Question 1

What does a concierge pelvic health physical therapy evaluation look like?

Accepted Answer

Your pelvic health physical therapy evaluation will be performed by a board certified Women’s Health Doctor of Physical Therapy, Dr. Jacqueline Sineway. This evaluation process is the same Dr. Sineway performs in the clinic, but in the comfort of your home. This first session will consist of a thorough examination and assessment focusing on your specific concerns. Dr. Sineway will get to know your story, discussing what brings you to pelvic health PT, physical symptoms, your medical/surgical/obstetric history, pain you may be experiencing, physical activity level or activities you enjoy, daily habits including bowel, bladder, and sexual function, and any specific goals for therapy.  Dr. Sineway will then perform a physical examination centered around your discussion together, focusing on external and internal musculoskeletal components that may be contributing to your condition. Dr. Sineway will assess your posture, movement, mobility, and strength, and pelvic floor. The pelvic floor evaluation combines external and internal assessment of the vaginal and/or rectal area to assist in formulating a PT diagnosis and treatment, and details of this will depend on the comfort level of the patient.  To address the findings from the assessment, Dr. Sineway will then create a specific and individualized plan of care for you, and answer any questions you have surrounding physical findings, treatment, or goals.

Question 2

What is the pelvic floor?

Accepted Answer

The pelvic floor is a group of muscles at the bottom of the pelvis, spanning from the pubic bone to tailbone, across between the two “sitz” bones, like a hammock underneath our pelvic organs. It is a group of individual muscles that work together, playing a tremendous role in basic body functions.

Question 3

What does the pelvic floor do?

Accepted Answer

What’s unique about the pelvic floor is that it has both automatic and volitional functions. Similar to breathing, most of the time the pelvic floor does what we need it to without us having a second thought. However, other times we actively contract these muscles to perform different daily tasks.    The pelvic floor has four main functions:   1. The pelvic floor plays a sphincteric role in closing off the openings at the bottom of the pelvis to maintain continence of bladder and bowel. 2. This “bowl” of muscles helps to support our pelvic organs, including the bladder, uterus, and rectum. 3. As part of our core system, the pelvic floor works with other key muscles of the abdomen and trunk to support our spine and pelvic joints and manage pressure inside our abdomen with movement, sneezing, coughing, laughing, and lifting. 4. These muscles are highly involved in sexual function, specifically assisting in the female sexual response cycle (arousal and orgasm).

Question 4

Who needs pelvic floor physical therapy?

Accepted Answer

If you are experiencing any issues with the basic functions listed above, Dr. Sineway can help! Head over to the “Physical Therapy” tab to see a list of common conditions treated with Pelvic PT. Although these issues are common, they are not normal, and Pelvic PT can improve and/or eliminate symptoms. For example, one study found that about 95% of women with low back pain had some form of pelvic floor dysfunction!

Question 5

What is the average age of Dr. Sineway’s patients?

Accepted Answer

As everyone has a pelvic floor, Dr. Sineway has treated patients as young as 8, older adults into their late 80’s, and all ages in between! Better Pelvis focuses specifically on adult pelvic health. Generally speaking, it’s never too early or late to begin Pelvic PT. Prevention and early intervention can make a huge difference in your pelvic floor health over time, however many people can have great outcomes at any stage of life.

CONTACT US

FOLLOW US