Women’s Health


Women’s bodies are unique.

Women have specific health concerns and challenges that require a specific skill not available in traditional rehabilitation practices.

Women can be conservatively treated by our providers for common physical ailments including: pregnancy-related aches and pains, pelvic floor dysfunction, leakage, constipation, osteoporosis and fibromyalgia. At PSSM, our Women’s Health experts can help relieve pain, restore mobility and strengthen patients with natural chiropractic and physical therapy treatments. Our multidisciplinary approach offers advantages to treating the following conditions:



Vulvodynia is chronic vulvar pain without an identifiable cause. The vulva is often red, irritated and painful to the touch. PT can help with education regarding irritants, myofascial work on the pelvic floor to release spasm and biofeedback related pelvic floor downtraining to decrease and contributing muscle spasm. Please visit www.nva.org for any additional information regarding this condition

Post-Mastectomy Scar Tissue and Immobility:

A mastectomy can leave you feeling sore, weak and limited with regards to your shoulder and back mobility. PT can help ease the transition back to everyday life by increasing your range of motion and strength in a gentle manor, specific to your post op needs.


Dyspareunia is defined as painful intercourse. There are many potential causes to this diagnosis including: hormonal imbalance, structural changes, trauma and vulvodynia. Low estrogen levels can cause vaginal dryness and decreased tissue pliability. Physical injury or birth trauma can cause spasm of the pelvic floor muscles resulting in high tone and increased resistance to penetration. Physical therapy for dyspareunia focuses on decreasing pelvic floor spasm with internal trigger point release, dilator training, and pelvic floor muscle downtraining (guided meditation). Please enjoy this free link to Dustienne Miller’s guided meditation

SI Dysfunction:

The sacroiliac joint can be a source of low back pain during any point of a women’s life. This joint is especially susceptible during pregnancy and is helped by muscle energy techniques to re-align the pelvic followed by specific corrective exercises to make sure it doesn’t ail you again!


Tailbone pain can happy without incident, after a slip or fall or after a traumatic childbirth. The tailbone is at the very end of the spine held in place by the coccygeus muscles. The coccygeus muscles are part of the pelvic floor and spasm can cause significant pain/discomfort. Physical therapy helps with tailbone pain by relieving coccygeus spasm and re-training important movement patterns.

Urinary leakage :

Urinary leakage or increased urinary frequency, or urgency can significantly affect a person’s quality of life. Suboptimal urination patterns can be caused by overactive pelvic floor, underactive pelvic floor or pelvic organ prolapse (cystocele or rectocele). Physical therapy can help with manual biofeedback, pelvic floor re-training (relaxation vs strengthening) and pelvic floor trigger point release

Postpartum pelvic pain:

Childbirth can leave the pelvic misaligned and weak in structure. Physical therapy can help re-align the pelvic with corrective exercise and strengthen the pelvic floor to its optimal functional state.

Neck pain :

Cervicogenic neck pain can cause headaches and significant, distracting discomfort.

Mid & Low Back pain:

Physical therapy focuses on alignment correctives and pilates and yoga based core strengthening to heal and prevent future back pain.

Myofascial restrictions:

Myofascial release can provide freedom from muscular tightness and structural tension

Postural imbalances:

Prolonged poor posture can lead to significant spinal pain. It’s important to address poor postural alignment in order to prevent future injury and live a healthy, happy lifestyle


Pain Management for Women’s Health

Women are a top priority at Performance Spine and Sports Medicine and we are at the forefront of cutting edge technology. When conservative measures alone do not achieve the benefits you are looking for, other minimally invasive procedures may be employed after a thorough and complete evaluation from our highly trained physicians.

Some of these procedures include sacroiliac joint injections and radio frequency ablation of the SI joint. Both are performed under direct x-ray guidance and are useful in the treatment of low back and buttock pain from SI joint dysfunction. Coccygeal injections are also performed under x-ray visualization.

Additionally, we are using regenerative injection techniques such as prolotherapy, platelet rich plasma and stem cells to treat the various ligaments and tendon insertions across the pelvis and sacroiliac joint. Our physicians are also licensed and experienced in the practice of acupuncture for these conditions among many others.

The availability of such a variety of treatment options allows our medical and rehabilitation teams to achieve the goals and relief you’ve been seeking.

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