Archives

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3 years ago

Giselle Roedel, PT, DPT

Visit types: Office/Hospital;Virtual

Spoken languages: English

Interpreting services for other languages: Yes

Philosophy of care and typical treatment strategies: Biopsychosocial approach to care including myofascial release, movement education, general health and nutrition as it relates to hormone health and self care to achieve desired level of function in all aspects of life

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3 years ago

Lauren Barlow, PRPC, PT, DPT

Visit types: Office/Hospital

Spoken languages: English

Interpreting services for other languages: Yes

Philosophy of care and typical treatment strategies: 

Lauren Barlow, PT, DPT is a physical therapist who specializes in pelvic health. She has a passion for working with all genders with pelvic floor dysfunction (bladder, bowel, and sexual health), to regain empowerment in vital functions and intimacies of life, and to enhance the quality of life. She strives to provide patient-centred and individual patient care by obtaining a thorough medical history and a whole-body examination. A multidisciplinary medical team approach is utilized that can include physicians/surgeons, psychologists, nutritionists, etc. Some specialized treatments for those affected with endometriosis include visceral mobilization, myofascial release, joint mobilizations, biofeedback for up-training and/or down-training, behavioral modification, and functional training. All treatments provided are based in research and maintain trauma-informed care.

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3 years ago

Jordan Alnemer, PT, DPT

Visit types: Office/Hospital

Spoken languages: English

Interpreting services for other languages: No

Philosophy of care and typical treatment strategies: As a pelvic floor physical therapist, I have been trained in visceral (uterus/ovaries, bladder, and colon) mobilization, myofascial release, fertility considerations, and pelvic tissue mobilization (internal and external treatment). My treatment philosophy is to work with the patient to reach their goals. I can work as a guide to get people where they need to be while providing education and expertise along the way. My treatment philosophy is very hands-on, with instruction for pain/symptom management techniques. I strive to provide optimal care of those who have endometriosis, regardless of how far along they are in their treatment process.

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3 years ago

Molly Bachmann, PT, DPT, Birth Doula

Visit types: Office

Spoken languages: English

Interpreting services for other languages: No

Philosophy of care and typical treatment strategies: My philosophy of care is to provide trauma informed patient centered care always which typically means that my treatment plans are very individualized and are determined by the individual objective findings as well as goals for the patient. Interventions often include connective tissue mobilization, trigger point release, myofascial release, therapeutic exercise, neuromuscular re-education, diaphragmatic breathing practices, etc.

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3 years ago

Melissa Patrick, PT, DPT

Visit types:Office/Hospital

Spoken languages: English, Spanish

Interpreting services for other languages: Yes

Philosophy of care and typical treatment strategies:  My philosophy is to treat the person as a whole, I take all lifestyle factors into consideration to design a treatment plan that works for the patient. I treat with a variety of physical techniques including visceral mobilization, connective tissue release, myofascial release both internally and externally and dry needling. Additionally, I emphasize the mind body connection when working to heal pelvic pain. I use therapeutic yoga as a modality to improve autonomy and self management strategies for patients.

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3 years ago

Emma Codman, PT, DPT

Visit types:Office/Hospital; At home; Virtual

Spoken languages: English

Interpreting services for other languages: No

Philosophy of care and typical treatment strategies:  Emma’s interest in physical therapy began while she was training to be a classical ballet dancer. After sustaining several injuries, she was determined to understand how and why physical injuries occur and how they can be prevented. Her dance experiences resulted in her choosing to attend Northeastern University to earn a BS in Rehabilitation Sciences and a Doctorate of Physical Therapy.
While in school, Emma interned as a Rehabilitation Assistant at Spaulding Rehabilitation Hospital. This is where she learned about the pelvic-health physical therapy specialty. She was drawn to this specialty because of the therapist’s ability to improve the patients’ quality of life for the long term.
In her final year at Northeastern, Emma was fortunate to be granted a clinical internship in pelvic health, where she received in-depth clinical training and completed her Herman & Wallace Level 1 Certification.
After completing her degrees, Emma moved to NYC to work at an outpatient physical therapy practice, treating both orthopedic and pelvic-health conditions. She continued her education, with Herman & Wallace, Barbell Medicine, and the Level Up Initiative. In 2021, Emma received her Pelvic Rehabilitation Practitioner Certification through the Herman & Wallace Institute.
Emma is empathetic, caring, and easy to talk to. She is passionate about teaching her patients about their bodies and how they can impact their own health. Her goal is to empower patients to be confident in themselves throughout the healing process.

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3 years ago

Anne Clifford, PT, DPT

Visit types: At Home

Spoken languages: English

Interpreting services for other languages: No

Philosophy of care and typical treatment strategies:  My treatment philosophy often focuses on coordination and proper technique. I emphasize breath control, breath coordination with abdominals and pelvic floor, use of breath for relaxation and control of pain. I believe touch is important for both awareness of proper muscle activation, awareness, and in calming the sympathetic nervous system. I work on myofascial work through the pelvis, abdomen, and pelvic floor and include visceral mobilization as needed. I am pilates trained and incorporate pilates progressions through my core stabilization programming. I find that with endometriosis patients, as well as with other patients experiencing chronic pelvic/abdominal pain, it is important to empower them and provide them strategies for long-term management of their symptoms. I believe in teaching the patient to become their “own” physical therapist vs. seeking out a “fix” so they become a part of the treatment process.

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3 years ago

Lila Bartkowski-Abbate, PT, DPT

Visit types: Office/Hospital

Spoken languages: English

Interpreting services for other languages: No

Philosophy of care and typical treatment strategies:  Treatments can consist of joint mobilizations, soft tissue work, myofascial and trigger-point release, strain/counter-strain techniques, modalities for pain or tissue relaxation as well as re-education with computerized biofeedback up-training (strengthening) or down-training (relaxation). Real-time ultrasound is used for muscle imaging and instructional use to teach our patients how to control their muscles. We teach each patient a personalized home instruction program that can empower them to manage their own symptoms. Manual therapy for biomechanical pelvic positioning, osteopathic approach to all joints along with rib realignment, visceral mobilization, along with craniosacral therapy (if needed), internal vaginal and rectal pelvic floor muscle release to decrease muscle spasms to improve pain.

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3 years ago

Amy Jaramillo, OT

Visit types: Office/Hospital/At home/Virtual

Spoken languages: English, Spanish, Romanian

Interpreting services for other languages: No

Philosophy of care and typical treatment strategies: 

Pelvic floor rehabilitation
Pelvic floor muscle training
Scar management
Diaphragm release and training
Abdominal release
Visceral mobilization
Joint mobilization
Myofascial release
Low pressure training / hypopressives
Bowel/Bladder training
Soft Tissue Mobilization
Perineal Massage

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3 years ago

Katie Coleman, PT, DPT

Visit types: Office/Hospital

Spoken languages: English

Interpreting services for other languages: No

Philosophy of care and typical treatment strategies:  I believe in a comprehensive, whole-body approach to care. I subscribe to the biopsychosocial model of practice. I include the following techniques in my practice: visceral mobilization, myofascial release, dry needling, pilates therapy, neural glides, therapeutic exercise, and patient education.

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3 years ago

Dr. Anna Reinert

Dr Anna Reinert, M.D.

Dr Anna Reinert – Endometriosis Specialist, Gynecologist, Minimally Invasive Gynecologic Surgeon

Summary: Anna Reinert is a Los Angeles-based gynecologist and endometriosis specialist with advanced expertise in minimally invasive surgery. Patients seeking compassionate, individualized care often turn to Dr Anna Reinert for her thoughtful, science-driven approach to managing complex pelvic pain. Known for integrating surgery with long-term symptom support, Dr. Anna Reinert emphasizes hormonal suppression, lifestyle strategies, and collaboration with physical therapists and pain specialists to promote lasting relief.

Dr Reinert is deeply committed to understanding each patient’s unique presentation of endometriosis, tailoring treatment to include thorough preoperative evaluations, targeted surgical care, and ongoing pain management. She frequently uses non-opioid medications and custom therapies to support healing and improve quality of life. Patients consistently praise Dr. Anna Reinert for her warm, thorough care and for being a trusted partner through every stage of their endometriosis journey. Learn more by reading Dr. Anna Reinert reviews and discovering how she helps patients find real, sustainable relief.

City: Los Angeles, CA, USA

Philosophy: Endometriosis is such a varied disease. I think that the relative contributions of different pathogenic mechanisms vary between patients. For most patients, I find that the greatest burden of disease is present at initial surgery, with much less recurrence over time, which suggests an in situ disease theory. I have seen more aggressive forms of the disease where recurrence happens quickly and in areas where peritoneal resection was recently performed, suggestive of a retrograde menstruation mechanism. In patients seeking surgery who are done with childbearing, I recommend hysterectomy – but if a patient does not desire hysterectomy, I recommend bilateral salpingectomy to try to minimize the risk of retrograde menstruation. I also recommend hormonal menstrual suppression as part of symptom control in women desiring future fertility.

I am hopeful that over time, the inflammatory cytokine cascades involved in endometriosis pathogenesis will be elucidated, and that we will be able to treat women with a small molecule inhibitor medication, similar to what is being used to prevent ovarian cancer recurrence, as part of post-surgical medical management of endometriosis.

Medication: I frequently recommend the use of hormonal contraceptive medications to suppress menstruation in women not seeking immediate fertility (combined OCPs, Depo-Provera, Kyleena IUD placement), both pre-operatively and post-operatively. I do not routinely recommend GnRH agonists or antagonists but may consider these for refractory pain after surgery in specific patients, or for temporary symptom management if surgery needs to be delayed and symptoms have persisted despite the use of hormonal contraception and other non-hormonal pain medications. I also take a multimodal approach to pain management, including the use of oral and vaginal muscle relaxants, lidocaine patches, NSAIDs, and Tylenol.

Approach to Persistent Pain After Surgery: Prior to surgery, I perform a comprehensive pelvic pain evaluation to assess for overlapping conditions such as spastic pelvic floor syndrome, interstitial cystitis, irritable bowel syndrome, or vulvodynia, and I look for evidence of central sensitization. Patients identified as having pelvic floor spasms pre-operatively will be referred to pelvic PT as part of their management of chronic pelvic pain, so many patients are referred to work with pelvic PT post-operatively. I prescribe oral and vaginal muscle relaxants for the management of pelvic floor spasms and perform Botox trigger point injections into the pelvic floor muscles when applicable. I will treat interstitial cystitis or IBS with medications and elimination diets. I use topical compounded ointments for vulvodynia, including topical gabapentin and hormones.

In patients who have persistent symptoms after surgery that are not specifically related to muscle spasms, IC, or IBS, I will assess for central sensitization and consider the use of duloxetine or a tricyclic antidepressant. I may recommend the use of ketamine, either in the vaginal suppository that I prescribe or as an oral agent prescribed by one of the pain management specialists with whom I collaborate. In specific patients, I may consider the use of GnRH agonists or antagonists as part of post-op pain management.

In addition to physical therapists, I collaborate with occupational therapists who specialize in lifestyle redesign for chronic pain, pain management specialists who understand pelvic pain and offer a variety of interventional procedures, and pain psychologists – and will refer patients to this team of providers as part of managing persistent pain symptoms.

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3 years ago

Neha Golwala, PT, DPT

Visit types: Office/Hospital

Spoken languages: English, Hindi, Gujarati

Interpreting services for other languages: No

Philosophy of care and typical treatment strategies:  Patients with endometriosis have pain, muscle dysfunction, fascial restrictions, postural dysfunction. Patients with endometriosis present as a chronic case and many times have multiple surgeries (laparoscopic). Patients with endometriosis benefit from the combination of the approach of visceral mobilization, myofascial release, posture education, stretching exercise, strengthening exercise, pelvic floor therapy, breathing mechanics, and pressure management. I was lucky enough to treat a patient post excision surgery. The surgery was performed by Dr Ken Sinervo for thoracic endometriosis and the patient benefited from the diaphragm and pelvic floor release and improve coordination of muscles (diaphragm-pelvic floor piston).

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