The Rooted Process

Whether your urinary symptoms began early in life or developed with pregnancy or menopause, physical therapy can help. We will work to improve your nervous system balance and muscular control to optimize bladder function. Education and support through lifestyle changes support lasting bladder health.

• Urgency

• Frequency

• Incontinence/Leaking

• Hesitancy

• Incomplete Emptying

• Weak Stream

• Post Void Dribble

• Repeated Emptying

• Painful Bladder Emptying or Filling

• Interstitial Cystitis

• Pelvic Organ Prolapse

Gut issues can have a significant impact on quality of life, but there is so much we can do to improve the function of our digestive system. Muscular and fascial work, lifestyle modifications, breath and nervous system training all improve digestion and bowel movements.

• Constipation

• Urgency

• Incontinence/Bowel Leakage

• Chronic Hemorrhoids or Fissures

• IBS, IBD, Crohn’s Disease

• History of Bowel Surgery or Cancer

• Tortuous Colon

Cancer treatment impacts our bodies mentally and physically. My unique experience as a caregiver and cancer survivor myself allows me to show up for my patients during this difficult time.  Cancer treatment can impact bowel and bladder function as well as our nervous and musculoskeletal system. Whether you’re going through it or you are years out, physical therapy can improve your symptoms and engagement in life.

• Bowel & bladder dysfunction due to radiation, surgery or medication-related changes

• Bowel resection & ostomy related core weakness, pain. See bowel and post surgical care sections.

• Medical menopause-related symptoms: see bladder health, menopause, and pelvic pain sections.

• Strength and balance training

• Fatigue, difficulty with activities of daily living

Pain can become all consuming and limit so many aspects of life. I work with patients to treat the nervous system as well as the direct tissues involved to decrease pain.

• Hip, Low back, SI Joint Pain

• Pubic Symphysis Pain

• Tailbone Pain (Coccydynia)

• Chronic Abdominal Pain

• Genital Pain -Vaginal, Labial (Vaginismus, Vulvodynia)

• Pain with Sex

• Pain with Arousal or Orgasm

• Nerve Pain (Pudendal Neuralgia)

• Anal or Rectal Pain

• Painful Periods (Dysmenorrhea)

• Endometriosis

• Painful Bladder (Interstitial Cystitis)

Surgery can leave us with many questions of how to heal our bodies and return to activities. I work with many individuals prior to and immediately post op, and years post surgery to address pain, scar and edema management while guiding them to confidently return to daily activities and exercise.

• Hysterectomy

• Prolapse Reconstruction

• Bowel Resection

• Gall Bladder Removal

• Hernia Repair

• Diastasis Recti Repair

• Endometriosis Ablation/Excision

• Perineal Tear Repair

• Cesarean Birth

• Abdominal Surgeries

Menopause related changes can feel like an unwelcome roller coaster ride and leave many women feeling isolated or disconnected from their body. Empower yourself with education and tools to improve your comfort in this new season of life.

• Genitourinary Symptoms of Menopause (see bladder conditions above)

• Vaginal Dryness

• Painful Intercourse

• Decreased Arousal or Sensation with Intimacy

• Exercise to Address Bone Density, Muscle Loss and Joint Pain

The body experiences an incredible transformation during pregnancy that can sometimes lead to pain, difficulty with every day tasks and exercise, or questions about the future. Building a solid foundation of strength and connection with your body during pregnancy serves you well for birth and beyond.

• Pelvic Girdle Pain: Hip, Low Back, SI Joint, Pubic Symphysis Pain

• Round Ligament Pain

• Constipation

• Bladder Leaking

• Lifting and Body Mechanics

• Birth Preparation

The body undergoes dramatic changes with both vaginal and cesarean births. This time can be overwhelming with a new baby to care for. Find guidance and support to heal, return to activities you enjoy and create confidence in your postpartum body on your terms.

• Pelvic Girdle Pain: Hip, Low Back, SI Joint, Pubic Symphysis, Pelvic Floor Pain

• Diastasis Recti

• Prolapse

• Scar Treatment (Perineal and Cesarean)

• Urinary Frequency, Hesitancy, Incontinence

• Bowel pain, Constipation, Urgency or Incontinence.

• Pain with Intimacy

• Confident Return to Safe Exercise

Studies show up to 50% of women 50 and older have some degree of prolapse. However, this does not mean you have to suffer with symptoms! Pelvic floor physical therapy can improve your mobility, strength and movement patterns, so that you can get back to lifting children, gardening, exercise or whatever activities you love without pelvic pressure or fear.

• Bladder/Anterior Prolapse (Cystocele)

• Rectal/Posterior Prolapse (rectocele)

• Uterine Prolapse

• Pain, Pressure, Heaviness or Dragging Sensation in Low Back or Abdomen

• Vaginal Bulge at Rest or with Activity

• Impaired Emptying of Bowels or Bladder

• Leaking of Urine or Stool (Incontinence)

• Pain with Intercourse

You’ll find all care at Rooted Pelvic Therapy is trauma informed care. Trauma influences how our nervous system operates our body, especially our pelvic floor, and therefore affects all physical function. Pain Reprocessing Therapy informs my nervous system treatment as I address physical symptoms. A holistic approach in a safe space at your pace is the only way I treat.

• History of physical, sexual or psychological trauma or abuse

• Birth Trauma

• Chronic pain

• Anxiety-related bowel and bladder dysfunction

• Fear of movement, exercise, pain