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Pelvic Health Therapy

Meet our Pelvic Floor Specialist

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Dr. Chelsea Schwegman, PT,  DPT

My initial interest in pelvic health began while I was in physical therapy school. My sister was pregnant with her first child and was experiencing pelvic pain early on. Frustrated that my schooling did not cover this topic in much detail, I helped her the best I could at the time to find relief for the remaining five months of pregnancy. Fast forward, now working with spine pain every day, I began noticing a pattern. Women were telling me about low back pain and incontinence that they had endured for 5-20 years. The story was always, “it began when I was pregnant…when I delivered my children… it never went away.” After hearing this for almost a year, I officially began the journey into women’s health physical therapy. The pelvis has a close relationship with the spine and subtle modifications can impact quality of life. I want to educate women on how they don’t have to settle for pain in exchange for having a family. Furthermore,there are ways to find relief with reproductive conditions such as PCOS or Endometriosis.

Earlier this year I became Pelvic Floor Level 1 certified through Herman & Wallace Pelvic Rehabilitation Institute. I’ve taken courses on Pregnancy and Postpartum Rehabilitation which addresses conditions such as pelvic girdle and low back pain during pregnancy and postpartum, diastasis recti, cesarean scar release,  incontinence, and mastitis. I’ve also taken courses in visceral mobilization of the abdomen with plans to complete the reproductive course next year. I’m currently learning more about therapy for reproductive conditions to expand my knowledge and skill set for a more inclusive approach to women’s health.
 

What to Expect

What is Pelvic Floor Dysfunction?

How Common are Pelvic Floor Dysfunctions?

During your first visit, you'll share your concerns and history of the issue. Your exam will include general movements of the spine and legs, strength assessment of core and pelvis.

For pelvic rehabilitation, an assessment of your pelvic floor muscles internally can be of significant value to aid in further knowledge of the issue and create a treatment plan specialized to your symptoms! If you do not feel comfortable with it, you will have the option to choose or refuse any part of the examination. 

Our goal is to help you understand your symptoms, gain control of your bladder, decrease pain, and return to functional activities that our otherwise limited by these symptoms.  

Your pelvic floor is made of the muscles in your pelvis. These muscles form a sling to help support the bladder, uterus, and rectum. We control our bowel and bladder habits when we contract and relax these muscles. 

If the muscles aren't able to support the pelvis in this way, this can lead to symptoms such as:

- Incontinence, i.e. leakage or frequent and/or urgency of urination

- Constipation or bowel leakage

- Pelvic pain

- Lower back, hip, or tailbone pain

- Pain during intercourse

Very common! About 1/3 of women will experience a form of pelvic floor dysfunction. However, most are not aware of rehab for this issue. Only 32% will report symptoms to their providers.

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