Make the Most of Your Therapy
We don't want you to stress about your therapy session; it's not good for your pelvic floor! Please arrive 15 minutes early to complete paperwork and bring your State ID and insurance card. Copays are collected at the start of each visit. Wear comfortable clothing suitable for movement. Each appointment is 45–60 minutes of one-on-one care.
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​​Your Evaluation
As muscle and joint specialists, our goal is to identify the root cause of your pain—whether it involves stress, muscle weakness, tightness, or joint dysfunction—and develop a treatment plan tailored to your needs. Because the body’s systems are closely connected, we begin with a comprehensive physical and behavioral evaluation. Based on your symptoms and medical history, your therapist will determine which of the following assessments are appropriate for your initial visit:​
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Internal vaginal assessment
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Internal rectal assessment
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Pelvic EMG study
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Rectal pressure manometry study
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Orthopedic assessment of the low back, pelvis, and hips
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Manual assessment of connective tissue and peripheral nerves
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​Internal Pelvic Examination
Internal pelvic examinations are the gold standard in pelvic therapy. To accurately assess the muscles and nerves that control bladder, bowel, and sexual function, evaluation must include the structures located inside the pelvis. As highly trained pelvic therapists, we use gentle, skilled palpation to assess the pelvic floor—the diamond-shaped area between the hips, pubic bone, and tailbone. Through internal examination, we identify tight, weak, or uncoordinated muscles, as well as trigger points, scarring, adhesions, and areas of irritation. We complement our manual assessment with state-of-the-art biofeedback and pressure manometry studies to provide a complete understanding of your pelvic floor and to develop a personalized treatment plan tailored to your needs.
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What is Biofeedback, E-stim and Pressure Manometry?
​We utilize advanced pelvic floor technology, including the Pathway® CTS 2000 Pelvic Muscle Rehabilitation System, to accurately assess and treat pelvic floor dysfunction. Using electromyography (EMG) and a pelvic floor sensor, the CTS 2000 confirms clinical findings and detects muscle tension that may not be identifiable through manual examination—especially valuable for patients with nerve injury or post-surgical changes.
The system also offers electrical stimulation (e-stim) to help retrain weak or uncoordinated muscles by enhancing natural muscle contraction. For patients experiencing bowel dysfunction or incontinence, the pressure manometry feature provides essential data for comprehensive anorectal rehabilitation.
This technology allows us to translate pelvic floor function into visual graphics and apply targeted treatment techniques, helping you achieve the most effective and informed therapy possible.
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