Services at Flow Physiotherapy

  • Pelvic pain/dysfunction (tightness and pain)

  • Coccydynia

  • Pubic symphysis dysfunction

  • Dyspareunia (pain with intercourse)

  • Vulvodynia

  • Vestibulitis

  • Vaginismus

  • Endometriosis

  • Interstitial cystitis (painful bladder syndrome)

Pelvic Floor Physical Therapy

Common conditions treated include:

  • Pain from hemorrhoids, fistula, anal fissure

  • Perineal/episiotomy scar

  • Urinary/fecal incontinence

  • Urinary urgency/frequency

  • Female sexual pain and dysfunction

  • Prolapse: (pelvic pressure) cystocele, uterocele, rectocele, urethrocele

  • Pudendal Neuralgia

  • Post-operative care: hernia repair, hysterectomy, myomectomy

  • Pelvic girdle pain: pubic symphysis dysfunction, sacroiliac pain, coccyx pain

  • Diastasis recti abdominis (DRA) rehabilitation and prevention

  • Pelvic floor dysfunction, strengthening, and prevention

  • Postpartum pain and weakness

  • Back and hip strengthening

  • Upper back and neck pain

Prenatal/Postpartum Physical Therapy

Common conditions treated include:

  • Preparation for labor and delivery

  • Cesarean section scar pain and mobilization

  • Perineal scar/episiotomy scar pain and mobilization

  • Urinary incontinence

  • Fecal incontinence

  • Prolapse

  • Difficulty connecting to core

  • Sexual dysfunction

  • Spinal pain (Cervical, thoracic, lumbar, sacral, coccyx)

  • Elbow/wrist pain

  • Hip/sacral/pelvic girdle pain

  • Knee/foot/ankle pain

Orthopedic Physical Therapy

Common conditions treated include:

Frequently Asked Questions

  • The first visit will include an evaluation and treatment. We will ask questions about your symptoms, health history and goals for physical therapy. We will assess mobility, strength and perform specific and appropriate orthopedic tests to give us confirmation of diagnosis and potential pain drivers. Based upon findings, our treatments include both manual therapy and appropriate exercises. Lastly, we’ll give you a home program to initiate your care.

  • Wear comfortable clothes that are easy to move around in. Think workout gear/athleisure wear. We have private rooms available for all clients.

  • Each session typically lasts 1 hour. Expect hands on work and to move your body.

  • Pelvic floor physical therapy involves treating pelvic floor muscles, part of our deep core system. The pelvic floor muscles are responsible for a variety of functions including supporting the pelvic organs, assisting in bowel and bladder control, and contributing to sexual pleasure. These muscles can be painful and tight or weak/injured in both men and women. These muscles are assessed via vaginal or rectal palpation. All examinations and interventions are based on patient comfort. Examining the lumbar spine, hips and pelvis are also an important part of pelvic floor PT.

  • Anyone suffering from pelvic pain, sexual dysfunction, or urinary/bowel dysfunction are good candidates for pelvic floor PT (all genders). Every postpartum mother would benefit from receiving pelvic floor physical therapy (both vaginal and cesarean section deliveries), those rehabbing diastasis recti abdominis (DRA), as well as those recovering from postoperative pelvic and abdominal surgeries.

  • No. Virginia allows Direct Access to Physical Therapy Treatments. It means that you are legally permitted to see a Physical Therapist for evaluation and treatment without a physician’s referral (prescription). In Virginia, treatment can be rendered for up to 30 calendar days without a referral.

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