Pelvic Floor Therapy

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!

“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.”

“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 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 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.”

“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.”