Pelvic Floor Therapy in Abilene
Leaking when you laugh, pressure that will not let up, pain nobody warned you about: it is far more common than you have been led to believe, it is treatable, and you do not have to live around it.
What is pelvic floor therapy?
Your pelvic floor is a group of muscles slung across the base of your pelvis, and it carries more of your day than almost any muscle group you can name. It supports your bladder, bowel and pelvic organs. It opens and closes so you can empty when you choose to. It braces your spine and hips every time you stand up, lift a grandchild, cough or sneeze. Like every other muscle group, it can end up weak, or gripped too tight, or simply out of step with the muscles around it. That is what is behind the leak with a laugh or a sneeze, the urge that arrives so fast you plan your routes around bathrooms, the heaviness and pressure of prolapse symptoms, pain through the pelvis, tailbone, hips or low back, and pain with intercourse. Pelvic floor therapy is physical therapy for those muscles. Your therapist assesses how they contract, how they let go, how they coordinate with your breathing and your abdominals, and how your hips and low back are feeding the problem. Treatment can include hands-on work, breathing retraining, strengthening, learning to release muscles that will not stop holding on, bladder and bowel habit retraining, and biofeedback, which uses a sensor to show you what those muscles are doing so you can learn to steer them.
Here is the part nobody says out loud. Most people who need this care wait years before they ask for it, and the reason is embarrassment, not indifference. You are not unusual. You are not broken. You are not the first person to sit in that chair and struggle to find the words for it, and you will not be the last this week. Treatment happens in a private room with the door closed. Every step is explained before it happens, you are asked before anything is done, and you can slow it down or stop it at any point without explaining why. Dr. Taci Wilson, the clinic owner, has specialized training in women's health pelvic floor therapy. Tonya Mills has special training in women's health, and Angie Hoerner is trained in biofeedback for incontinence.
Who it's for.
If you have been leaking, bracing, avoiding or hurting, you are in the right place, whatever your age and whether you are a woman or a man. In Kansas most people can start without a physician referral, and we verify your plan before your first visit so nothing surprises you afterward.
Leaking, urgency, and knowing every bathroom
You leak when you cough, laugh, run or lift, or the urge hits so fast you barely make it. So you wear a pad, plan the route, and quietly say no to things you used to say yes to. This is a muscle and coordination problem, and muscle and coordination problems respond to training. It is not the toll of having had children, and it is not just what happens with age.
Pelvic pain and pain with intercourse
Pain through the pelvis, tailbone, hips or low back that nobody has been able to explain to you. Pain with intercourse, with sitting, or during a routine exam. Muscles that are too tight to release cause pain every bit as reliably as weak muscles cause leaking, and they can be treated just as directly once someone actually assesses them.
Pregnancy, postpartum, prolapse and prostate surgery
Preparing your body before delivery, rebuilding it afterward, or working through the heaviness and dragging pressure of prolapse symptoms. Men regaining continence and control after prostate surgery. Different starting points, one road: retrain the muscles, retrain the coordination, and stop organizing your life around the symptom.
What to expect in a session.
You set the pace. Nothing happens before you have heard what it is, why it matters and what it will feel like, and nothing happens at all if you say no.
A conversation, behind a closed door
The first visit begins with talking, in a private room, fully clothed. Your therapist asks about your symptoms, your history, your bladder and bowel habits, deliveries or surgeries, and what you have stopped doing because of this. It is direct, and it is not awkward on our side of it. Tell us as much or as little as you are ready to.
An assessment you agree to, piece by piece
Your therapist explains each part of the assessment before it happens and asks your permission for it. That includes your posture, breathing, hips, abdominals and low back, and, only if and when you agree to it, an internal assessment of the pelvic floor muscles themselves. You can decline any piece of it and still be treated.
The plan, and honest measurement
You leave understanding what your muscles are doing, why that produces your symptoms, and what changes it. The plan might be strengthening, learning to let go of muscles that grip, breathing work, habit retraining or biofeedback. We re-measure as we go and tell you plainly what is moving and what is not.
An internal pelvic floor assessment is never a condition of being treated here. It is offered because it gives the clearest picture of what those muscles are doing, it is always explained first, and it never happens without your permission. Treatment takes place in a private room. You may bring someone with you, you may ask to pause, and you may stop at any point without giving a reason. If you have questions before you book, call us at (785) 263-3646 and ask them.
I have been privileged to have the excellent professionals at this facility provide physical therapy treatments to me for differing physical problems.
Where to go next.
Physical Therapy
Real, one-on-one care that treats the cause of your pain and gets you back to moving.
Dry Needling
Precise trigger point release to quiet muscle knots and break pain cycles.
Back Pain & Sciatica
The most common reason people find us. We treat the cause, not the symptom.