Rehabilitation Services
443-481-1140
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Health Sciences Pavilion
Suite 404
2000 Medical Parkway
Annapolis, MD, 21401

Women’s Health Rehabilitation Services

Our Women’s Health Rehabilitation team specializes in caring for women who are experiencing issues including pelvic pain (such as pain with intercourse, pain with gynecological visits), coccyx pain, and incontinence of bowel and bladder.  We help our patients learn more about pelvic health and options for therapies that strengthen and improve the function of pelvic floor muscles, treating women of all ages with sensitivity, empathy, compassion and a sense of humor.

The team provides comprehensive care to relieve conditions such as:

  1. Stress, Urge, Mixed and Functional Incontinence
  2. Overactive bladder or Urinary Frequency
  3. Pain with intercourse
  4. Pelvic or Coccyx pain with sitting and other activities
  5. Postural mal-alignments and musculoskeletal imbalances

 

Using biofeedback and other techniques, our experts help women train muscles in specific ways to treat these conditions.  We utilize methodologies which incorporate knowledge of the complex parasympathetic and sympathetic nervous systems that operate organs in the pelvic floor, as well as the central nervous system which works with the muscles that:  a) support the pelvic floor and abdominal organs, b) aid in function of the pelvic floor organs, and c) allow healthy vaginal function/intercourse. 

Our specialists also employ a holistic approach to pelvic health, incorporating dietary recommendations to assist with prevention of incontinence, frequency and constipation as well as behavioral training.

We can help resolve all of these conditions by first evaluating your particular problem and designing an individualized program of care.  Treatment options include: 

Pelvic Floor Biofeedback:  This treatment provides visual and auditory feedback on both the strength of the pelvic floor muscles and their ability to relax at a normal level.  Learning how to properly contract and relax these muscles, along with the correct technique for performing pelvic floor exercises, can be vital to recovery.
Manual Techniques:  Gentle myo-facial release, massage, gentle scar tissue mobilization, joint mobilization, Strain Counter Strain and trigger-point release can be used to relax tight tissue, balance muscles and mobilize joints
Modalities:  Ultrasound, electrical stimulation, hot or cold packs and electrical stumulation may be used.
Education:  There is a wealth of information about pelvic pain, incontinence and women’s health in general, and our team will suggest resources to help you to better understand your condition and treatment.
Exercise:  Stretching and strengthening exercises may be prescribed to decrease pain. You will be given a home exercise program to treat the pelvic floor muscles as well as any other musculature that is unbalanced and may be a contributing factor to your pelvic issues.
Behavior Modification: Treatment includes use of pelvic floor contractions for urge control, diet changes, and instruction in functional activities to improve the use of pelvic floor muscles during activities of daily living.
For more information, our therapists suggest:

American Urogynecologic Society
https://www.augs.org

Endometriosis Association
http://www.endometriosisassn.org

International Cesarean Awareness Network
http://www.ican-online.org

International Foundation for Functional Gastrointestinal Disorders
http://www.ican-online.orgwww.aboutconstipation.org
and
http://www.ican-online.orgwww.aboutibs.org
 
International Pelvic Pain Society
http://www.pelvicpain.org

Interstitial Cystitis Association
http://www.ichelp.org

National Association for Continence
http:// www.nafc.org

National Vulvodynia Association
http://www.nva.org

Section on Women’s Health
http://www.womenshealthapta.org

Simon Foundation for Continence
http://www.simonfoundation.org
Vaginismus.com
http://www.vaginismus.com