After a vaginal birth or C-section, you may know that something feels different without knowing what is causing it or what to do next.
You may be leaking urine when you cough, sneeze, laugh, lift, or exercise; feeling pelvic pressure or heaviness; struggling to connect with your core; experiencing pain with intimacy; or dealing with pulling, numbness, or sensitivity from a C-section incision, perineal tear, or episiotomy scar.
Come to us with what you are experiencing. We will listen, evaluate how your pelvic floor, core, scars, strength, and movement are working together, and give you a clear treatment plan based on what your body needs and what you want to be able to do again.
You do not need to know whether the problem is your pelvic floor, core, scar, or a combination of these. That is what your evaluation is designed to determine.
Postpartum symptoms do not all have the same cause. Your evaluation looks at how your breathing, abdominal wall, pelvic floor, strength, scars, and movement are working together.
We discuss your pregnancy and birth history, current symptoms, concerns, and goals. An external or internal pelvic floor examination may be offered when clinically appropriate, but it is always your choice and is performed only after it has been explained and with your consent.
Whether you gave birth weeks, months, or years ago, your care begins with what you are experiencing now.
Identify which areas need attention and where treatment should begin.
Learn how to relax, contract, and coordinate your pelvic floor based on whether tension, weakness, or poor coordination is present.
Improve how these muscles work together during bowel movements, lifting, carrying your baby, exercise, and everyday movement.
When appropriate, treatment may address muscle tension, restricted movement, pelvic or perineal pain, and limitations associated with C-section or perineal scarring.
Gradually strengthen your pelvic floor, abdominal muscles, hips, and body based on your current abilities and goals.
Apply your coordination and strength while lifting your baby, carrying a car seat, returning to intimacy, working, exercising, and handling daily life.
A healed C-section, perineal tear, or episiotomy scar may remain painful, sensitive, numb, or restricted. You may notice pulling with movement, discomfort from clothing or touch, or difficulty connecting with your abdominal or pelvic floor muscles.
After the tissues have healed sufficiently, treatment may include scar and soft-tissue mobilization, desensitization, sensory retraining, mobility exercises, and progressive strengthening. Gentle cupping or dry needling may be added when clinically appropriate.
Every technique is selected according to your symptoms, healing, comfort, and clinical needs.
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