Pelvic Health

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Half Of Women Experience Incontinence And Pelvic Pain In Their Lifetimes

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The Average Woman Waits 7 Years Before Seeking Treatment For These Symptoms

Common Pelvic Conditions We Treat

  • Pelvic pain
    • Pudendal pain syndrome, endometriosis, pelvic fracture
  • Pain with intercourse
    • Dyspareunia, vaginismus, vulvodynia, hypertonic pelvic floor
  • Urinary urgency and frequency
  • Interstitial cystitis
  • Pelvic organ prolapse
  • Urinary/fecal incontinence and constipation
  • Gastrointestinal dysfunction
  • SI, low back, hip, tailbone, abdominal, and groin pain
  • General strengthening through the lifetime: prepartum, postpartum, menopause, osteoporosis

Pelvic Floor Physical Therapy Has An 8x Greater Success Rate Compared To Other Treatments

Prepartum Conditions We Treat

  • Exercise during pregnancy
  • Back/hip pain
  • SI joint dysfunction
  • Pubic symphysis dysfunction
  • Urinary incontinence
  • Constipation
  • Proper body mechanics and pushing mechanics training during pregnancy
  • Perineal massage

Postpartum Conditions We Treat

  • Diastasis recti
  • Pelvic organ prolapse
  • Urinary incontinence
  • Fecal incontinence
  • Return to run
  • Pain with intercourse
  • Body mechanics as a new mom
  • Cesarean section scar pain
  • General rehab ALL women need

The Mend Method

Our pelvic health approach is different than any in the area. We blend orthopedics and pelvic health to not simply look at your pelvic floor, but your body as a whole to get to the root of your dysfunction. With this approach and 60 minute appointments, we don’t just relieve your pain, we get you back to doing what you love, and with fewer appointments than conventional pelvic physical therapy.

Treatments Used

Pelvic floor dry needling, myofascial work including internal vaginal and internal rectal work, breathing mechanics, joint mobilizations, diaphragm and rib mobility, neuromuscular reeducation of pelvic floor and deep abdominal muscles, exercise, weighted strength training, sport and activity specific training.

Additional Resources

Physical Activity Offsets Detrimental Health Impacts During Perimenopause
By Kristin Carpenter, PT, DPT, OCS, FAAOMPT The hormonal decline resulting from the menopausal transition (ie: perimenopause) is characterized by detrimental impacts on health including: increased cardiometabolic risk factors (insulin resistance, Type II diabetes, increased central adiposity, weight gain), reduced mental and physical health (depression, loss of lean muscle mass, reduced bone density and increased risk for falls). The benefits of exercise on multiple domains of health has been extensively studied and documented and it could be argued that exercise during the peri- and postmenopausal years may be the most important time in a woman’s life to engage in exercise...
How Can I Lose Weight During Menopause?
One of the most challenging populations for any exercise professional is women entering the perimenopausal or menopausal phases of life wishing to lose weight.  Weight changes during this period for women are common due primarily to changes in key hormones, estrogen and progesterone, and metabolic changes/slow downs due to aging.  Combined these changes can lead to significant, and relatively quick, weight gain.  In particular, weight changes can be most noticed around the mid section which can place a female at higher risk of cardiovascular and metabolic diseases. The changes associated with the menopausal years are best addressed by a multidisciplinary...
Maximizing Recovery in the Postpartum Period: A Blueprint for Returning to Fitness
Bringing a new life into the world is an incredible journey that transforms us in profound ways. However, the postpartum period often brings its own set of challenges, especially for those eager to return to an active lifestyle or sports. Fortunately, more research is being done and evidence is emerging. The article “Maximizing Recovery in the Postpartum Period: A Timeline for Rehabilitation from Pregnancy through Return to Sport” offers a comprehensive roadmap to help women navigate this crucial phase with confidence and care. During the immediate postpartum phase, the need is to focus on restoring pelvic floor function and managing...
What Is Genitourinary Syndrome And Why You Should Know About It
What is GSM? Genitourinary syndrome of menopause is a relatively new term that describes various signs and symptoms associated with menopause. These include genital symptoms (vaginal dryness, burning, and irritation), sexual symptoms (dryness, pain, discomfort, and impaired function), and urinary symptoms (urgency, dysuria, and recurrent UTIs).  During menopause, the production of estrogen and progesterone decreases. The tissue in the pelvic floor muscles, vagina, vulva, bladder, and urethra respond to estrogen in the blood. When there is a significant drop in these estrogen levels, the tissues become thin, less elastic, and more vulnerable to irritation and damage.  Why should you know...
3 Ways You Should Change Your Exercise Routine During Your Perimenopausal and Menopausal Years
Women can experience a lot of undesirable symptoms during perimenopause, including reduced energy levels, dramatic mood changes, and incredibly uncomfortable hot flashes. Many also notice changes in their body composition, including the loss of lean muscle mass and increased abdominal fat. Put another way, perimenopause is stressful for everyone; however, it can be especially frustrating for athletes. During perimenopause, women who work out may experience excessive fatigue and muscle soreness following more intense sessions. They may also take longer to recover and struggle to max out at high-intensity intervals. All of these symptoms can be linked to fluctuating estrogen levels,...
Is My Pelvic Floor Too Tight to Give Birth?
At Mend, we work with highly active women in Boulder County during pregnancy in our Boulder and Lafayette sports medicine and pelvic health physical therapy practice. This includes elite marathoners, CrossFit enthusiasts, triathletes, group fitness junkies and more. As pelvic health specialists we often hear concerns from these active women about “being too tight” in their pelvic floor to deliver a baby without difficulty or sustaining an injury. Many of these women avoid doing evidence-supported pelvic floor muscle exercises (ie: Kegels) during pregnancy out of fear that this may increase pelvic floor muscle tightness and delivery outcomes. A 2013 study...
Heather Fraebel is my PT doc at Mend and she is FANTASTIC. She has a lot of great knowledge about the pelvic floor as well as Interstitial Cystitis and makes visits feel incredibly comfortable, safe and empowering. She has been such a great guide through my journey through PFD and IC and | am so incredibly grateful for her. I highly recommend seeing her if you have or think you have pelvic floor or bladder issues.
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