Check out all the ways we can help!
Peeing Problems? We can help!
Stress urinary incontinence (urinating/leaking with exercise, laughing/coughing/sneezing, etc.)
Urge urinary incontinence (sudden, uncontrollable need to urinate triggered by specific activities/situations, or without any clear cause)
Painful bladder syndrome (interstitial cystitis)
Love Your Guts Again
Fecal incontinence: leaking stool or losing control of bowel movements
Irritable bowel syndrome (IBS)
Anal/rectal pain from issues like anal fissures, fistula, hemorrhoids, etc.
Pudendal neuralgia/levator ani syndrome: a type of nerve compression that can cause incontinence and/or pain in the saddle region
Tailbone/coccyx pain (coccydynia)
Comprehensive Care for Women of all Ages
- Bladder and bowel incontinence (see above)
Chronic pelvic pain, with or without back pain
Vulvar pain (vulvodynia)
Pain with sex/penetration (vestibulodynia, vaginismus, dyspareunia)
Pelvic organ prolapse (POP)
Pain associated with endometriosis
Women's health in later life: osteopenia/osteoporosis, post-hysterectomy care, etc.
Medicine for the Mamas
Pregnancy-related pain: low back and hip pain, pelvic pain, etc. during and after pregnancy
Pain associated with breast feeding and caring for your baby
Diastasis rectus abdominis (midline separation between the abdominal muscles)
Painful sex (dyspareunia) after pregnancy
Yes, we can help you guys too!
Male pelvic pain
Urinary and fecal incontinence
What the heck IS pelvic floor PT?
Pelvic floor physical therapy is specialized treatment for people with a variety of problems related to the muscles, joints, nerves, and other components of the pelvis and surrounding structures. People of all genders and all ages can experience pelvic floor problems; some common issues include urinary or fecal incontinence, pelvic pain, pain with sex, and bowel dysfunctions like IBS and constipation. Pelvic floor PT can also help people recovering from significant health changes such as pregnancy or urogynecologic surgeries (hysterectomy, prostatectomy, etc.)
What conditions can a pelvic floor PT treat?
Pelvic floor PT can address tons of different types of issues! These may include (but aren't limited to):
Stress, urge, and mixed urinary incontinence
Many types of pelvic pain, including painful sex
Pelvic floor PTs can help people of all genders! Check out the "Conditions Treated" section for more details.
What can I expect during my first visit for pelvic floor PT?
At this point, you may be expecting the worst, imagining a visit filled with speculums, probing, and awkward questions. There's no need to fear: the staff at Roaring Fork Physical Therapy are consummate professionals with training and experience designed to make your pelvic floor PT experience a positive one. The first visit involves a thorough history-taking, during which you will discuss your current problems, previous treatment history, and relevant medical conditions. This may include discussion of more sensitive topics such as urinary and bowel habits, and sexual function: forming an accurate picture of your overall pelvic health is key to helping your therapist formulate an individualized plan of care for you that also takes into consideration your comfort level with these topics. The physical examination often starts with a global assessment of your movement patterns, in particular your lower back, hips, and even your breathing patterns. If your therapist determines that an internal pelvic floor assessment is necessary, she will discuss this with you, and will always obtain informed consent, considering your values and overall comfort level. Your safety and comfort are paramount to us, and a variety of accommodations can be made for each patient in order to insure the most positive experience possible.
What sort of interventions do pelvic floor PTs use to help patients?
Pelvic floor PT can involve a wide variety of techniques designed to decrease symptoms and improve function. These may include:
Therapeutic exercise to improve strength and endurance of the pelvic floor muscles, as well as related structures in the hips, glutes, abdomen, back, and even the diaphragm.
Manual therapy to address problems with joints, muscles, connective tissue, etc. This may involve joint mobilization, soft tissue work, and manually guided muscle activation, and may include both external and internal work, according to each patient's comfort.
Neuromuscular re-education and biofeedback techniques to optimize activation and coordination of muscle groups critical to pelvic health and function.
Therapeutic activities and education to address patterns and habits that can impair ideal bladder, bowel, and sexual functions.
Education in a home program to supplement and complement the interventions performed with your therapist in the clinic. This may include, but is not limited to, specific exercises for strength, endurance, and coordination of the pelvic floor and associated muscles, tracking activities such as bladder diaries or dietary logs, and symptom management techniques such as breathing re-training or guided relaxation.
Will my insurance cover my treatment?
It might! If your insurance plan includes coverage for outpatient physical therapy, we can bill your insurance for pelvic floor PT under this benefit. We accept most major insurance plans at Roaring Fork PT. However, every plan is different, so our billing staff will work with you to determine your coverage. We also have cash pay and payment plan options available for those with insurance that does not cover PT: call us today to find out how we can help!
How long does pelvic floor PT take to work?
Good question! The length of treatment can vary widely based on each patient and each condition. For example, many patients with relatively simple stress incontinence can start to see some improvement in their symptoms within the first few visits (though full resolution usually takes longer). For patients with more complex conditions and/or medical histories, a course of care may require several months of intervention; in-clinic visits may be quite frequent or significantly spaced out, depending on your needs and goals. Your therapist can usually give you a more specific estimate of your individual prognosis after the first 1-2 visits.
How often do I have to come in for appointments?
Here's another case where it depends: many patients may only need to attend care once a week for a few weeks, and can gradually space visits further apart as they improve. Much of their pelvic floor PT may consist of home exercises and behavioral modifications in their daily routines. Other patients may need more hands-on manual therapy and closer supervision by the therapist, and they may need to come to therapy more often, at least in the beginning. Your therapist will work with you to create a plan of care that works with your schedule and goals.
Scheduling and Hours
Flexible appointment times at the Basalt and Carbondale Locations of Roaring Fork Physical Therapy
Tues: 1 pm - 7:30 pm
Wed: 3:30 pm - 6:30 pm
Thurs: 8 am - 2 pm
Fri: 1:30 pm - 5:30 pm
Sat: 7 am - 1:30 pm
Wed: 8 am - 2:30 pm
Fri: 7 am - 12 pm
About Your Therapist
Caitlyn Tivy, PT, DPT, OCS, CYT
Dr. Caitlyn Tivy earned her degree from the Doctor of Physical Therapy program at the University of Colorado's Anschutz Medical Campus, a program currently ranked in the top 15 of more than 200 PT schools in the US. She went on to complete a residency in Orthopedic Manual Physical Therapy with Evidence in Motion in Austin, TX, and was awarded the designation of Orthopedic Certified Specialist (OCS) by the American Board of Physical Therapy Specialities in 2018. She is one of four board certified orthopedic specialists in the Roaring Fork Valley, and the only specialist serving patients down valley of Aspen.
She has completed additional specialty training in pelvic floor physical therapy through the Herman & Wallace Pelvic Rehabilitation Institute. She is passionate about expanding public awareness of pelvic floor physical therapy as a safe and effective treatment for issues that many people consider untreatable or are afraid to even ask about. She also uses her 5+ years of experience as a certified yoga teacher (CYT) to inform and enrich her treatment approach. She is honored to serve the Roaring Fork Valley and provide pelvic health care that was previously unavailable in this area.