) internal and external manual work, visceral mobilization, nervous system regulation, delving into diet and lifestyle, realignment, stretching, therapeutic exercises, and therapeutic functional activities based on your lifestyle and habits.

Common issues treated include (but not limited to):

  • Urinary and bowel issues

  • Prostate issues or post-prostatectomy

  • Chronic Prostatitis

  • Erectile Dysfunction or sexual dysfunction

  • Pelvic or testicular pain  

  • Urinary hesitation

  • Proctalgia Fugax

  • Low back or tailbone pain

Post Surgical

Oftentimes we return from surgery with little or no explanation of how to care for the new incision, how to safely move, nor information on when and how you can return to activity. This may lead to feeling discouraged and uncertain about your recovery.  

Pelvic floor therapy relieves scar discomfort and pain, increases blood flow, and improves mobility of scar adhesions to ensure safe return to your activities (i.e. sex, work, exercise). Scar tissue mobilization is also important in helping to manage abdominal or pelvic pain, improve digestion, and breathing mechanics.  

Post surgical procedures can include but are not limited to gender affirming surgeries, fibroid removal, hysterectomy, prolapse repairs or corrections, postpartum scars (C-section or perineal), laparoscopic incisions, abdominal surgery, or any other procedure. No matter how many years have passed, it is never too late to address these concerns.