As specialists in pelvic floor and core disorders, we understand the need for modesty and privacy. When arriving at our office, you will meet your therapist and receive a thorough physical therapy evaluation in a private treatment room. You may be given a surface EMG evaluation, which is a painless test that indicates how your pelvic floor muscles are functioning. The physical therapist will explain in detail the results of the evaluation and how they relate to your problems and what specific steps are needed to correct them.
Physical Therapy treatment may include:
Our evaluation and treatment procedures are evidence-based. We integrate our findings with the recommendations of your personal physicians and/or other healthcare providers to provide the most complete and individualized treatment plan so that you may achieve your goals.
Pelvic Floor and Core Muscle Exercise
Pelvic Floor and Core Exercise is an important part of pelvic floor physical therapy. Muscle weakness, tightness, spasm and /or imbalances can make it difficult for you to control your bladder or bowel. Or it may be a cause of your pelvic pain. Your physical therapist will identify your specific problem areas and design an individualized home exercise program to correct them. You will be expected to perform the exercise daily at home and will be progressed each time you see the therapist, if you are compliant with the home program.
What is Dry Needling?
Kathleen Novicki, PT, PRPC is certified to perform dry needling
Dry needling is a technique physical therapists use to treat myofascial pain. The technique uses a thin, sterile, disposable filiform needle, without medication, inserted through the skin into areas, known as trigger points. It is typically just one technique that's part of a larger treatment plan.
A trigger point is a taut band of fascia and/or muscle. Trigger points can be tender to the touch, and touching a trigger point may cause pain to other parts of the body. Research supports that dry needling improves pain control, reduces muscle tension, and normalizes dysfunction of the motor end plates, the sites at which nerve impulses are transmitted to muscles. This can help speed up the patient's physical therapy rehabilitation.
Many patients do not feel the insertion of the needle. A local twitch response in the trigger point occurs which elicits a brief painful response. Some patients describe this as a little electrical shock; others perceive it more as a cramp.
How is it different from acupuncture?
"The practice of acupuncture by acupuncturists and the performance of dry needling by physical therapists differ in terms of historical, philosophical, indicative, and practical context. The performance of modern dry needling by physical therapists is based on western neuroanatomy and modern scientific study of the musculoskeletal and nervous system. Physical therapists who perform dry needling do not use traditional acupuncture theories or acupuncture terminology."
Physical therapists who perform dry needling obtain specific and advanced education and training.
Source: APTA document Physical Therapists & the Performance of Dry Needling: An Educational Resource Paper. www.apta.org/StateIssues/DryNeedling/.