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Diagnoses of Pelvic Pain, Pelvic Floor Issues, and Sexual Dysfunctions
At Fusion Wellness & Physical Therapy, we specialize in treating these conditions that are all too often misunderstood by the medical community. What sets us apart from other physical therapy offices is we provide one-on-one care by licensed physical therapists for 55-85 minutes or more. In certain circumstances we offer 2 hour+ appointments. No unlicensed personnel are used at any time, making the quality of care we provide at the highest level.
Our experience solving a wide range of pelvic floor issues is unmatched in our field, including incontinence in men and women, painful intercourse issues, chronic pelvic pain and more.
- Incontinence and Voiding Dysfunctions in Men, Women, Children, Transgender and Nonbinary folks:
- Stress, Urge or Mixed Urinary Incontinence
- Light bladder leakage
- Urinary urgency and frequency
- Delayed or painful voiding / urinary hesitancy
- Shy bladder
- Interstitial cystitis (IC) and Painful Bladder Syndrome (PBS)
- Overactive bladder
- Nocturia / night time urinating
- Enuresis / bedwetting
- Fecal / Bowel Incontinence ; Accidental Bowel Leakage ; stool staining
- Painful bowel movements
- Irritable bowel syndrome (IBS)
- Constipation
- Pelvic floor dyssynergia
- Painful Intercourse:
- Vaginismus / Genito-Pelvic Pain and Penetration disorder
- Vulvodynia
- Vulvar vestibulitis
- Unprovoked and provoked vestibulodynia
- Dyspareunia
- Endometriosis
- Dysorgasmia / Painful orgasm
- Including painful ejaculation
- Pelvic Pain
- Levator Ani Syndrome
- Prostatitis (men)
- Pudendal Neuralgia
- Pudendal Neuritis
- and painful intercourse diagnoses listed above
- Persistant Genital Arousal Disorder (PGAD) / Persistent Sexual Arousal Syndrome (PSAS)
- Dysorgasmia / Painful Orgasm
- Anorgasmia (no orgasm) or Diminished Orgasms
- Coccydynia (tailbone pain)
- Painful Bladder Syndrome / Interstitial Cystitis
- Prostatitis and other male pelvic pain
In depth evaluations, manual therapy, exercise prescription, and many of the other services we offer will have their greatest impact on your recovery when done by skilled, licensed providers that also participate in ongoing continuing education. This practice model also allows us to quickly identify when changes in your treatment plan are needed, maximizing each treatment session. Make an appointment at either our MidWilshire, Sherman Oaks or Montrose/Glendale office today to get on the path to healing tomorrow.
Heather Jeffcoat, DPT
Published: 17 May 2021
A Brief List of Common Orthopedic Issues We Treat
We treat a wide variety of common orthopedic issues, including acute, subacute, and chronic injuries of bone, joints and muscles, and injuries sustained during sports and other activities.
We offer specialized physical therapy that addresses the complete picture of pelvic floor dysfunction, orthopedic issues and visceral restrictions, and this is one of the main tools to help minimize the effects of endometriosis on your body.
Heather Jeffcoat, DPT
Published: 17 May 2021
Is There Really a Connection Between TMJ and Pelvic Pain?
We all know the old childhood song “The hip bone’s connected to the thigh bone“. What if there was a connection from your jaw to the pelvic floor? Read on for how they are, in fact, connected.
What is TMJ?
TMJ stands for temporomandibular joint. This joint attaches your skull to your jaw and is located in front of your left and right ear. It opens and closes your mouth for activities like talking and chewing. A dysfunction in the TMJ can occur in the ligaments, muscles or joints and is referred to as TMJD.
Heather Jeffcoat, DPT
Published: 17 May 2021
About Vaginismus and Genito-Pelvic Penetration Disorder
Involuntary muscle spasms involving the superficial and deep pelvic floor muscles that typically cause painful entry, limiting or preventing intercourse, tampon insertion or pelvic exams. Women with vaginismus do not always experience “pain” and often report the feeling of their partner or a tampon “hitting a wall”.
Pain is also a common presentation when partial or complete penetration occurs. It may also present as minor discomfort with tampons, pelvic exams or intercourse.
Our patients have often been told that “there is nothing physically wrong” with them or that they “are too high stress and just need a glass of wine”. We feel responses like this are unacceptable and dismissive of the real physical pain that these women have.
Heather Jeffcoat, DPT
Published: 17 May 2021
About Vaginismus and Genito-Pelvic Penetration Disorder
Involuntary muscle spasms involving the superficial and deep pelvic floor muscles that typically cause painful entry, limiting or preventing intercourse, tampon insertion or pelvic exams. Women with vaginismus do not always experience “pain” and often report the feeling of their partner or a tampon “hitting a wall”.
Pain is also a common presentation when partial or complete penetration occurs. It may also present as minor discomfort with tampons, pelvic exams or intercourse.
Our patients have often been told that “there is nothing physically wrong” with them or that they “are too high stress and just need a glass of wine”. We feel responses like this are unacceptable and dismissive of the real physical pain that these women have.
Heather Jeffcoat, DPT
Published: 17 May 2021
Common Sexual Dysfunctions and Treatments for Female, Male, Transgender and Gender Expansive Patients
Vaginismus:
Vaginismus definition: the involuntary muscle spasms involving the superficial pelvic floor muscles that typically cause painful entry, limiting or preventing intercourse, tampon insertion or pelvic exams. Many women will also describe “a wall” that limits penetration, that may or may not be painful. This is not a lifelong condition and can be cured. The most successful vaginismus treatment is a combination of manual treatment, corrective exercises and home instruction. Most women will use vaginal dilators as a part of their home program to treat vaginismus. More information on our female-based services including vaginismus can be found on our women’s program website at Femina Physical Therapy.
Heather Jeffcoat, DPT
Published: 17 May 2021
Treatments for a Variety of Pelvic Pain Syndromes
Vaginismus:
Vaginismus definition: the involuntary muscle spasms involving the superficial pelvic floor muscles that typically cause painful entry, limiting or preventing intercourse, tampon insertion or pelvic exams. Many women will also describe “a wall” that limits penetration, that may or may not be painful. This is not a lifelong condition and can be cured. The most successful vaginismus treatment is a combination of manual treatment, corrective exercises and home instruction. Most women will use vaginal dilators as a part of their home program to treat vaginismus. More information on our female-based services can be found on our women’s program website at Femina Physical Therapy. Click here for more information on vaginismus.
Heather Jeffcoat, DPT
Published: 17 May 2021
INCONTINENCE
Incontinence is the inability to control bodily functions resulting in the loss of urine or feces.
Heather Jeffcoat, DPT
Published: 17 May 2021
UROGENITAL PROLAPSE
“Urogenital prolapse occurs when there is weakness in the supporting structures of the pelvic floor allowing the pelvic viscera to descend and ultimately fall through the anatomical defect.”
– Bo, Kari, Berghmans, Bary, Morkved, Siv, Van Kampen, Marijke, Evidence-Based Physical Therapy for the Pelvic Floor, Elsevier Ltd., 2007.