In Home Pelvic Floor Physical Therapy With Dr Meredith

What I Treat?

Pregnancy & Postpartum Care

Hip/ Back pain
Pubic symphysis pain
Round ligament pain
Birth prep for labor (positioning, breathing, pelvic mobility)
Postpartum recovery (core strengthening, pelvic floor rehab)
C-section scar care and healing
Diastasis recti management
Urinary incontinence
Addressing body image concerns after childbirth
Anxiety around intimacy and sexual activity postpartum
Reconnecting with partner emotionally and sexually
Painful intercourse after birth

Gut & Bowel Issues

Constipation and straining
Fecal incontinence
Pelvic floor muscle dysfunction affecting bowel movements
Abdominal techniques to affect digestion

Bladder Issues

Urinary incontinence (stress, urge, mixed)
Overactive bladder
Frequency and urgency issues
Difficulty emptying bladder completely
Pelvic floor muscle strengthening and retraining
Coping strategies for bladder leakage during intimacy
Emotional effects of urinary incontinence
Addressing relationship dynamics affected by bladder issues

Pelvic Pain Conditions

Chronic pelvic pain
Vaginismus 
Vulvodynia 
Pelvic floor muscle tightness or hypertonicity
Pain with sitting, standing, or physical activity
Interstitial cystitis (bladder pain syndrome)
Navigating intimacy with pelvic pain
Coping with sexual dysfunction due to pain
Enhancing communication with a partner about pain issues

Sexual Dysfunctions

Pain during intercourse
Difficulty with arousal or orgasm
Vaginal dryness
Low pelvic floor muscle tone leading to decreased sensation
Post-surgical changes (e.g., after hysterectomy, prostate surgery)
Low libido and desire discrepancies
Emotional impact of sexual dysfunction
Addressing relationship issues stemming from sexual dysfunction
Restoring sexual connection with partner

Pelvic Organ Prolapse

Addressing pelvic floor muscles to manage prolapse
Lifestyle adjustments to reduce prolapse symptoms
Postural education and exercises to relieve pressure
Pelvic organ prolapse support devices (e.g., pessaries)
Urinary incontinence or frequency related to prolapse
Emotional and relational effects of prolapse
Navigating intimacy with prolapse
Educating on self-acceptance and pelvic health

Diastasis Recti

Core strengthening exercises
Safe movement patterns to avoid strain
Pelvic floor rehabilitation and coordination
Postural corrections
Addressing body image concerns related to abdominal changes
Navigating intimacy with physical changes to the body
Overcoming stress and self-consciousness around the abdomen

Post Surgery Recovery

Scar tissue mobilization and healing (post C-section, hysterectomy, prostate surgery)
Restoring core and pelvic floor function
Pain management techniques
Strengthening the pelvic floor and abdominal muscles
Post-surgical mobility and posture correction
Rebuilding emotional and sexual confidence after surgery
Navigating changes to intimacy after surgery
Addressing fears around intimacy and sexual activity post-surgery

Inclusive Pelvic Health

Providing gender-affirming pelvic health care
Pelvic floor rehabilitation for transgender individuals
Managing pelvic pain and dysfunction in non-binary and gender-diverse people
Addressing issues related to hormone therapy and pelvic health
Affirmative therapy for LGBTQ+ individuals
Addressing sexual concerns and dysphoria
Coping with body image and gender identity issues in sexual contexts

Male Pelvic Health

Prostate health and rehabilitation (after prostatectomy, radiation)
Erectile dysfunction management
Incontinence issues (post-surgery or due to pelvic floor weakness)
Pelvic floor muscle strengthening for sexual health
Addressing emotional effects of erectile dysfunction or pelvic surgery
Navigating intimacy with pelvic health concerns
Supporting relationships through male sexual health challenges

Sexual Health & Intimacy

Pelvic floor rehabilitation for sexual function
Managing pain during sex 
Pelvic floor relaxation and strengthening for better sexual function
Addressing incontinence during intimacy
Relationship counseling around sexual intimacy
Improving sexual communication between partners
Rebuilding sexual connection after trauma or illness

Menopausal Health

Pelvic floor muscle rehabilitation for urinary or fecal incontinence
Vaginal dryness management 
Addressing pelvic pain and sexual dysfunction
Core strength and posture exercises to manage menopausal symptoms
Coping with changes in libido and sexual function during menopause
Rebuilding sexual confidence after hormonal changes
Addressing emotional impact of menopausal symptoms on sexuality

Endometriosis & PCOS

Pelvic floor therapy for pain management (painful periods, ovulation pain)
Scar tissue mobilization for endometriosis lesions
Strengthening pelvic floor muscles to reduce pelvic pressure
Addressing bowel or bladder dysfunction related to PCOS/endometriosis
Navigating sexual intimacy with chronic pain or hormonal imbalance
Addressing body image concerns related to PCOS or endometriosis
Emotional support for living with chronic pelvic conditions
Reconnecting with intimacy despite physical discomfort

Below is a comprehensive list of conditions we can treat with pelvic floor therapy:

Anal prolapse

Anorectal spasm (spasm in rectum or anus)

Bowel frequency (frequent need to have a bowel movement)

Bowel urgency (sudden need to have a bowel movement)

C-section scar tissue

Chronic pelvic pain syndrome

Coccydynia (tailbone pain or injury)

Constipation

Cystocele (prolapse, bladder prolapse)

Diastasis Recti (DRA)

Dilator therapy post cancer treatment

Dyschezia (constipation)

Dysorgasmia

Dyspareunia (painful intercourse/sex)

Endometriosis

Enterocele (intestine prolapse)

Fecal Incontinence (bowel leakage, fecal leakage, fecal smearing)

Frequency of urination

Groin pain/Hip Pain

Interstitial cystitis (painful bladder syndrome)

Levator muscle tension/spasm

Low back pain

Metoidioplasty

Mixed urinary incontinence (a mix of stress and urge)

Neurogenic Bladder

Neurogenic Bowel

Neurologic conditions impacting the pelvic floor (including Spinal cord injury (SCI), traumatic brain injury (TBI), Parkinson’s, stroke (CVA), Cerebral Palsy (CP), Spina Bifida, Multiple Sclerosis (MS))

Nocturia (voiding at night)

Pain after bladder sling surgery (mesh surgery or prolapse pain)

Pain due to binding

Pain with sitting

Painful ejaculation/erection

Pelvic floor dysfunction

Pelvic floor weakness

Pelvic girdle pain (pain in the pelvic region)

Persistent Genital Arousal Disorder

Phalloplasty

Polycystic ovarian syndrome (PCOS)

Post-operative scar tissue after gender affirming surgery

Pre-op surgical clearance exam

Pregnancy pain

Premature Ejaculation

Priapism (erectile pain, painful erection)

Proctalgia Fugax (Rectal pain, anal pain, butt pain, butthole pain)

Pudendal Nerve entrapment

Pudendal neuralgia (pudendal nerve pain)

Rectocele (rectal prolapse)

Recurrent UTI (urinary tract infection)

Scar Tissue (perineal tearing with vaginal birth; post-surgical scar tissue with gender affirming care, c-section delivery, hysterectomy, laparoscopic surgery)

Scar tissue related to vaginal delivery

Sciatica

Sexual trauma/medical trauma

Stress incontinence (leakage with cough, laugh, sneeze)

Urge incontinence (leak with big urge to go)

Urinary Hesitancy / Voiding Dysfunction (difficulty urinating)

Urinary Incontinence

Urinary urgency (strong need to urinate)

Uterine Prolapse

Vaginal Vault Prolapse (vaginal prolapse)

Vaginismus (Superficial pelvic pain, pain at vaginal opening/introitus)

Vaginoplasty

Vestibulodynia (pain at outside (vestibule) of vaginal opening)

Vulvar Vestibulitis (inflammation to the vulva/vestibule)

Vulvodynia (pain at the vulva)

If you are experiencing symptoms that are not on this list, please don't hesitate to reach out as we can likely still provide treatment or guidance on treatment for your symptoms or condition.​