Pelvic floor physical therapy is a speciality area of physical therapy that evaluates, assesses and treats the pelvic floor muscles and regions around it. The pelvic floor is a layer of muscles attaching to the bottom of the pelvis, like a supportive hammock. In many cases, dysfunction in the bladder, bowel, or pelvis occur because of imbalances in the pelvic floor or surrounding structures. The pelvic floor muscles are part of a core unit, and the core is utilized in all functional movements. We identify how functional daily movements and repetitive stress on this structure may affect your symptoms. Here at Durham Women’s Clinic we approach therapy with a holistic view, recognizing the emotional, mental, and physical components of your care.
Pelvic Floor Therapy is commonly used to treat (but not limited to):
Hip pain/impingement/labral injuries
Abdominal pain/inguinal pain
Pre partum care/strengthening/treatment
Post partum care/strengthening/treatment
Pelvic organ prolapse
Rectal prolapse
Scar conditions, healing and restriction
Manual lymphatic techniques/education
Pre and post op breast care
Back pain
Postural techniques/body mechanics
Gender affirming surgery rehabilitation
Hernia pre and post op care
Urinary incontinence, urgency, frequency
Bowel incontinence, urgency, frequency
Bladder pain/Interstitial cystitis
Vulvodynia
Vaginal atrophy/dryness
Constipation (defecatory dysfunction)
Hemorrhoids/Anal fissures
Rectal pain
Coccydynia
Vaginismus
Pelvic pain/perineal pain
Sexual dysfunction/dyspareunia
Pubic symphysis pain
Sacroiliac (SI) joint pain
What to Expect on your First visit? Every pelvic floor evaluation and treatment is a 45 minute, one-on-one session with your physical therapist. A detailed history will be taken by a therapist trained to understand the sensitive and personal nature of topics discussed. The therapist will address your concerns and answer questions throughout your private, one on one session. We’ll help you identify and adapt conditions that may contribute to pain and dysfunctional symptoms, such as: bladder and bowel habits, postures and movements, food and fluid intake, past and current physical injuries, illnesses and surgical procedures.
Depending on your diagnosis, your therapist may perform an internal assessment. This examination is brief and gentle, and provides invaluable information for your therapist to create the best course of treatment. The patient always has the option to have an external examination and it is priority that the patient feels comfortable and has full understanding and consent for any internal examination.
Meet Kelly Raney, DPT
I am a pelvic floor physical therapist who has been treating patients in the triangle region for almost 10 years. I have my Doctorate of Physical Therapy (DPT) from Duke University and continue to be a teaching assistant for the pelvic health elective with Duke University’s Doctorate of Physical Therapy Program. I additionally am a board certified Breast Mastectomy Fitter (CFm), Certified Pelvic Rehab Practitioner (PRPC), and Certified Orthopedic Manual Therapist (COMT).
Pelvic Health is an important part of our wellness, and my goal is to empower each patient to address their pelvic health issues. Many pelvic health issues can feel embarrassing to discuss with family, friends, or even their medical providers. I provide a safe and comfortable environment for patients to address any of their pelvic health needs and to educate patients to ensure they have the tools necessary to help themselves meet their personal functional goals.
Interested in scheduling an appointment or learning more about
Pelvic Floor Therapy at durham women’s clinic?
Call us at 919-471-2273 or complete the form below.
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