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I am sincerely grateful for Foundational Concepts. Sarah and her team have been my most important ally for recovery after nerve damage from a herniated disc and spinal surgery. Sarah’s knowledge, experience, and care goes beyond the pelvic floor. She informed me of pain management, therapeutic exercises, and also explained my injury in terms that helped me know the work required to heal the muscles, nerves, and my own need to create goals again. In addition, when I realized I needed more than the physical therapy provided by Sarah, I took advantage of the holistic partnership with Foundational Concepts and Worth It therapy services with Jennifer Worth. Mindfully gaining skills and using the EMDR process supported my whole recovery with chronic pain, injury, and nerve damage. All patients of spinal injuries should advocate and utilize the value of pelvic floor support and stabilization in their recovery.

-- Rachel C.

I am so impressed with my provider, Stacy. She is professional, empathetic, so helpful, and has just made this whole experience not only bearable but enjoyable. What had been a very defeating and embarrassing problem is now something I feel like I can manage and will recover from thanks to Stacy's work.  In the pregnancy/postpartum world it has been difficult to find providers who actually listen and care about you as a whole person, and Stacy has done that 100% and more. It has made such a difference in my recovery and ability to believe in myself.
So, I just wanted to say bravo to Stacy and make sure her amazing work is recognized!

 

I'm actually grateful that my physical state got to the point that I had to seek out Foundational Concepts. Because of what they've taught me in just a few sessions, my body will be happier with me for the rest of my life. I had hopes that pelvic floor PT would solve my pelvic floor issue. But I had no idea finding Foundational Concepts would also solve my recurring low back and SI joint pain!

 

I've known that my pelvis is out of alignment for 20 years. I'm a Pilates teacher, I know the importance of good body alignment. And I could get myself into alignment but I couldn't make it "stick". For 20 years I've mentioned my pelvic rotation to every chiropractor, doctor, osteopath, personal trainer and Pilates teacher that I've seen for my recurring low back pain. They all discounted it as a source of my pain, and no one could offer me a fix. So I came to think this was simply how I was put together and there was nothing to be done about it, except to regularly seek treatment from my bodyworker for some temporarily relief.

 

Then I met Sarah Dominguez at Foundational Concepts. She taught me how to align myself with an exercise that takes all of about 30 seconds. It still slips back into its habitual spot sometimes, it's lived there for more than 20 years it'll take some time to get it used to being in a new place. But thanks to Sarah's guidance in how not only to reset my pelvis, but to train my muscles to keep it there, I no longer have to try to will it into position. The evidence is pretty clear from where I sit (with my aligned pelvis)... she's a genius.

 

Sarah Dominguez is one of the finest caregivers, of any type, that I've ever encountered, and her whole practice is fantastic. Very highly recommended!

Tracy Maurstad

PMA Certified Pilates Teacher

"Sarah and I have been working together for several weeks.  My pelvic pain is related to scar tissue from surgery, poor body mechanics (carrying a grandchild on my hip), weak glutes, hip flexors that weren’t working correctly and a weak core.  I’m learning to stabilize my pelvis, strengthen my glutes, retrain my muscles and to relieve a sudden attack (internal cramping) on my own.

"Sarah, through internal manipulation is releasing some scar tissue and helping to desensitize sore tendons, ligaments and internal muscles.  It’s an education to realize that hips, back, glutes, quads, abs and diaphragm all work together.  When one body part (even very small ones) get either out of alignment or injured, there is a domino effect.  Likewise, soothing one area can carry over to other areas and all is relieved. Stress, which tends to tighten up all of my muscles, is also a factor.

"This is a specialty physical therapy and focused.  The results have been remarkable.  I went in with pain and am now, pain free. I’m on, what I call, a maintenance routine. I can set an appointment when I feel I need one, just to check out my body and fine tune the manipulations and strengthening exercises. I want to maintain what we’ve accomplished.

"I appreciate the sensitivity, kindness, knowledge and smile that Sarah brings to our sessions.  She has a very professional manner and is easy to talk to.  There isn’t anything that cannot be discussed.  I find it truly amazing that many physicians don’t know about pelvic pain physical therapy.  It was my inquisitiveness, reading and searching on the internet that I found help and relief from pain."

"I met Jenn and Sarah in 2011 after almost a year of searching for the cause of my pelvic pain. The pain had become so severe it was disrupting both my work and home life, and had left me very frustrated because no doctor seemed to have an idea what was going on. It was very embarrassing, because it’s not something men like to talk about…to anyone.

"Thanks to the caring treatment given to me by both Jenn and Sarah, I am now able to function almost pain-free in my daily life, as long as I follow the guidance they gave me for self-care. They treated my condition respectfully, thoughtfully and professionally, and gave me the tools to manage my condition for the rest of my life. No drugs, no surgery…and no more ‘not knowing.’ I highly recommend their services to anyone who is suffering from chronic pelvic pain of any type!"

"Jennifer Cumming is the consummate professional, and is extremely knowledgeable in the physical therapy field, especially pelvic floor physical therapy. I find the office environment at Foundational Concepts to be inviting, and non-stressful. Jennifer has created a complete orthopedic wellness plan following surgery that has made an outstanding difference in my quality of life. Office visits, at-home therapeutic exercise plans, stabilization and sound advice on living well with a disability.

"Jennifer and her colleagues at Foundational Concepts are extremely compassionate and are superior quality care providers. I recommend their services to all who ask about my experiences following orthopedic surgery. Foundational Concepts is also exceptional in their efforts to coordinate care with my entire medical team in other specialties (traditional and holistic). The physical therapy and emotional support I found through Jennifer Cumming at Foundational Concepts truly changed my life for the better."

"To anyone newly diagnosed with interstitial cystitis, the disease seems like the end. The end of our happiness, our well being, and the life we knew. I have been there and have felt that fear. But there is hope and light to be found, and I am living proof that it can and will get better.

"So much of my remarkable improvement is thanks so the physical therapy and muscle retraining I underwent under the expert and compassionate guidance of Sarah Dominguez. She will work with you at your own pace to help you understand why you are in pain and how to change the way your body functions in order to promote relief and a happier, healthier life. She has gone to such incredible lengths to help me heal, and I am at the point where I only go in for a bladder treatment once every four or five weeks. I recommend her to the highest degree!"

"After undergoing a cesarean section I expected my body to change, but I was not prepared for the extent of problems I would encounter. Previously healthy and active, I suddenly had constant back pain, right hip pain, a feeling of being unbalanced, and intercourse with my husband was unbearable. I work as an Occupational Therapist requiring lifting patients. I felt I was not only harming myself but putting my patients at risk. I sought help from outpatient physical therapy, chiropractic, late night Google sessions, and endless exercise programs. I improved some, but not enough. I remained dysfunctional.

"It was after a single visit with Sarah that I began to feel relief. She devoted time listening to me, assessed my body, provided extensive education, and showed me a solution. The cesarean section left my pelvic floor muscles tight and in constant contraction. Sarah taught me how to relax them. She guided me in how to retrain my body to work synergistically. Sarah even followed up with me after treatments to ensure I was making progress. She gave me back hope. Now I can work out, feel confident lifting my patients, enjoy intimacy with my husband, and I am pain-free."

"Remember when you thought 30 was old? I do. Anyone 30 or over knows now that 30 is not nearly as old as we imagined. At 53, I felt very old.

"I don’t appear old; I have been told I look and act much younger than my age. Nevertheless, I felt very old, due to incontinence. I thought incontinence only happened to “old ladies”. Not so. I have been struggling with the embarrassing, humiliating, confidence-stealing incontinence monster for almost ten years. I finally saw a urologist in 2006, after my bladder emptied completely during a fit of laughter in a parking garage. After much thought, I chose to have an outpatient surgery during which the surgeon injected collagen into my urethra to close it just enough to prevent unexpected leaking. It worked! For about three years. Then, the monster returned. I had the collagen injection surgery a second time. It worked for about two years…then, back to sneezing leaks, coughing leaks, laughing leaks.

"For most of 2013, I was leaking two, three four times a day, and it was more than a little. Sometimes, my bladder would completely empty when I did not even have the urge as a warning. It happened at home, while shopping, at work, sitting, standing, and walking. Just from a sneeze, a cough, a laugh. It truly sapped my confidence. To wonder if people could smell that little old lady’s wet underpants as she walked by, Ugh.

"I went back to my urologist, Dr. Tomas Griebling, in June 2013. He told me collagen injections are no longer used as a remedy and suggested surgery would be my best bet. He also recommended I try physical therapy and gave me a list of local providers. On his recommendation, I called Sarah Dominguez at Foundational Concepts, Specialty Physical Therapy. Sarah’s Specialty is Pelvic Dysfunction.

"She listened to my story and said she thought PT could help me. I was reluctant because of my high deductible, my health insurance would not cover any of the cost. In fact, I decided not to even try PT because of the cost. I just kept on leaking and feeling old. One Saturday, I had three glasses of wine and my bladder completely emptied as I was getting ready to have a romantic encounter with my husband. That was my breaking point.

"I called Sarah and made an appointment. At my first session, Sarah gave me exercises to do at home and a special trick to teach my bladder to slow down and wait for me. The trick worked (and works!) so well, I made it through the rest of that Friday and through the entire weekend without one tiny leak! 10 years of leaking, and I went three days without so much as a drop!

"I am so grateful to Sarah for her confidence in the techniques she teaches. I feel confident, young and hopeful again. This program worked so well for me that Dr. Griebling and I agreed surgery is no longer necessary. I baked him a cake. I gave Sarah a big hug! I highly recommend Sarah Dominguez at Foundational Concepts for Pelvic Physical Therapy."

"My initial visit to Jenn was to treat multiple annoyances that I felt I could live with. I had residual pelvic instability/muscle imbalances from a near fatal car accident, a couple bad falls, and multiple child births. Nobody’s perfect, right? After one visit, I was pleasantly surprised to find a balanced pelvis and less incontinence. Not to mention efficient movement when I biked and hiked with my family. I followed up with Sarah a couple weeks later and left with tools and exercises that improved my own self-awareness so I could hold the changes.

"These ladies are miracle workers who treat the whole body. Jenn and Sarah care about the well-being of each and every client, too. I truly appreciate the education that I took from each visit. I highly recommend to anyone who accepts the body’s annoying signals as just another thing they can live with, to make the time to see these wonderful physical therapists."

"I had been suffering from what turned out to be overly tight pelvic floor muscles for more than a decade before I started seeing Jenn. I had gone to multiple doctors through the years, but after an examination and a couple of tests, I was always told that I was fine, or that I’d just have to learn to deal with the symptoms. Not only did Jenn recognize and explain the problem, she also never made me feel like I was making a big deal out of nothing or wasting her time with trivial concerns. After two weeks, I saw a large decrease in the severity of my symptoms, and have continued to see further steady improvements. I’m so happy that I decided to reach out for answers one more time."

 

"I started physical therapy with Jen after a bad foreign body reaction to a urethral sling. The sling was fully removed 8 weeks after it was implanted. There was extensive scarring and adhesions along the urethral tubes and vaginal walls. I was experiencing horrible vaginal/urethral pain and urinary retention. I could not work or perform normal daily activities due to the debilitating pain.

"After twice weekly visits with Jen for a couple of months, the pain was down to a manageable level and the urinary retention was reduced to intermittent episodes. Prior to this, I had constant retention and pain. It has taken several months of hard work, but with Jen’s help I am now pain-free most days and the retention rarely occurs. I am very grateful to Jen for her help and feel that I would still be suffering every day if I had not gone to her for physical therapy. She helped me get my life back and I can’t thank her enough."

"I need to let you know that I had one of the most meaningful and emotional 5K runs of my life on Thanksgiving, thanks to you. I was able to run the entire 32 minutes of the 5K without ANY issues. I am forever grateful for finding out about you and all that you've done to help me heal and get back to where I was before having a baby. I was losing hope, and you have restored that for me."

 

"Having my first child was an amazing experience. I was a healthy woman who was fortunate to have a complication-free pregnancy and natural birth. With all those blessings, I have to say I was surprised when months later (after my body started to really heal) some issues came up that I didn't even know existed! I started to struggle with a separation in my abdomen and a weak pelvic floor. After trying various programs and therapies I found online, I was no closer to healing and felt like my body would never be the same.

"However, within five minutes of my first visit with Sarah, she assured me that everything I was experiencing was: A. totally normal, B. could be healed, and C. that my body could perform just as it did pre pregnancy. To say that a weight was lifted is an understatement!

"Sarah is as knowledgeable and professional as she is caring and personable. She always made me feel comfortable during appointments and empowered me to take charge of my healing process. If you are willing to do the work and follow her therapy, you will see amazing changes. Don't waste your time or money on anything other than a true healing therapist like Sarah."

"I was a patient of Foundational Concepts this winter. After just four sessions, my therapist helped me overcome vaginismus, which I'd been struggling with for 15 years. I recently had my first pain-free annual pelvic exam EVER, and my doc took "vaginismus" off my chart. I am so grateful for your clinic. I'm also a little mad that it took me so long to get referred for PT!"

Sarah and I have been working together for several weeks.  My pelvic pain is related to scar tissue from surgery, poor body mechanics (carrying a grandchild on my hip), weak glutes, hip flexors that weren’t working correctly and a weak core.  I’m learning to stabilize my pelvis, strengthen my glutes, retrain my muscles and to relieve a sudden attack (internal cramping) on my own.  Sarah, through internal manipulation, is releasing some scar tissue and helping to desensitize sore tendons, ligaments and internal muscles. It’s educating to realize that hips, back, glutes, quads, abs and diaphragm all work together.  When one body part (even very small ones) get either out of alignment or injured, there is a domino effect.  Likewise, soothing one area can carry over to other areas and all is relieved. Stress, which tends to tighten up all of my muscles, is also a factor.  This is a specialty physical therapy and focused.

The results have been remarkable. I went in with pain and am now, pain free. I’m on, what I call, a maintenance routine. I can set an appointment when I feel I need one, just to check out my body and fine tune the manipulations and strengthening exercises. I want to maintain what we’ve accomplished.  I appreciate the sensitivity, kindness, knowledge and smile that Sarah brings to our sessions. She has a very professional manner and is easy to talk to. There isn’t anything that cannot be discussed. I find it truly amazing that many physicians don’t know about pelvic pain physical therapy.  It was my inquisitiveness, reading and searching on the internet that I found help and relief from pain.

– Janet S.
Merriam, KS

I met Jenn and Sarah in 2011 after almost a year of searching for the cause of my pelvic pain.  The pain had become so severe it was disrupting both my work and home life, and had left me very frustrated because no doctor seemed to have an idea what was going on.  It was very embarrassing, because it’s not something men like to talk about…to anyone.
Thanks to the caring treatment given to me by both Jenn and Sarah, I am now able to function almost pain-free in my daily life, as long as I follow the guidance they gave me for self-care.  They treated my condition respectfully, thoughtfully and professionally, and gave me the tools to manage my condition for the rest of my life.  No drugs, no surgery…and no more ‘not knowing.’ I highly recommend their services to anyone who is suffering from chronic pelvic pain of any type!

– John W.
Lee’s Summit MO

Jennifer Cumming is the consummate professional, and is extremely knowledgeable in the physical therapy field, especially pelvic floor physical therapy. I find the office environment at Foundational Concepts to be inviting, and non-stressful. Jennifer has created a complete orthopedic wellness plan following surgery that has made an outstanding difference in my quality of life. Office visits, at-home therapeutic exercise plans, stabilization and sound advice on living well with a disability. Jennifer and her colleagues at Foundational Concepts are extremely compassionate and are superior quality care providers. I recommend their services to all who ask about my experiences following orthopedic surgery. Foundational Concepts is also exceptional in their efforts to coordinate care with my entire medical team in other specialties (traditional and holistic). The physical therapy and emotional support I found through Jennifer Cumming at Foundational Concepts truly changed my life for the better.

-Mi’Chielle C.
Emporia, KS

To anyone newly diagnosed with interstitial cystitis, the disease seems like the end. The end of our happiness, our well being, and the life we knew. I have been there and have felt that fear. But there is hope and light to be found, and I am living proof that it can and will get better. So much of my remarkable improvement is thanks so the physical therapy and muscle retraining I underwent under the expert and compassionate guidance of Sarah Dominguez. She will work with you at your own pace to help you understand why you are in pain and how to change the way your body functions in order to promote relief and a happier, healthier life. She has gone to such incredible lengths to help me heal, and I am at the point where I only go in for a bladder treatment once every four or five weeks. I recommend her to the highest degree!

– Megan A.
Kansas City, KS

After undergoing a Cesarean section I expected my body to change, but I was not prepared for the extent of problems I would encounter. Previously healthy and active, I suddenly had constant back pain, right hip pain, a feeling of being unbalanced, and intercourse with my husband was unbearable.  I work as an Occupational Therapist requiring lifting patients. I felt I was not only harming myself but putting my patients at risk.  I sought help from outpatient physical therapy, chiropractic, late night Google sessions, and endless exercise programs.  I improved some, but not enough.  I remained dysfunctional.  It was after a single visit with Sarah that I began to feel relief.  She devoted time listening to me, assessed my body, provided extensive education, and showed me a solution.  The Cesarean section left my pelvic floor muscles tight and in constant contraction.  Sarah taught me how to relax them.  She guided me in how to retrain my body to work synergistically.  Sarah even followed up with me after treatments to ensure I was making progress.  She gave me back hope.  Now I can work out, feel confident lifting my patients, enjoy intimacy with my husband, and I am pain free.

– Allie M.
Prairie Village, KS

Remember when you thought 30 was old? I do.  Anyone 30 or over knows now that 30 is not nearly as old as we imagined.  At 53, I felt very old.

I don’t appear old. I have been told I look and act much younger than my age. Nevertheless, I felt very old, due to incontinence. I thought incontinence only happened to “old ladies”.  Not so. I have been struggling with the embarrassing, humiliating, confidence-stealing incontinence monster for almost ten years. I finally saw a urologist in 2006, after my bladder emptied completely during a fit of laughter in a parking garage. After much thought, I chose to have an outpatient surgery during which the surgeon injected collagen into my urethra to close it just enough to prevent unexpected leaking. It worked! For about three years. Then, the monster returned. I had the collagen injection surgery a second time. It worked for about two years…then, back to sneezing leaks, coughing leaks, laughing leaks.

For most of 2013, I was leaking two, three, four times a day, and it was more than a little. Sometimes, my bladder would completely empty when I did not even have the urge as a warning. It happened at home, while shopping, at work,  sitting, standing, and walking.  Just from a sneeze, a cough, a laugh. It truly sapped my confidence. To wonder if people could smell that little old lady’s wet underpants as she walked by...ugh.

I went back to my urologist, Dr. Tomas Griebling, in June 2013. He told me collagen injections are no longer used as a remedy and suggested surgery would be my best bet.  He also recommended I try physical therapy and gave me a list of local providers.  On his recommendation, I called Sarah Dominguez at Foundational Concepts. Sarah’s Specialty is Pelvic Dysfunction.

She listened to my story and said she thought PT could help me. I was reluctant because of my high deductible - my health insurance would not cover any of the cost. In fact, I decided not to even try PT because of the cost. I just kept on leaking and feeling old. One Saturday, I had three glasses of wine and my bladder completely emptied as I was getting ready to have a romantic encounter with my husband. That was my breaking point.

I called Sarah and made an appointment. At my first session, Sarah gave me exercises to do at home and a special trick to teach my bladder to slow down and wait for me. The trick worked (and works!) so well, I made it through the rest of that Friday and through the entire weekend without one tiny leak! 10 years of leaking, and I went three days without so much as a drop!  I am so grateful to Sarah for her confidence in the techniques she teaches. I feel confident, young and hopeful again. This program worked so well for me that Dr. Griebling and I agreed surgery is no longer necessary. I baked him a cake. I gave Sarah a big hug! I highly recommend Sarah Dominguez at Foundational Concepts for Pelvic Physical Therapy.

– Katherine V.
Gardner, KS

My initial visit to Jenn was to treat multiple annoyances that I felt I could live with. I had residual pelvic instability/muscle imbalances from a near fatal car accident, a couple bad falls, and multiple child births. Nobody’s perfect, right? After one visit, I was pleasantly surprised to find a balanced pelvis and less incontinence. Not to mention efficient movement when I biked and hiked with my family. I followed up with Sarah a couple weeks later and left with tools and exercises that improved my own self-awareness so I could hold the changes. These ladies are miracle workers who treat the whole body. Jenn and Sarah care about the well-being of each and every client too. I truly appreciate the education that I took from each visit. I highly recommend to anyone who accepts the body’s annoying signals as just another thing they can live with, to make the time to see these wonderful physical therapists.

– Lee Anne Jester, PMA-certified pilates instructor
Kansas City
leeannepilates.com

I had been suffering from what turned out to be overly tight pelvic floor muscles for more than a decade before I started seeing Jenn.  I had gone to multiple doctors through the years, but after an examination and a couple of tests, I was always told that I was fine, or that I’d just have to learn to deal with the symptoms.  Not only did Jenn recognize and explain the problem, she also never made me feel like I was making a big deal out of nothing or wasting her time with trivial concerns.  After two weeks, I saw a large decrease in the severity of my symptoms, and have continued to see further steady improvements. I’m so happy that I decided to reach out for answers one more time.

– Josh R.
Blue Springs, MO

I started physical therapy with Jenn after a bad foreign body reaction to a urethral sling. The sling was fully removed eight weeks after it was implanted. There was extensive scarring and adhesions along the urethral tubes and vaginal walls. I was experiencing horrible vaginal/urethral pain and urinary retention. I could not work or perform normal daily activities due to the debilitating pain. After twice weekly visits with Jenn for a couple of months, the pain was down to a manageable level and the urinary retention was reduced to intermittent episodes. Prior to this, I had constant retention and pain. It has taken several months of hard work, but with Jenn’s help I am now pain-free most days and the retention rarely occurs. I am very grateful to Jenn for her help and feel that I would still be suffering every day if I had not gone to her for physical therapy. She helped me get my life back and I can’t thank her enough.

–Rhonda M., Overland Park, KS

I need to let you know that I had one of the most meaningful and emotional 5K runs of my life on Thanksgiving, thanks to you. I was able to run the entire 32 minutes of the 5K without ANY issues. I am forever grateful for finding out about you and all that you've done to help me heal and get back to where I was before having a baby. I was losing hope, and you have restored that for me.

-M.D., Kansas City

Having my first child was an amazing experience. I was a healthy woman who was fortunate to have a complication-free pregnancy and natural birth. With all those blessings, I have to say I was surprised when months later (after my body started to really heal) some issues came up that I didn't even know existed! I started to struggle with a separation in my abdomen and a weak pelvic floor. After trying various programs and therapies I found online, I was no closer to healing and felt like my body would never be the same.

Within five minutes of my first visit with Sarah, she assured me that everything I was experiencing was: a). Totally normal, b). Could be healed, and c). That my body could perform just as it did pre-pregnancy. To say that a weight was lifted is an understatement!

Sarah is as knowledgeable and professional as she is caring and personable. She always made me feel comfortable during appointments and empowered me to take charge of my healing process. If you are willing to do the work and follow her therapy, you will see amazing changes. Don't waste your time or money on anything other than a true healing therapist like Sarah.

-Sarah Lenahan, Overland Park

I was a patient of Foundational Concepts this winter. After just four sessions, my therapist helped me overcome vaginismus, which I'd been struggling with for 15 years. I recently had my first pain-free annual pelvic exam EVER, and my doc took "vaginismus" off my chart. I am so grateful for your clinic. I'm also a little mad that it took me so long to get referred for PT!
- Sarah Magill, Kansas City, MO

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