Pelvic Floor Conditions

The pelvic floor is a group of muscles at the bottom of your pelvis. These muscles work to provide support to organs, resist intra-abdominal pressure, maintain continence, and perform sexual functions. The rectum, urethra, and vagina all pass through the pelvic floor. Dysfunction in pelvic floor muscles can affect any or all of these structures leading to conditions such as incontinence, pelvic pain, and organ prolapse. Pelvic Floor Muscle Therapy treats the root cause of these conditions, restoring confidence and improving overall quality of life.

    • Pelvic Pain

    • Endometriosis

    • Pregnancy/Labor Prep

    • Postpartum

    • Dyspareunia/Painful Intercourse

    • Pelvic Organ Prolapse

    • Interstitial Cystitis (IC)

    • Urinary Incontinence

    • Urinary Retention

    • Urinary Frequency

    • Nocturia

    • Fecal Incontinence

    • Constipation

    • Fecal Urgency

    • Dyssynergic Defecation

    • Diastasis Recti

    • Pudendal Nerve Pain

    • Coccyx/Tailbone Pain

    • Pelvic Pain

    • Prostatitis

    • Bladder Pain

    • Urinary Incontinence

    • Urinary Retention

    • Urinary Frequency

    • Pre & Post Prostatectomy

    • Fecal Incontinence

    • Constipation

    • Fecal Urgency

    • Dyssynergic Defecation

    • Testicular Pain

    • Pudendal Nerve Pain

    • Coccyx/Tailbone Pain

Treatment options

Pelvic floor muscle therapy can include manual techniques, stretching, exercises, and other therapies to help strengthen, relax, and coordinate pelvic floor and core muscles. Treatment plans are individualized for each patient based on severity of symptoms and patient goals.

  • Pelvic Floor Manual Therapy consists of a variety of hands-on techniques, both external and internal, that aims to reduce muscle tension, elongate muscles, and alleviate pain.

    • Soft Tissue Mobilization

    • Trigger Point Release

    • Skin Rolling

    • Cupping

  • Biofeedback training for pelvic floor dysfunction is a therapy method that uses special sensors to monitor and provide real-time feedback on pelvic floor muscle activity, allowing individuals to learn how to consciously contract and relax these muscles, thereby improving symptoms related to pelvic floor conditions.

  • Rectal Balloon Training (RBT) is a therapeutic technique used to improve bowel function and manage conditions such as fecal incontinence and constipation.

  • Education and modification suggestions for diet in order to reduce symptoms related to bowel, bladder, and pain.

    • Muscle Downtraining

    • Toileting Schedule

    • Water Intake

    • Decreasing Stress

    • Pelvic Floor specific exercises

    • Incorporating Pelvic Floor coordination into functional exercise programs and daily activities

    • Therapeutic Pilates

OUR PELVIC FLOOR SPECIALISTS

  • Aubrey Hinrichsen, OTR/L grew up in Pawnee City, Nebraska. She completed her undergraduate studies at College of Saint Mary, where she received her Bachelor of Science in Rehabilitation Science in 2013. She earned her Masters of Occupational Therapy from College of Saint Mary in 2016. She is specially trained in Pelvic Floor Muscle Therapy through the Herman and Wallace Institute and is a Lymphedema Therapist.

    Aubrey goes above and beyond to ensure her patients feel supported throughout their rehabilitation journey. She believes in actively listening to her patients concerns in order to provide personalized care tailored to their needs and goals.

  • College of Saint Mary - 2013

    • B.S. of Rehabilitation Science

    College of Saint Mary - 2016

    • Masters of Occupational Therapy

    Herman and Wallace Institute

    • Female Pelvic Floor Health & Rehabilitation

    • Male Pelvic Floor Health & Rehabilitation

    • Pregnancy & Postpartum Corrective Exercise

  • Erin Dick, OTD, OTR/L is from O’Neill, NE. She completed her undergraduate degree in Psychology at the University of Nebraska Kearney in 2014. She then continued her education at Creighton University, earning a Clinical Doctorate in Occupational Therapy in 2017. She is specially trained in Pelvic Floor Muscle Therapy through the Herman and Wallace Institute.

    Erin understands how daily lives and social interactions can be negatively impacted by pelvic floor dysfunction. She enjoys helping patients meet their individual goals and seeing the positive impact that pelvic floor rehabilitation has on quality of life for men and women at all stages of life.

  • University of Nebraska Kearney - 2014

    • B.A. Psychology

    Creighton University - 2017

    • Clinical Doctorate in Occupational Therapy

    Herman and Wallace Institute

    • Female Pelvic Floor Rehabilitation

    • Male Pelvic Health & Rehabilitation

    • Rehabilitation for the Pregnant Patient

    • Postpartum Rehabilitation

    • Mobilization of the Myofascial Layer

    • Pregnancy & Postpartum Corrective Exercise