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Treatment

Treating Pelvic Disorders

The pelvic floor is a sling of muscles stretching from the lower part of the abdomen in front to the tailbone in the back. These muscles support the bladder, the descending colon and the genital and rectal area. They stabilize connecting joints, assist in urinary and bowel continence, are involved in sexual performance and orgasm, and help circulate blood and other fluids in the pelvic region.

Pelvic floor muscles can be weakened in many ways, including childbirth or postpartum pelvic pain, obesity, chronic coughing, heavy lifting, high impact exercise, age, or the straining of chronic constipation. Compromised pelvic muscles can be involved in a wide range of disorders and conditions.

In our practice, we work to lengthen and strengthen the pelvic musculature in combination with neuromuscular re-education. We make treatment decisions on a case-by-case basis. Each decision is based on what will be most effective for that specific patient.

Please explore the various treatment modalities discussed throughout this website. Also, keep in mind that we encourage patients to engage in a range of alternative approaches, from cognitive behavioral therapy, acupuncture, massage and meditation to guided imagery, nutritional therapy, and lifestyle modification among other modalities. Many patients experience a break in the cycle of chronic pelvic pain and inflammation through these techniques.

When treating pelvic floor dysfunction and related pain we focus on:

  • Calming the central and peripheral nervous systems
  • Retraining these nerves to fire more appropriately
  • Decreasing tension
  • Improving blood flow to the muscles

We also work to lengthen and strengthen the pelvic musculature in combination with neuromuscular re-education. Whenever possible, we use non-pharmacologic and noninvasive interventions that expose patients to less risk than invasive measures or drug therapies. We make treatment decisions on a case-by-case basis based on what will be most effective for each specific patient.

Our Philosophy

At Pelvic Rehabilitation Medicine, we look at things differently. We consider the patient as a whole person, and we focus on the pelvic region because it’s the central core of your body. The pelvis is one of the primary regions in your body that helps your muscles, nerves, organs, ligaments and bones work together as a unified organism.

Recommended Treatment Options

Latest Reviews

5.0
Healthgrades

Review from

Source: Healthgrades | Mar 20, 2020

Recommend highly. generous with time. effective treatment.
5.0
Healthgrades

Review from

Source: Healthgrades | Mar 19, 2020

Dr. Howell spends a lot of time with her patients, listening to everything you have to say and is very thorough. She explains things well and has your health in your best interest. The office is modern and clean. It's...
5.0
Healthgrades

Review from

Source: Healthgrades | Mar 19, 2020

The office is attentive and responsive. It's a relief after dealing with so many other providers. I would recommend to anyone with pelvic pain and related problems.

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Coronavirus (COVID-19) Notification

The health and safety of our patients and employees is Pelvic Rehabilitation Medicine’s top priority. While remaining open, our Team is strictly adhering to the recommendations offered by the CDC and our disinfecting policies are meticulously executed in each of our offices. We assure you a healthy, safe environment while bringing you the exceptional healthcare you deserve.

 

To help you in this time of uncertainty and stress, please watch Dr. Scrivani's video, Managing The Stress of Social Distancing.

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