Pelvic health

Individualized treatment and education

Pelvic health rehabilitative services offered at Well Balanced are catered to women and men 16 years and older. In order to provide the best care possible, we focus on individualized treatment and education for resolution and independent management of your condition. Devin DeGrief is our primary provider in pelvic floor health.

Conditions we treat

  • Urinary leakage with coughing, sneezing, laughing, jumping or running
  • Fecal incontinence
  • Pregnancy or postpartum pain, incontinence or instability
  • Pelvic organ prolapse
  • Low back, hip, abdominal, groin or SI Joint pain
  • Tailbone pain
  • Urinary urgency and frequency (with or without urinary leakage) or overactive bladder
  • Painful Bladder Syndrome/Interstitial Cystitis (IC)
  • Pain with sexual activity
  • Pain in the genitals or rectum
  • Chronic constipation
  • Chronic prostatitis

Initial consultation

During your first meeting with Dr. Devin, it’s important that you feel comfortable discussing your health concerns freely, no matter how sensitive they might be.

This is key to truly understanding your needs and being able to determine the best plan for you. You are always welcome to bring a close friend or family member along if you would like.

This first visit offers Dr. Devin a chance to learn more about your medical history, your symptoms, and your story. That helps her develop an individualized treatment plan that will reduce your pain or symptoms and maximize your health and function.

Dr. Devin will perform a thorough examination to check for musculoskeletal, neuromuscular or movement issues that will need to be addressed during treatment. Depending on the issues discussed during the initial interview, your examination may include:

  • Assessment of the structure and alignment of the spine, pelvis and tailbone/coccyx
  • Functional movement assessment
  • Orthopedic assessment
  • External examination of pelvic floor and pelvic girdle muscles, ligaments and soft tissues
  • Myofascial assessment of abdominal and pelvic muscles to identify possible adhesions and/or trigger points
  • If indicated, internal evaluation of pelvic floor muscle strength and endurance, as well as tissue quality, sensation and the presence of pain or muscle spasm

Once the physical examination is complete, Dr. Devin will sit down with you to discuss her findings and address any concerns you may have. She will also let you know what the suggested treatment plan includes and how often you should visit with her in order to address your impairments.

During the consultation, Dr. Devin will help ease your mind regarding worries, concerns or questions you may have.

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What our treatment sessions are like

Treatment sessions are 45 minutes long, and the program usually requires between 6 and 14 visits. Most patients will visit the clinic two to three times a week, for four to six weeks.

Our goal is to get you get back to the life you love as quickly as possible. However all treatment plans are individualized to meet your goals, work around life’s stressors and demands. Changes to your treatment plan will be made as the treatment progresses and your symptoms improve.

During each follow-up visit, Dr. Devin will spend some time evaluating those changes and deciding how well your current treatment plan is working. At that time, she might ask you additional questions or suggest new at-home strategies. If changes are needed, you will have a chance to discuss them and ask questions.

This is part of the ongoing patient education commitment we make to you, and it will help you learn more about your body and how to address the issues affecting it.

You may receive education on lifestyle changes that can improve your symptoms, postural adjustments or exercise instruction. Depending on your treatment needs, you may also receive manual therapy such as adjustment of your spine, pelvis, hips or SI joint/tailbone, or internal work on the pelvic floor, if being treated for a related dysfunction.

The length and type of treatments you need will depend on the complexity of your case. This is why it’s so important that you are open and willing to discuss your issues during your initial meeting and during every visit. If you don’t see progress or if something is bothering you, please put it into words. Often a simple change or the addition of a new or different exercise or management strategy can make a world of difference.

Treatment methods

Every patient’s treatment program varies, but here are some things that are often included:

  • Instruction on how to properly perform Kegel exercises, which help strengthen pelvic floor muscles
  • Learning stretching and breathing exercises to help release tight pelvic floor muscles
  • Proper relaxation techniques and rest positions for the pelvic muscles
  • Teaching you trigger point release techniques so you can help ease tight muscles at home
  • A home exercise program tailored to your needs
  • Helping you learn how to implement a sustainable health and fitness program
  • Correction of posture and body mechanics that may contribute to your condition
  • Patient education on healthy toileting habits, bladder irritants and other lifestyle changes to reduce symptoms
  • Biofeedback training to help you learn to correctly tighten and relax the pelvic floor muscles.

Preparing for appointments

Before you come to each appointment, please dedicate some time to writing down any symptoms you are experiencing, whether you can pinpoint any triggers, such as specific postures or activities. Also write down any questions you think of when you are between sessions. This will help as we tailor and adjust your individualized treatment plan.

Patient education

We consider patient education and communication essential to the healing process. You will find that, from your first visit, the more willing you are to discuss, learn and engage in treatment, the faster you will see results.

Patients who commit themselves to learning about their ailments and how to overcome them, they see faster and longer lasting results.

Understanding what’s going in your body will help you live a healthier, fuller life. If you better understand what’s causing your pelvic dysfunction you can also learn strategies to reduce it, no matter how long you have been living with pelvic floor dysfunction or pain.

This interaction doesn’t end with your first visit. In fact, it’s important that the lines of communication remain open during the whole treatment process. Chances are you will have questions as you progress and improve.

Part of your follow-up visits with Dr. Devin will be spent addressing these questions, as well as easing any concerns you might have.

Communicating with your doctor not only helps you, but it also helps her understand how your body is responding to treatment and whether things need to be adjusted to provide you with the best care possible.