Pelvic Floor | San Diego Physical Therapy | PT Effect
 

Remove Your Pain & Discomfort

Pelvic Floor Therapy

You shouldn’t have to feel discomfort from pevlic floor pain. Our expert physical therapist specializes in helping men and women overcome their pelvic floor issues.

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“Fantastic One-On-One Care”

“Great clinic with extremely friendly front desk staff as well as physical therapists that give you fantastic one-on-one care.”

  • Sav Knisely,
  • Happy Client
Little Italy
Location
Physical Therapy Center

The best of the best

Meet Our Specialists

Dr. Allison McKay

Dr. Allison McKay

Doctor of Physical Therapy (DPT), Pelvic Rehab Practitioner Certification (PRPC)

Allison has been working as a physical therapist since 2009. Initially working outside of Boston she moved to San Diego after two years of working as a traveling Physical Therapist. Once she settled in San Diego Allison returned to working in an outpatient setting at The Physical Therapy Effect in 2014.

Allison studied Physical Therapy at Northeastern University in Boston Massachusetts where she graduated with a Doctorate of Physical Therapy in 2009. In the time since graduation, Allison has pursued new learning opportunities for orthopedic manual Physical Therapy as well as advanced training classes in Women’s Health and Pelvic Floor Rehabilitation. She has her Pelvic Rehabilitation Practitioner Certification through the Herman & Wallace Pelvic Rehabilitation Institute, which she puts to use as the lead Physical Therapist for The Physical Therapy Effect’s Pelvic Health Rehabilitation Program.

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Dr. Hanna Willms

Dr. Hannah Willms

Doctor of Physical Therapy (DPT)

Dr. Hannah Willms, DPT, joined The PT Effect team in 2021 after relocating from Arizona. Hannah received her doctorate from A.T. Still University in Mesa, Arizona in 2019. Prior to coming out west, Hannah grew up in Iowa, where she attended Iowa State University. Hannah has participated her whole life in a variety of athletics and competed at the collegiate level in both volleyball and track/field.

Hannah enjoys treating a variety of orthopedic conditions and has a strong passion for women’s health and pre/postnatal fitness/rehab. Hannah has completed postgraduate pelvic floor training through Herman-Wallace, and received her certification in pre/postnatal fitness coaching through Girls Gone Strong. She utilizes a variety of manual therapy techniques and is trained in the Graston Technique. She enjoys athletes of all ages and has experience progressing them in their return to sport/activity.

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Are You Experiencing These Signs?

Pelvic Floor Symptoms & Pains

Urinary Incontinence

Incontinence is defined at any unintentional loss of urine

Stress Incontinence

Stress incontinence occurs when any physical activity (ie: coughing, sneezing, laughing, jumping, running or heavy lifting) puts pressure on your bladder causing leakage.

Urge Incontinence

Urge incontinence is associated with the bladder muscle contracting, usually associated with an increased urge to urinate, causing a leakage of urine.

Urinary Dysfunctions

Voiding dysfunction describes conditions where there is poor coordination between the bladder muscle and the urethra. This can result in incomplete relaxation or over activity of the pelvic floor muscles during voiding. Voiding dysfunction can manifest as a wide range of symptoms which can include difficulty in emptying bladder, urinary hesitancy, slow or weak urine stream, urinary urgency, urinary frequency or dribbling of urine. These conditions can be due to nerve dysfunction, non-relaxing pelvic floor muscles or both. Voiding dysfunction is also classified as being caused by either underactivity of the bladder (detrusor) or outflow (urethra).

Pelvic/Vaginal pain

This can refer to any pain within the pelvis or vagina. For men this can include scrotal or testicular pain.

Fecal Incontinence

Much like urinary incontinence, fecal incontinence can be a very embarrassing condition that is described as the inability to control bowel movements, causing stool to leak unexpectedly from the rectum. Also called bowel incontinence, fecal incontinence ranges from an occasional leakage of stool while passing gas to a complete loss of bowel control. Damage to the nerves that control the sphincter muscles in your rectum is the most common cause of fecal incontinence. This can happen during a surgical procedure, childbirth, or most commonly due to constant straining due to constipation.

Chronic Constipation

Long-term constipation can lead to many other pelvic floor disorders and can be a big cause of pelvic and abdominal pain. PT can use biofeedback and muscle retraining to help improve bowl habits along with diet modifications to aid in reducing constipation.

Coccydynia

Pain associated with the coccyx or tailbone. This pain is usually due to some form of trauma such as falling and landing on your bottom.

Pain with Sexual Activity

Also known as a condition called dyspareunia. This can included any pain that occurs before, during or immediately following intercourse. Males may experience painful ejaculation or erection.

Nerve Pain

Pelvic nerve conditions can be associated with the following nerves: pudendal nerve, ilio-hypogastric nerve, ilio-inguinal nerve, or the genito-femoral nerve. These nerves are located either in the abdominal wall, the pelvic cavity or surrounding the groin and perineal area. Damage to any of these nerves can cause chronic pelvic pain.

Pre/Post Operative

This can refer to any pelvic, hip or low back surgery. Whether you have had a hysterectomy, bladder suspension surgery, prostatectomy, spinal fusion or hip surgery its possible for your pelvic floor muscles to respond in a way that can cause pain. PT can help with any pain issues that can arise from muscle imbalance, instability, scar tissue formation or a combination of the above!

Bladder Pain

Can be referred to a condition called Interstitial Cystitis or Painful Bladder Syndrome. These conditions result in reoccurring pain and discomfort in the bladder and surrounding areas. Symptoms can vary in severity and patients may experience worsening pain as the bladder fills and empties.

Post-partum Pain

Following childbirth it is very common to have some sort of low back or pelvic pain. PT can be very helpful to decrease the pain faster and return you to your prior level of functioning!

Urinary Incontinence

Incontinence is defined at any unintentional loss of urine

Stress Incontinence

Stress incontinence occurs when any physical activity (ie: coughing, sneezing, laughing, jumping, running or heavy lifting) puts pressure on your bladder causing leakage.

Urge Incontinence

Urge incontinence is associated with the bladder muscle contracting, usually associated with an increased urge to urinate, causing a leakage of urine.

Urinary Dysfunctions

Voiding dysfunction describes conditions where there is poor coordination between the bladder muscle and the urethra. This can result in incomplete relaxation or over activity of the pelvic floor muscles during voiding. Voiding dysfunction can manifest as a wide range of symptoms which can include difficulty in emptying bladder, urinary hesitancy, slow or weak urine stream, urinary urgency, urinary frequency or dribbling of urine. These conditions can be due to nerve dysfunction, non-relaxing pelvic floor muscles or both. Voiding dysfunction is also classified as being caused by either underactivity of the bladder (detrusor) or outflow (urethra).

Pelvic/Vaginal pain

This can refer to any pain within the pelvis or vagina. For men this can include scrotal or testicular pain.

Fecal Incontinence

Much like urinary incontinence, fecal incontinence can be a very embarrassing condition that is described as the inability to control bowel movements, causing stool to leak unexpectedly from the rectum. Also called bowel incontinence, fecal incontinence ranges from an occasional leakage of stool while passing gas to a complete loss of bowel control. Damage to the nerves that control the sphincter muscles in your rectum is the most common cause of fecal incontinence. This can happen during a surgical procedure, childbirth, or most commonly due to constant straining due to constipation.

Chronic Constipation

Long-term constipation can lead to many other pelvic floor disorders and can be a big cause of pelvic and abdominal pain. PT can use biofeedback and muscle retraining to help improve bowl habits along with diet modifications to aid in reducing constipation.

Coccydynia

Pain associated with the coccyx or tailbone. This pain is usually due to some form of trauma such as falling and landing on your bottom.

Pain with Sexual Activity

Also known as a condition called dyspareunia. This can included any pain that occurs before, during or immediately following intercourse. Males may experience painful ejaculation or erection.

Nerve Pain

Pelvic nerve conditions can be associated with the following nerves: pudendal nerve, ilio-hypogastric nerve, ilio-inguinal nerve, or the genito-femoral nerve. These nerves are located either in the abdominal wall, the pelvic cavity or surrounding the groin and perineal area. Damage to any of these nerves can cause chronic pelvic pain.

Pre/Post Operative

This can refer to any pelvic, hip or low back surgery. Whether you have had a hysterectomy, bladder suspension surgery, prostatectomy, spinal fusion or hip surgery its possible for your pelvic floor muscles to respond in a way that can cause pain. PT can help with any pain issues that can arise from muscle imbalance, instability, scar tissue formation or a combination of the above!

Bladder Pain

Can be referred to a condition called Interstitial Cystitis or Painful Bladder Syndrome. These conditions result in reoccurring pain and discomfort in the bladder and surrounding areas. Symptoms can vary in severity and patients may experience worsening pain as the bladder fills and empties.

Post-partum Pain

Following childbirth it is very common to have some sort of low back or pelvic pain. PT can be very helpful to decrease the pain faster and return you to your prior level of functioning!

Dr. Allison McKay discuss Pelvis

A Safe, Comfortable Process

What to Expect at Your First Visit

For your first visit you will meet with our women’s health physical therapist and together you will go over the history of your current condition. We will discuss such things as how long you have been experiencing symptoms for, what exactly your symptoms are and what other aspects of treatment you have explored as well as what has worked and what has not. After the discussion we will move on to the portion of the evaluation where your therapist will look at your posture, the strength of your muscles as well as the stability within your pelvis and low back. They will also take a close look at your muscles and whether there are any tender spots or if there is tightness in any specific muscle groups. The next portion of the evaluation is where your therapist will look at the muscles of your pelvic floor (yes this does involve an internal examination but there are no scary tools involved I promise!). This portion of the exam will help your therapist be able have a better idea of how the muscles of your pelvic floor are able to contract and relax as well as if there are any tender spots or increased muscle tension within those muscles. Once the exam portion of the evaluation is complete you and your therapist will go over the findings and together create an individualized plan of care that may include: manual therapy, therapeutic exercises, muscle re-education, stretching and patient education.

Manual therapy image

Manual Therapy

How We Achieve A Better Diagnosis with Less Discomfort

What is manual therapy? Manual therapy is a method physical therapy that involves the therapist feeling exactly how your body reacts to specific movement and exercises. A lot of pain and discomfort comes from lack of mobility or a small range of motion. Through simple movements and exercises, we're able to get your body used to these motions again, reducing or completely removing your pain.

Manual therapy includes a detailed biomechanical assessment. This means that your therapist will watch and feel how you move in order to make the most accurate diagnosis possible. This leads to faster recovery times and improved outcomes.

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Benefits of Manual Therapy

Manual therapy icon

More accurate diagnoses and understanding of pain

Manual therapy icon

Less discomfort and pain during treatment

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Therapist can feel where there is tension and mobility issues

 

How We Handle Pelvic Floor Pain

Focused, Expert Care

Our pelvic floor physical therapist is skilled in the evaluation of the pelvic floor musculature and associated structures. She works one on one with the patient to educate them and develop a personalized rehabilitation program involving their goals to achieve the optimal results.

  • Manual therapy techniques
  • Therapeutic modalities for Pelvic dysfunction:
    • Electrical stimulation
    • SEMG Biofeedback
    • Ultrasound
  • Therapeutic exercise and functional training
  • Behavioral modification
  • Patient education and goal setting
  • Team approach involving your doctor and other healthcare providers

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Real Reviews From Real Patients

See What Our Patients Are Saying

COVID-19 Update

We're Ready to Treat You Again

We're reopening our doors to patients with additional precautions to our usual procedures. We will maintain a 6-foot minimum distance between all treatment tables in our clinic. Our team is also trained to sanitize and wipe down all surfaces and equipment before and after use. We're ready to get back to helping you feel pain-free again, so we're here when you're ready.

Need treatment, but not comfortable coming into our office? No problem. Call us at (619) 544-1055 to schedule a video evaluation.

We'Re Ready For Your Call

Call Our Expert Team

(619) 544-1055

 
Office Hours

Monday - Friday: 7AM - 7PM

Saturday: By Appointment

Sunday: Closed

 

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    Mark Shulman

    Dr. Mark Shulman

    Doctor of Physical Therapy (DPT), FAAOMPT, COMT, CSCS

    Founder

    Fellow of the American Academy of Orthopaedic Manual Physical Therapists.


    Mark Shulman

    Dr. Allison McKay

    Doctor of Physical Therapy (DPT), PRPC

    Co-Founder


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    Contact Information

    (619) 544-1055

    info@pteffect.com

    Fax: (619) 544-1056

    The Physical Therapy Effect

    1601 Kettner Blvd Suite 11
    San Diego, CA 92101