Bladder Conditions
- Stress Urinary Incontinence
- Urge Urinary Incontinence
- Mixed Urinary Incontinence
- Insensate Urinary Incontinence
- Incomplete Bladder Emptying
- Slow or Hesitant Urinary Stream
- Urinary Frequency
- Urinary Urgency
- Frequent UTIs
- Pain or Burning with Urination in the absence of UTIs
- IC Related Pain
- Nocturia
Bowel Conditions
- Constipation
- Fecal Incontinence
- Pain with Bowel Movements
- Fecal retention/difficulty to empty
Back Pain and Orthopedics
- Pain in the mid to lower back
- Neck pain
- Shoulder pain
- Hip pain
- Sacroiliac pain
- “Popping” sensations with movement of the shoulders, neck, back, or hips
- Pain with sustained postures such as repeated work positioning or ergonomics of leisure activities
- Decreased ability or limitations in performing activities of daily living (ADLs) or leisure activities due to problems with your neck, back, shoulders, or hips
- Weakness in your neck, back, shoulders or hips
- Tightness in muscles of neck, back, shoulders, or hips
Osteoporosis and Osteopenia
- Broken bones
- Poor posture
- Pain related to osteoporosis
Teen and Young Adult
We specialize in treating girls from ages 10 through 19. We work closely with Dr. Mia Swartz, who is the only Northwest urologist that treats these conditions in this age group.
More Information
Breast Cancer
- Tightness in arm, chest or side during movement
- Scar tissue discomfort
- Weakness in affected arm
- Desire to return to normal activity but not sure where to start
- Constant fatigue
- Trouble lifting arm for radiation treatment
- Decreased range of motion
- Pain in chest or upper back muscles
Pregnancy and Postpartum
- Pain during pregnancy
- Pain after pregnancy
- Diastasis recti
- Pain associated with c-section or episiotomy scars
- Bladder and bowel issues following delivery
- Pain with intercourse following delivery
TMJ
- Inability to fully open or close mouth
- Teeth grinding
- Pain and/or popping with jaw movements/eating/chewing
- Jaw locking in opening or closing
Vestibular
- Sense that the room is spinning with/without nausea
- Can be provoked by body/head movements or change in position
Pelvic Organ Prolapse
While physical therapy cannot fix your prolapse, it a proven way to decrease and in some cases eliminate the issues that your prolapse creates.
Pelvic Pain and Pain with Intercourse
- Pain with intercourse (dyspareunia) and/or sexual activity
- Pain with orgasm
- Persistent Arousal Syndrome
- Vaginismus
- Vulvodynia
- Pudendal Nerve Pain
- IC Related Pain
- Pelvic Pain
- Pain with Tampon Placement
- Pain in the back, hips or muscles of the pelvis
- Pain in the abdomen or flank
Pre and Post Surgery
- Reduce muscle spasms
- Improve pelvic floor relaxation and contraction
- Improve breathing, posture, alignment and coordination
Pre and Post Botox
- Reduce muscle spasms and pain
- Reduce pelvic floor muscle tension
Pelvic Floor Treatments
How Pelvic Floor Physical Therapists Can Help You
Overview
Pelvic pain and incontinence issues are not normal – and you don’t have to suffer in silence.
Our all-female staff will do everything it can to put you ease and make your visits comfortable. We want to know why you’ve come to us, and what you hope to accomplish.
Pelvic floor issues, including bowel, bladder and pelvic pain conditions, need to be thoroughly evaluated. All of our therapist are highly trained in pelvic floor dysfunction.
What We Evaluate
- Subjective reports of current pain, bladder/bowel and sexual function
- Muscular trigger points
- Proper performance of pelvic floor contraction and relaxation
- Posture and musculoskeletal alignment of back and pelvis
- Pelvic floor and abdominal strength and endurance
- Breathing
- Hip and back strength
- Reflexes
- Muscle length
- Mobility of the spine and pelvis
Treatment
In order to provide the best treatments we will take into consideration your past medical history, information gathered from evaluation, and your current problems. Your physical therapist will create a program specially tailored to the goals you would like to achieve.
- Manual therapy/soft tissue work to the pelvic floor and surrounding area
- Exercise instruction to perform pelvic floor contractions correctly
- Surface EMG/Biofeedback to pelvic floor improve patient awareness of correct muscle use
- Education on changing diet to avoid bladder irritants, appropriate daily fiber and water intake
- Bladder retraining
- Therapeutic modalities including ultrasound and electrical stimulation to improve muscle tone and decrease muscle spasms
- Posture education
- Clinic and at home exercises
Success Stories
We have helped thousands of women resume healthy, everyday lives. Hear from a few of our patients how we helped them recover from overactive bladder, stress incontinence, pelvic pain and more…
Teen & Adolescent Program
As if the teenage years are not hard enough, it’s also a time when girls can suffer in silence with issues of incontinence, voiding dysfunction, pelvic pain, painful sex and constipation. Some may be unable to wear a tampon, others may be dealing with recurrent UTIs.
In many of these cases, the cause is a hypertonic/tight pelvic floor, which is treatable. We can help.
Education & FAQ
For more information about symptoms and pelvic health education, browse our Resources page.
Information For Referring Providers
Why should I refer my patients to an EvergreenHealth Urology & Urogynecology Care physical therapist?
- We keep you updated on your patient’s progress, because we believe communicating with referring providers allows for optimal results. We send our evaluations, monthly progress notes and always call if we have any concerns.
- We have over 45 years combined experience with special expertise in women’s pelvic floor physical therapy.
- We are recognized as thought leaders and experts in advanced pelvic physical therapy rehabilitation and are invited speakers at continuing education events for physicians, nurses and physical therapists.
- All therapists are licensed to practice the full spectrum of physical therapy and have the advanced skills to tailor a rehabilitation program that is personally tailored to meet the needs of each client.
- We don’t employ PT aides; your patient will see the same physical therapist for their entire treatment.
- All appointments are a full hour.
- Your patient’s treatments take place in private rooms, not in an open gym.
- We are an integral part of the clinical research programs that look for new treatment modalities to improve women’s pelvic health. Our programs are based on the latest medical evidence and our clients have the opportunity to participate in cutting edge research and improve the lives of women.
- In addition to pelvic floor rehabilitation, we also have programs for women with vestibular disorders, TMJ dysfunction and various other orthopedic conditions. We also can help women recovering from breast cancer surgeries including reconstruction.
- Our clients are discharged with avenues to continue with exercising/healthy lifestyle options and we invite them back for events that are both fun and educational.
Women’s Health Clinic
EvergreenHealth Urology & Urogynecology Care (formerly Athena Women’s Health) offers innovative female pelvic medicine and reconstructive surgery (FPMRS), urology, and physical therapy (PT) services for women and girls.
Our philosophy is to provide comprehensive programs that start with the diagnosis and utilize holistic, rehabilitative and curative care plans. Where surgery is required, your care plan may include pre- and post- operative PT to rehabilitate your pelvic function.
From the ease of making your first appointment, to the comfort of our office, to the compassionate expertise of our all-women staff and FPMRS board-certified doctors, we are dedicated to restoring your pelvic health and wellness.
Call today for a consultation (425) 392-8611 or request an appointment via our online form and we will call you within one business day.