How Do You Know if You Need Pelvic Floor Physical Therapy

Let’s clear up the mystery of knowing if you need pelvic floor physical therapy!

Quite often here is limited understanding of what the pelvic floor muscles do and whether these muscles might be a problem.   The pelvic floor muscles are located inside the bones of your pelvis and sit like a hammock inside you.  On top of this hammock you have all of your organs:  bladder, bowel, uterus/prostate.  These organs are supported by the muscles.  The muscles and the organs communicate with each other and work together as partners, so if you have problems in one area (such as your bladder control) you will have problem in the other area (the pelvic floor muscles).  Pelvic floor dysfunction presents itself as pain, bladder, bowel or intimacy problems.

This is a checklist of some common symptoms you may be experiencing that can indicate you have pelvic floor muscle dysfunction.

If you have any of these then you know you need pelvic floor physical therapy:

*Pelvic Pain:  Any pain from the abdomen/spine through the pelvis/groin.  This includes mid and lower back pain, SI joint pain, pubic bone pain, groin pain, tailbone pain, abdominal pain.

*Lower Back Pain: This pain gets its own bullet point because research has shown us that people with persistent lower back pain typically also have underlying pelvic floor muscle dysfunction.

*All bladder and bowel issues can also have an underlying problem with pelvic floor muscle dysfunction.  This could be fecal smearing, unexpected loss of gas, urinary incontinence, urinary urgency, painful urination, poor urinary stream, getting up at night to pee.

*Intimacy related struggles:  pain with penetration, pain with erection, pain after intimacy, poor intimacy response, inability to orgasm.

*Pelvic organ prolapse, pelvic heaviness, vaginal and pelvic pressure

*Pelvic muscle weakness, whether you can perceive it or not, is usually happening.  The muscles are commonly stiff, tight, have trigger points and operate slowly and deficiently.  Hence, the laundry list of symptoms here!  Kegels are often not the solution to the problem and, in fact, can make things worse.  So, seek expert care from a pelvic PT if you have any of these symptoms.

If you are interested to learn more about these muscles, here is a link to an article that briefly covers pelvic floor muscle anatomy.  https://www.continence.org.au/about-continence/continence-health/pelvic-floor

If you know you need pelvic floor physical therapy, what should you do?  Call us and we can help!

Well, we are here to help you!  We provide wholistic and comprehensive care to get you results!  Our compassionate, patient-centered treatment will identify underlying issues that are contributing to your problem and will treat each of these things.  This is key to your success!  By providing numerous assessment and treatment methods we can get your symptoms to improve.  We have a lot of techniques to help you improve such as:

  • Myofascial release
  • Trigger point release
  • Joint mobilization
  • Movement pattern restoration
  • Muscle firing and recruitment re-education
  • Strength and conditioning
  • Trigger point dry needling
  • Self-care education and modification of habits/behaviors that contribute to your symptoms
  • Instruction in optimizing nutritional healing to promote relief of symptoms
  • Postural correction and alignment

If you are pregnant or postpartum the pelvic floor muscles and the rest of your body change dramatically during this experience.  Unfortunately in our region of West Michigan pelvic floor physical therapy is not routinely suggested to a pregnant/postpartum person, even though we know that it helps improve how you feel!

At Purple Mountain Physical Therapy we provide a  comprehensive pelvic health physical therapy treatment program special for pregnant and postpartum women!  If you would like to read more about what we do, here is an article we wrote that details one of our postpartum patient’s experiences with us!

Purple Mountain Physical Therapy located in Grand Rapids, Michigan is a specialty pelvic health clinic that serves women and men who have any pelvic condition.  If you are still wondering “how do I know if I need pelvic floor PT?” then give us a call!  We offer a free phone consult to discuss your condition.  Call 616-516-4334 to schedule your free consult.  No problem is too simple or too difficult for us!  We commonly help people who have failed to get results from other interventions.  The men who come to us often have experienced years of pain and/or bladder & intimacy issues that have proven very frustrating, anxiety producing and depressing.  The women who come to us may also have pelvic pain or could be pregnant, struggling with postpartum recovery, have longstanding pelvic floor dysfunction that shows up as urinary incontinence, constipation, pelvic pressure, painful intimacy, “mommy tummy” or weakness in their back.  If any of these resonate with you, give us a call to schedule your free phone consult:  616-516-4334.

What’s holding you back from getting Pelvic Floor PT? All of your concerns addressed here!

We help women and men overcome their pelvic condition, naturally and wholistically, without pain medications, so that they can get back to an active life and have a smile on their face again!

You want results.  You feel uncertain about what pelvic floor PT is and, actually a little intimated by it.  You are also hesitant because your problem is personal and you don’t want to waste your time going to someone who doesn’t know how to help you.

This is your validation that you deserve to feel better and to get rid of your pelvic problem.  And that you have found the right place to receive your pelvic floor PT and help you!   What’s holding you back?

If your hesitation is that you don’t know where to go and who can help you.  Then. Stop. That. Excuse. Right. Here.  We offer expert pelvic floor PT treatments.

At Purple Mountain PT we specialize exclusively in providing wholistic, effective and expert care for pelvic floor PT. We treat all pelvic conditions that women and men experience.

When you choose Purple Mountain PT you are choosing to be proactive, to address your nagging problem and to get results.  You don’t want to waste your time, going to someone who doesn’t know how to help you.  We also understand you might feel nervous because your condition is in a private area and pelvic floor PT sounds a bit intimidating.  Rest assured, our patients tell us that their appointments are helpful, comfortable and educational, that they feel heard and understood.  In contrast to your fears and anxiety, we can assure you that your time with us will be uplifting, informative and encouraging!  Our pelvic floor PT is comprehensive, meaning a lot of our treatment occurs far away from the pelvis, such as at your shoulder blades or your thighs.  We also include lifestyle, exercise, nutrition, stress management and other wholistic interventions because these help you get results!

How can we say with confidence that we are the right choice for your pelvic floor PT?  Because our patients tell us that all the time.

If you give us a try, you will know within the first phone call if you think I may be able to help you. At your first visit you will receive an education and in-depth evaluation that is different from anything you have had with any other provider.  We’re not just making this up, our patients tell us this.  These are the types of things we hear from our patients:

I was hesitant to come to pelvic floor PT.  I didn’t know what to expect, now I wish I had come sooner because I could have felt better long ago!

I’ve gone to a chiropractor and pelvic PT for months and still have problems, I decided to try you because I like that you specialize in this.

I went to someone else, but they didn’t explain it like you.

You are my third PT and the first one to help me feel better.

My other provider never treated all the things you are treating.

At my other provider I felt like my appointments were too short to really treat everything I needed.

My other provider didn’t seem to know what my problem was and gave me a sheet of exercises to do that I knew wouldn’t help me.

I went somewhere else and they didn’t examine things nearly as in depth as you and didn’t ask me the questions you asked.  I can tell you know what you are doing here.

You get the idea.  I understand why you may be skeptical that pelvic floor PT could help you, especially if you’ve already gotten care that didn’t work.  But, many of our patients have been in your shoes and have found that by choosing Purple Mountain PT and getting wholistic and expert care, they finally feel hopeful and can see they will get better.

You will receive your pelvic floor PT care from someone who knows how to get you results!

Dr. O’Keefe has devoted her life and her curious mind to learning and treating pelvic floor conditions and all pelvic problems.  She has treated just about every pelvic condition you can imagine.  Pelvic floor PT is a path forward for you, proven in research to help you get better.  We have invested more than 2 decades into learning, studying, treating, teaching and post-graduate education focused on pelvic problems and wholisitic healing.  If you are wondering how qualified and what expertise Dr. O’Keefe has, here’s a glimpse:

  • Doctor of Physical Therapy Degree with a capstone project on physical therapy indications in pregnancy, exercise in pregnancy and a focus on pelvic conditions
  • Masters of Physical Therapy Degree with a research project on the movement patterns of individuals with total knee replacement and a heavy focus on orthopedic injuries and clinical rotations working in busy orthopedic clinics.
  • Bachelors Degree, biology major and chemistry minor with research project on blood transfusion.
  • Division I volleyball player, athlete and exercise enthusiast.
  • Certification in dry needling.
  • Tons of post-graduate education taken all over the country specific to pelvic problems.  This includes:
  • Advanced training in pregnancy and postpartum recovery, diastasis recti, birth preparation, exercise in pregnancy, pelvic girdle pain in pregnancy and postpartum and more.
  • Advanced training specific to male pelvic health & pelvic floor dysfunction including prostate conditions, chronic prostatitis pain, post-prostatectomy recovery, male erectile dysfunction, male pelvic floor dysfunction, male pelvic pain, testicular pain, hernias and more!
  • Advanced training & treatments in all bladder conditions including overactive bladder, urinary frequency and urgency, urge incontinence, stress incontinence, nocturia (getting up at night to pee), urinary retention, neurogenic bladder, neobladder post-cancer.
  • Advanced training and treatments for interstitial cystitis.  In fact, the specific treatment methods we use were researched in a 6 clinic nationwide NIH study and because they worked, the guidelines for treating IC include this exact treatment you will receive!  Here is a link to the guidelines!
  • Advanced training and treatments for painful sex, vulvodynia, provoked vestibulodynia persistent genital arousal disorder, penile pain, anorgasmia and more!
  • Advanced training and treatments for all spine conditions.  Sub-specialty in spine problems including completing a post-graduate spine certification program that was one year in length.
  • Advanced training and treatments for all orthopedic pelvic problems including SI joint dysfunction, pubic pain, sports hernia, hip labral tears, sciatica, low back pain, neck and thoracic problems, hamstring pulls, coccyx pain and more!
  • Advanced training in pelvic floor dysfunction, core, diaphragmatic breathing and coordination of these muscles to control intra-abdominal pressure and optimize bladder control and reduce pelvic organ prolapse
  • Advanced training in pelvic organ prolapse, cystocele, urethrocele, hypermobile urethra, rectocele, rectal prolapse, uterine prolapse.
  • Advanced training and treatment methods for Pudendal neuralgia, sciatica, posterior femoral cutaneous nerve injuries, obturator nerve injuries and other pelvic nerve injuries.
  • Advanced training and treatments for myofascial mobilization and fascia release.
  • Advanced training and treatments for chronic pelvic pain, chronic pain syndromes, pain neuroscience education and overlapping pain conditions.
  • Advanced training and treatments for visceral mobilization.
  • Advanced training and work experience in busy orthopedic and rehabilitation clinics, including serving as the spine specialist for failed low back syndrome, working with athletes, treating individuals with spinal cord injury, neurologic conditions, post-stroke recovery, burns and complex trauma.

You don’t settle for anything in your life, why settle for pelvic problems, a less active life and less than high quality pelvic floor PT treatment?

Do you know there is treatment for:
**Stress incontinence: you don’t have to lose pee everytime you laugh!
**Urge incontinence: you don’t have to rush to the toilet and fear losing pee
**Urinary frequency: you don’t have a small bladder! You need treatment!
**Pelvic Organ Prolapse: this is a biggie! Ladies, if you have any prolapse you can optimize the pelvic region to provide better support to the area.
**SI Joint pain: This hurts! We know your pain and we can help it!
**Gluteal tendinopathy: Does your glute hurt? We can check you out and help you figure out why. If it is tendionpathy we have a treatment program for that! If it’s something else, we know what to do to help you!
**Pubic pain: This. Is. Frustrating. To. Have. & I can help you!
**Pudendal Neuralgia: The monster of pelvic pain. It can get better!
**Sciatica: ‘nuf said. It hurts. PT helps.
**Endometriosis: The long, painful, lonely road. PT helps endo pain!
**Interstitial Cystitis: Beastly bladder condition & I specialize in treating it!
**Recurrent urinary tract infections: You probably have pelvic floor dysfunction and we can get that better to reduce your risk of another infection
**Vulvodynia: Yep, we know you are suffering silently. We specialize in helping this. It’s awful & can get better!
**Painful sex: Sex shouldn’t hurt! There’s treatment for this!
**Painful cesarean scars or other scars: We can address this and get rid of that pain! Wouldn’t it be great if your clothing didn’t hurt your scar?
**Pelvic muscle spasms: Ouch. Yep, they feel just like you imagine. & I can help them go away.
**Pelvic Floor Dysfunction: All those muscles “down there” not quite working right? I can help that.
**Constipation & straining: Believe it or not, the pelvic muscles and involved in this problem and I can help you! Take care of it so you don’t give yourself a prolapse.
**Pregnancy related pelvic girdle pain: My specialty!!
**Postpartum recovery: Again, this is my jam! I love to help you get back to feeling strong and confident as you recover.
**Birth trauma injury: I have seen them all & I can help you!
**Chronic prostatitis pain: PT is the way out of this problem!
**Testicular, penile or vulvar pain: PT works! I can help you!
**Persistent Genital Arousal Disorder: This. Is. Awful. I know it and I can help you!

Purple Mountain Physical Therapy, located in Grand Rapids, Michigan, is a specialty pelvic floor PT clinic.  We help women and men with pelvic floor dysfunction recover so they can live an active life! We have been exclusively focused on pelvic health for over 20 years and offer a level of expertise and wholistic care that you won’t find elsewhere! If you are wondering if we may be able to help you, call 616-516-4334 to talk to Dr. Maureen O’Keefe, DPT. We can discuss your symptoms and condition and determine if pelvic floor PT may help you!

Peace,

Dr. Maureen O’Keefe, DPT

Urinary Incontinence Treatment in Grand Rapids

If you are looking for urinary incontinence treatment in Grand Rapids, you have found the right place!  We provide expert physical therapy rehabilitation, based in research proven methods to improve your urinary incontinence.

Coronavirus downtime, bladder control & Deconditioning… Oh My!

Summer in West Michigan is often a favorite time of year to experience everything our beautiful state has to offer! Our community offers many paths for walking and biking, parks to enjoy and rivers for kayaking and boating. But, let’s face the facts that with the coronavirus circulating, since March many of us have had much lower activity levels. Are you now deconditioned? Taking a day off here and there is no problem, but if you’ve been consistently missing your regular run, bike ride, or gym session or notice some aches and pains showing up, you might have deconditioning.

Is my urinary incontinence because my pelvic floor and bladder have gotten out of shape?

It is possible that deconditioning is worsening your bladder control.  But, typically urinary incontinence occurs for more complex reasons beyond simply “I’m out of shape.”   When the coronavirus shelter in place orders were lifted, we heard from more than one person who told us that they were having new problems with bladder control. Their comments sounded something like this “I think I was sitting at home all those months and never had to use my Kegel muscles.” And “I think I was just always near a bathroom for 3 months so I never really had to hold my urine, my bladder got lazy.” Or “I wasn’t walking and now that I am, I just leak urine with every step, it never was like this before.” If this sounds like you, we are here to help you recover your urinary continence!

We provide detailed evaluations to pinpoint the type of urinary incontinence you are having and to identify all of the things causing it, such as weakness, muscle shortness, muscle imbalance, muscle timing and coordination problems, misalignment of the pelvis, low back pain, muscle spasms, poor habits and more!

By asking the right questions and taking a detailed history we learned that some of these women were having stress urinary incontinence (involuntary loss of urine with things like laughing, coughing, sneezing, jumping) and other women were having urge urinary incontinence (inability to hold their urine because of a strong urge to urinate) and some of them were experiencing both problems. If this might be you, please know that physical therapy for urinary incontinence works! You aren’t stuck with this problem. And, doing Kegels isn’t typically the remedy. The control of continence involves a complex coordination of the deep core muscles with breathing, body mechanics and the rest of the core muscles. An overactive bladder, in particular, benefits from specific treatments to teach it to calm down. We are here to partner with you to provide you a step-by-step program to restore your bladder control. One major professional society that leads the way in pelvic health is AUGS.  Here is a link to a straight forward brochure from AUGS that talks about bladder training and pelvic floor muscle exercises.

https://www.augs.org/assets/2/6/Bladder_Training.pdf

Reversing Urinary Incontinence with Effective Treatment in Grand Rapids

If you implement the suggestions in that AUGS brochure and you still have urinary incontinence, call us for professional help.  Our urinary incontinence treatment program in Grand Rapids is comprhensive, personalized and detailed so you get results.  You don’t need to live with embarrassing urinary incontinence.  And kegels are often not the right approach for certain types of bladder control problems. We will evaluate you to determine exactly what you need to do to recover.  We educate you on how to get this under control.  We provide expert, hands-on treatments to your back, hips, abdomen and legs because these areas are often contributing to your urinary incontinence.  Working together we can get you back to doing all the things you love!  In Michigan a prescription is not required to see a physical therapist, so if you’d like to learn more about our urinary incontinence treatment program here in Grand Rapids, or our telehealth program, contact us today!

Peace,

Dr. Maureen O’Keefe, DPT specializing in pelvic health, pelvic floor dysfunction, urinary, bowel and sexual health conditions

Overactive Bladder Treatment in Grand Rapids

If you are tired of running to the bathroom, there is help! We provide effective, natural overactive bladder physical therapy treatment right here in Grand Rapids.  We offer you the opportunity to have a normal functioning bladder, without medications and without constantly worrying about where the bathroom is located!

Top Tips to help you manage your overactive bladder

Have you noticed that you need to go to the bathroom more often than you think you should? Do you get a sudden urge to urinate and you can’t hold it like you used to? These are two hallmark symptoms of a condition called overactive bladder or urinary urgency and frequency. Patients have told me things like their bladder is “small”, “weak”, “not strong”, “different since I had my kids”, “used to be able to hold it like a horse, now have no ability to hold it”, “annoying”. To deal with this people will commonly urinate to empty their bladder even when they don’t have any urge to urinate, such as before leaving their home, or when they see a restroom and they are out and about. Also, they limit their fluid intake so their bladder doesn’t get full as easily. These strategies actually can worsen your overactive bladder.  If you are struggling with overactive bladder, contact us to learn more about our overactive bladder physical therapy treatment in Grand Rapids. We’ve helped countless people get their life back and we can help you, too!

Here are some tips to help you:

  1. When you don’t need to urinate, don’t go to the bathroom “just in case”. Urinating when you don’t have a full bladder, when your bladder is not reaching its full capacity, is teaching your body that you need to empty it before it is full. Over time, this will perpetuate your problem because your bladder will get used to emptying when it isn’t even full.
  2. Drink adequate amount of fluid (Don’t limit your fluid intake). Limiting your fluid intake creates concentrated urine and a smaller amount of urine. A smaller amount of urine is a problem because it never allows the bladder to actually fill up to a proper level and learn to hold this amount. Your bladder is actually a muscle and, like all muscles, it needs opportunities to move through its full range of motion by completely filling up and completely emptying. Low fluid intake may also irritate the bladder lining, causing you to have bladder spasms and urgency.
  3. If it is an inappropriate urge to urinate, remember, you are the boss! This simply means that if you let your bladder “win” everytime it demands to be emptied, you are setting yourself up for your bladder to be your boss. If you know you shouldn’t have to urinate yet, then work to calm your bladder down. At Purple Mountain PT we can teach you numerous strategies to get your urge to subside. One easy thing you can do is take calming, slow, deep breaths. As you do this, try to regain control over your bladder.
  4. Are certain foods or drinks contributing to your overactive bladder? Pay attention to what you’ve put into your body and see if there is a pattern. Is coffee a problem? Lemonade? Grapefruits? Some people can link their bladder urgency to food or drinks they recently consumed. Once you pay attention, then you can make different choices.
  5. Address constipation! The bladder can react to the bowel, so if you are constipated it may set off your bladder. We’ve worked with people whose bladder urgency is a signal they get when they need to defecate! If you want to calm down the bladder, go back to your bowel and work to optimize it.
  6. Consider physical therapy, it really works! If you are tired of always needing to map out where the bathrooms are located or stopping for extra bathroom breaks on your roadtrips, we are here to help. Overactive bladder responds particularly well to the treatment methods we offer you. Our specialized methods of hands-on treatment address all of your Viscerosomatic connections to your bladder. That’s a fancy way of saying we will treat the many areas of your body (hips, back, legs, abdomen, pelvic floor) that might be causing your bladder to have these bladder spasms. Together with the tricks and exercises we teach you to implement at home, you should notice a big improvement in your bladder urgency and frequency.  AUGS is the professional society that is devoted to pelvic health and they have created a simple handout regarding overactive bladder.  Here on this handout you will see that they specify that pelvic floor physical therapy is an effective and recommended treatment. https://www.augs.org/assets/2/6/OAB.pdf

We are here for you, offering effective and compassionate overactive bladder physical therapy treatment. If you are tired of having this problem, call us today to talk to Dr. Maureen O’Keefe and get your questions answered about our overactive bladder treatment program here in Grand Rapids.

Peace,

Dr. Maureen O’Keefe,DPT specializing in pelvic health, pelvic pain, bladder, bowel and sexual health conditions

Stress Incontinence Treatment in Grand Rapids

If you have stress urinary incontinence, we provide expert physical therapy solutions so you can resolve this problem and get back to doing all the things you love!

Why do I lose urine when I laugh so hard?

Urinary incontinence is often not simple and can be very frustrating. Because the human body is a complex system and there are several types of urinary incontinence, women often don’t understand which type they have and aren’t aware of effective remedies to solve it. We can’t tell you how many times women have come to us saying “I’ve been doing my Kegels and they aren’t working.” Well, our answer to them is #1, maybe Kegels won’t help you and, in fact, they might worsen your incontinence and #2 maybe you aren’t doing the Kegels properly, a very common finding. Our skilled pelvic physical therapy stress incontinence treatment in Grand Rapids includes an in-depth examination to determine what is causing your leakage, what the status and function of your pelvic floor muscles are and what needs to be done to recover your bladder control. Maintaining continence is a complex coordination of your body managing your intra-abdominal pressure and keeping your bladder’s ability to fill urine, store urine and empty at the appropriate time. For your treatment we will discover the contributing factors in your incontinence and we will treat each of these. One professional society that is laser focused on pelvic health and urinary incontinence is AUGS. AUGS has published a brochure about stress incontinence that details treatment options.  You can see on the brochure that pelvic floor physical therapy is a proven and recommended treatment for stress incontinence.  Here’s the brochure:  https://www.augs.org/assets/2/6/SUI.pdf

Stress Incontinence Treatment Works so you can jump again!

Stress urinary incontinence is the involuntary loss of urine with activities such as coughing, laughing, jumping, sneezing and raising our voice. While most of us have heard about stress incontinence, many people think is “normal” after you’ve had a baby. It is never normal to be leaking urine. Recovery of your urinary control is possible and with skilled physical therapy you will receive expert care and a customized treatment program to help you get back to walking, running, and exercise without incontinence. If you are losing urine it is likely that your muscular strategies from breathing, to abdominals, back muscles and the deep core, including your pelvic floor, are ineffective. With stress urinary incontinence, in particular, we typically find deficits in several components of coordinating these muscles together so that you can properly manage your intra-abdominal pressure changes.

Seriously, I can’t even laugh anymore??? Why won’t my stress incontinence get any better? So, here’s the deal, with each laugh there’s increased pressure generated in your abdomen. This pressure places a downward force on your bladder. Your bladder and urethra support structures should be able to keep everything in place. Your pelvic floor muscles should respond to all of this by activating and improving the support to the bladder and effectively “shutting the door” to the urethra, so no urine can escape. When this goes awry, instead what happens is a mixed-up response of any one of these things. Maybe your abdominal wall has a diastasis rectus abdominus, causing goofed up intra-abdominal pressure. Maybe you have a hypermobile urethra, so it can sag and bounce ever so slightly as you chuckle, leading to a drip, drip, drip of urine. Maybe your bladder has dropped a bit because its support is compromised. Maybe your pelvic floor muscles don’t pre-activate anymore, meaning they don’t turn on when they are supposed to. Maybe your pelvic floor muscles have deconditioned, they’re just tired and not responding. Like they’re on vacation, only they’re not, they’re supposed to be working.

Recovery from stress incontinence is more complex than simply doing Kegels. Continence is a coordination of all of your core muscles managing your intra-abdominal pressure.  At Purple Mountain PT Dr. O’Keefe provides expertise at determining how you can best recover from your stress incontinence.  Our stress incontinence physical therapy treatment program is detailed, systematic and customized to your body’s findings and it is right here in Grand Rapids.  We evaluate your breathing, abdominal wall, back muscles, hip girdles and pelvic floor and teach you how to coordinate muscular control of all of yoru core muscles to facilitate the return of continence.  This includes how to engage your pelvic floor, addressing speed, power, pre-activation, coordination, and release; this is a lot more complex than simply “do a kegel”.

At Purple Mountain PT we are experienced physical therapists with proven experience helping many people overcome their stress urinary incontinence. This is a passion of ours, it is what we do and what we’ve done for 20+ years. We are devoted to pelvic health and getting women back to being active and dry “down there.” Come give us a try and in your first visit we promise we will educate you about your own body’s performance and help you begin the process of recovery. If you would like to learn more about our stress incontinence treatment in Grand Rapids and how you can be evaluated, contact us today.

Peace,

Dr. Maureen O’Keefe, DPT specializing in pelvic health, pelvic floor dysfunction, bladder, bowel and sexual health.