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Popular Blog Posts
- Yoga Therapy to Ease Prostatitis and Chronic Pelvic Pain Staff 2018-07-23
- Pediatrics and Pelvic Health: Encoporesis, Skid Marks, Poop Accidents, and Constipation Staff 2020-09-24
- Healthy Aging Month: Enjoying Sex With a Bad Back and Hips Staff 2020-09-08
- All About: Tarlov Cyst Staff 2021-08-05
- Finding The Right Personal Lubricant For You Staff 2019-10-30
- Why You Should STOP Doing Kegels NOW Heather Jeffcoat, DPT 2014-09-29
- How Mindfulness Can Help with Erectile Dysfunction Staff 2021-02-11
- Nonbacterial Prostatitis: Chronic Pelvic Pain in Men Staff 2018-07-05
- What are Kegels? Heather Jeffcoat, DPT 2014-09-04
- Why you should be doing Kegels RIGHT NOW! Heather Jeffcoat, DPT 2014-09-08
- Pediatric Incontinence and Pelvic Floor Dysfunction Staff 2018-08-06
- Why do my testicles hurt? Staff 2019-07-02
- What’s Up Down There, Doc? Heather Jeffcoat, DPT 2015-05-10
- Pelvic Floor Therapy for Pubic Symphysis Pain Staff 2020-02-29
- Evidence-Based Recommendations for Managing Prostatitis Related Pelvic Pain: Healthy Sex and Lifestyle Habits Staff 2018-07-27
- Evidence-Based Recommendations for Managing Prostatitis Related Pelvic Pain Staff 2018-07-19
- Histamines and Chronic Pelvic Pain, Chronic Prostatitis - the Connection Staff 2021-01-29
- Official Book Release Today! Heather Jeffcoat, DPT 2014-09-23
- Chronic Constipation 101 Heather Jeffcoat, DPT 2018-04-14
- Male Pelvic Pain: What You Should Do If You Have a "Headache in Your Pelvis" Staff 2020-09-17
Transgender Pelvic Health and Orthopaedic Services at Fusion Wellness PT

Transgender and Gender Expansive Physical Therapy Services
Transgender patients that are prepping for, or have undergone gender confirmation surgery (also termed gender affirmation surgery or gender reassignment surgery), will require the services of compassionate and skilled pelvic health and orthopaedic physical therapists. There are many ways a physical therapist can and should be involved in their integrative treatment plan:
Preoperative Pelvic Health and Orthopaedic Assessment:
- Alignment, postural assessment and corrective exercises –
- Binding can lead to postural dysfunctions that in turn lead to neck and back pain.
- Tucking is associated with changes in bladder function due to long periods of delay/retention and puts you at increased risk of developing overactive pelvic floor muscles.
- Fascial mobility assessment – to help with skin graft harvesting
- Hip mobility assessment – decreased range of motion can lead to difficulty in positioning during the surgery, or increased pain postoperatively if hips placed into already restricted position due to extensive time spent in position during surgery (6-8 hours); Communication with the surgeon on these limitations for possible position alterations to decrease time spent in restricted or painful range of motion
- Functional core assessment: weakness, overactivity or incoordination of abdominal and pelvic floor muscles contributes to bladder, bowel and sexual dysfunction. Some of this dysfunction may be present preoperatively and should be assessed and treated to improve post-operative outcomes.
- Patient-specific education: This is an essential component of any physical therapy treatment plan
Postoperative Pelvic Health and Orthopaedic Assessment:
- Continue to address postural and orthopaedic dysfunction found preoperatively, and reevaluate for changes in status, including strength, muscle flexibility and joint range of motion
- Evaluation and treatment for bladder, bowel and sexual health when appropriate (urinary urgency, painful intercourse, perineal itching, burning sensation, incontinence or leakage or any other discomfort in abdominal, genital or perineal area that may be present).
- Scar tissue management and myofascial therapies for FtM chest masculinization surgery, FtM and MtF bottom surgery, MtF Feminizing Mammoplasty
- MtF--dilator training and support; sexual health and improve function
- FtM-sexual health and improve function

The transgender population needs the support of our community, and from a young age. Gender identity, gender expression and sexual orientation as portrayed by society may conflict with how adolescents are perceiving themselves. This can have devastating consequences, including suicide. The transgender population has an alarmingly high suicide rate – 41% at some point in their lives, compared with 4.6% of the general population (from American Foundation for Suicide Prevention and the Williams Institute from results analyzed from the National Transgender Discrimination Survey). Providers need to educate themselves and be sensitive to these challenges that are faced.
We are an LGBTQIA - ally facility and welcome all individuals to our practice.
At Fusion Wellness & Physical Therapy, while focusing on pelvic health, offers chronic pain therapies for the entire body. Our main goal is to create a healing and supportive environment that is welcoming to all. We look forward to seeing you soon.
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