Pelvic Health
Pelvic Floor Dysfunction
The pelvic floor is a set of musculature which wraps from the front of your hips to the back of your tailbone. These muscles have a “trampoline” like function in that they absorb shock during functional activities. Their purpose is to maintain a supportive structure for your bowels, bladder, and sexual organs. This supportive unit works in partnership with abdominal muscles to control internal pressure which, when damaged or altered, can result in pelvic floor dysfunction.
Who Can Benefit From Pelvic Floor Rehabilitation?
Females or males experiencing:
- Urinary incontinence
- Pelvic Organ Prolapse
- Chronic Pelvic Pain
- Painful Intercourse
- Sexual Dysfunction
- Pregnancy & Post-Partum
- Constipation
- Fecal Incontinence
- Post operative care for Cesarean Sections, hysterectomies and prostatectomies
- Diastis Recti
- Pediatric Pelvic disorders (available in the Hawley office)
- Prenatal and postpartum care
- Those with urinary incontinence
- Pelvic pain conditions
How Can Physical Therapy Help Me?
Just like when any other group of muscles in the body is damaged, therapeutic intervention is necessary to help return the individual to their prior functional level. Just like when an athlete sustains an injury, an integral part of their recovery is physical rehabilitation. Therefore, why should it be any different for those that live with pelvic floor dysfunction?
What Should I Expect With a Pelvic Floor Rehab Program?
CPT is proud to have 3 physical therapy professionals on our team who have completed multi-level training through the Herman and Wallace Pelvic Rehabilitation program and earned credentials in this highly specialized area. They are available for consultation within our Carbondale, Hawley and Honesdale locations. Your care process includes the following steps:
Step 1: Initial Evaluation
What to expect:
- Upon entering the clinic, you will be provided with questionnaires to complete.
- Next, you and your physical therapist will discuss any current limitations you have and will discuss what form of treatment may best suit your needs.
- Examination techniques may include: assessing posture , pelvic muscle strength (including the abdominals) and an analysis of your movement mechanics during common daily tasks.
- Your emotions are always respected and assessment techniques can be altered to fit specific comfort levels.
Step 2: Weekly Visits
Based on your examination results, a therapy schedule will be recommended.
Step 3: Home Exercise Program
While you work with your therapist during one-on-one sessions, a home exercise program prescription will also be given to maintain progress at home and within community environments.
Pelvic Health Team
Amanda Imperiale
PT, DPT
- Herman and Wallace Level 1 (urinary incontinence, female urogenital conditions, pelvic organ prolapse, SEMG biofeedback, female pelvic pain conditions)
- Herman and Wallace Level 2A ( colorectal conditions, fecal incontinence, male pelvic floor dysfunction, pudendal neuralgia, coccyx dysfunction)
- Pregnancy and Postpartum Corrective Exercise Specialist
Aubrey Hegge
DPT
- Herman and Wallace Level 1 (urinary incontinence, female urogenital conditions, pelvic organ prolapse, SEMG biofeedback, female pelvic pain conditions)
- Herman and Wallace Level 2A ( colorectal conditions, fecal incontinence, male pelvic floor dysfunction, pudendal neuralgia, coccyx dysfunction)
- Pregnancy and Postpartum Corrective Exercise Specialist
Isabella Cannavo
DPT, OCS
- Herman and Wallace Level 1 (urinary incontinence, chronic pelvic pain (CPP), and pelvic organ prolapse, interstitial cystitis/painful bladder syndrome (IC/PBS), pelvic neuralgias, vulvar pain, and dyspareunia)
- Herman and Wallace 2A (irritable bowel syndrome, fecal incontinence and constipation, anorectal pain including pudendal neuralgia and coccygodynia, colorectal/pelvic oncology introduction)
- APTA Level 3 - pediatric health
- Pregnancy and Postpartum Corrective Exercise Specialist
Testimonials
I had such an amazing experience with my pelvic floor therapy. I went from saying no every time my kids asked me to go on the trampoline and crossing my legs to sneeze & cough to being able to say yes to any physical activity and having no fear of a cough or sneeze. The education I received from Aubrey was life changing. She made everything so easy to understand and she gave me all the tools I needed to take my pelvic floor life back!
I received treatment for pelvic floor dysfunction for two months at CPT. The care that I received was exceptional. My therapist, Dr. Amanda Imperiale, was extremely kind, supportive, and knowledgeable in all facets of PFD. I am now strong and healthy once again and living my best life.
As someone ( a 72-year-old man) who had a radical prostatectomy, I suffered from incontinence. CPT was recommended to me from a friend who was very satisfied. I set up time with Karen, the administrator of the Hawley Location, she scheduled me with a professional named Isabella, a Board-Certified Orthopedic Clinical Specialist who has specialized training for Lower Pelvic Muscle development. The intake was very thorough & upon completion, we began exercises with much guidance & patient instruction. Over the course of PT sessions, I was impressed with the competence & understanding of my milady as I was supported & gained confidence that we could reach our goal. As issues came up, she was so clear & practical about the mind-body connections & establishing a step by step understanding. This approach was so kind & caring about the whole being & there was no chance we could fail to achieve our goal. Now but a few months later, I am a happy, self-confident, continent human again. The choice of CPT for my Physical Therapy was so important to my health, and I am grateful.
