Pelvic Health Physical Therapy

Pelvic health conditions can occur in women and vulva owners whether they have experienced pregnancy and childbirth or not, and are often passed off by providers as being “normal” or just “something you have to deal with”. Many patients feel discouraged or limited on options to address urinary, bowel, and sexual health problems they are experiencing.

You deserve better.

You don’t have to live with pelvic pain, pain with intercourse, leaking, or constipation. At Absolute Kinetics, I believe in treating each unique individual as a whole person. This means addressing not only the symptoms you may be experiencing, but finding all of the contributing factors and helping you find lasting relief.

If you’ve been told to “just do your kegels” or you’ve been to pelvic floor therapy and had internal treatment without lasting relief, you’re in the right place. At Absolute Kinetics, I promise you won’t be doing kegels, be hooked up to a Biofeedback machine, or have seemingly endless session of internal work. I am here to help you personalize an active plan to address all of your symptoms.

jumping without leaking during pelvic floor physical therapy

Pelvic Health conditions are common, not “normal”. I’m here to help.

Common diagnoses I treat include:

  • Pelvic pain

  • Prenatal/Birth Prep visits

  • Postnatal assessments

  • Diastasis Recti 

  • Constipation and obstructed defecation 

  • Pain with sex or insertion 

  • Physical aspects of sexual dysfunction

  • Vaginismus 

  • Dyspareunia

  • Vulvodynia 

  • Vestibulodynia 

  • Stress incontinence

  • Urge incontinence 

  • Functional incontinence 

  • Mixed incontinence 

  • Fecal incontinence 

  • Over active bladder

  • Interstitial cystitis/painful bladder syndrome 

  • Low back pain 

  • Hip pain 

  • SI joint pain 

  • Scar mobilization (Cesarean, episiotomy/laceration, and abdominal surgery scars) 

  • Chronic pain 

  • Coccyx/tailbone pain and dysfunction 

  • Anal fissures 

  • Hernias 

  • Pelvic organ prolapse 

  • Pelvic floor dysfunction from menopause 

  • Osteoporosis/Osteopenia

  • Decreased sensation/inability to orgasm

  • Abdominal pain 

  • Irritable bowel syndrome

  • Pudendal Neuralgia

Contact us to learn more

Work With Dr. Alexis

  • In-Person

    Work with me at my Collierville, TN or East Memphis, TN offices

  • Telehealth

    I treat pelvic health conditions via Telehealth in Tennessee

  • Pregnancy/Postpartum Coaching

    As a Pregnancy and Postpartum Corrective Exercise Specialist, I work with pregnant women to help them safely stay active through all trimesters.

    I also offer postpartum coaching to recover from common postpartum problems and diagnoses such as leaking, painful intercourse, diastasis recti, and more.

  • Pelvic Health Coaching

    I coach individuals with pelvic health dysfunction to train smart and reduce pelvic health problems.

 FAQs

 

  • I will take you through a thorough history (a series of questions) that dive deep into the cause of your symptoms. Since the pelvic floor plays a large part in urinary, bowel, and sexual function, you can expect questions related to these topics. This allows me to get a good idea as to how your pelvic floor is functioning and to determine if the symptoms you are experiencing are in fact stemming from the pelvic floor or from somewhere else. Another unique part of the pelvic health evaluation is the internal assessment. In most cases, it is appropriate to perform an internal examination in order to directly assess how the pelvic floor muscles and structures are functioning. This assessment involves one gloved finger inserted in the vagina or rectum and the appropriate assessment of the pelvic floor structures. I will answer any questions you have regarding the benefits of an internal assessment and if it is appropriate for you at your evaluation.

  • I understand the internal examination can bring on anxiety and fear for a lot of people. I recommend internal examination on a case-by-case basis. The internal examination does provide vital information as to how the pelvic floor is functioning, since it is the only way to determine exactly what is happening. However, your comfort and safety is most important to me. We will ultimately have a conversation together to determine whether or not an internal examination is appropriate for you.

    I do sometimes utilize internal pelvic floor treatment techniques, however I want to ensure you that this is a small piece of the puzzle at Absolute Kinetics. Our assessment will be thorough and we will utilize many strategies and treatment techniques outside of internal pelvic floor treatment. If you have further questions about this, you can set up a free 15 minute phone consult by clicking “schedule” at the top of this page.

  • In most cases, YES! It has been reported that 93-95% of those with low back pain also have pelvic floor dysfunction. I have found that often, the pelvic floor is the “missing puzzle piece” for things like chronic low back pain, hip pain, SI joint pain, pubic symphysis pain, and so much more. The pelvis/pelvic floor is the center of the whole body, which means it has a lot of influence on how other structures work! I always suggest that if you have any aches/pains anywhere in the body AND you have pelvic floor related symptoms, it is best to visit a pelvic health physical therapist for an in-depth evaluation.

  • This completely depends on your symptoms and the findings of the initial evaluation. Some people see improvements in as little as 1-3 visits, some need much more time for their body to adapt and learn the new patterns taught during our sessions. With that being said, the average amount of visits it takes to treat someone with pelvic floor dysfunctions is around 8 visits, with 5 visits for less complex cases and 10 or more for more complex cases.

  • At this time, I specialize in treating pelvic health conditions in women and vulva owners only. I do treat all genders for orthopedic conditions, and would be happy to make a referral to other local pelvic health specialists who treat men and penis owners.

  • I believe in helping you find ways to continue doing what you love. Even if that means you modify the activity, I understand that maintaining involvement in your passion is vital for physical and mental wellbeing. One of the main benefits in working with me is that we have the flexibility and time to tailor your sessions to exactly what you need to reach your goals.

  • There are many benefits to looking for an out-of-network physical therapist. For pelvic health, it is even more beneficial because a lot of what we treat (painful sex, painful or inability to orgasm, etc) is often not covered by insurance. By practicing under an out-of-network model, we are able to work on your goals the way they should be addressed, not based on whether or not an insurance company will approve. Another benefit is that we have one-on-one sessions where you are with your pelvic health physical therapist the entire time. In this setting, you truly get what you pay for and care can 100% be tailored to exactly what you need.