Archives

image
4 years ago

Niva Herzig, PT, DPT

Visit types: Office/Hospital/Virtual

Spoken languages: English, Hebrew

Interpreting services for other languages: No

Philosophy of care and typical treatment strategies:

My approach is patient 1st: I provide space and time to hear the story, guidance, and resources when needed. My background, in addition to PT includes health coaching and sexual counseling (in the process). PT approach using manual therapy (myofascial, visceral mobilization, soft tissue, cupping, etc.), neuromuscular re-Ed: pain science (graded exposure, guided imagery, etc.)., exercise and movement.

image
4 years ago

Juan Michelle Martin, PT, DPT

Visit types: Office/Hospital/Virtual

Spoken languages: English

Interpreting services for other languages: No

Philosophy of care and typical treatment strategies:

I believe that patients with endometriosis need to be approached from a comprehensive and holistic perspective. These clients often will have so many things going on. My sessions will typically include pelvic floor therapy comprising of manual therapy, myofascial release, and visceral mobilization, mobility work, visual imagery, relaxation, neuromuscular re-education, and education. They will also entail lifestyle habits and changes as necessary, nutrition components, wellness, and lifestyle management. I love working collaboratively with other professionals and often refer these clients as needed to other professionals who can also serve them, including nutritionists and functional medicine providers, GI specialists, GYNs, etc.

What should be known about you:

I founded my practice, JMM Health Solutions, on being a beacon within my community. When clients come in, they are not a number, nor do I want them to feel that way. They need to feel cared for, respected, and listened to. That might mean that they need a listening ear, a shoulder to cry on, and not just a clinician, and I provide that within my office. Patients with endometriosis have been through so much, and I believe that compassionate care is truly the way to serve this population best.

image
4 years ago

Rebecca Patton, PT, DPT

Visit types: Office/Hospital

Spoken languages: English

Interpreting services for other languages: Yes

Philosophy of care and typical treatment strategies:

If I suspect endo based on their symptoms, my main priority is getting them to an endo specialist for a formal diagnosis and surgery.

That can take a few months for them to get paperwork together and finally see the specialist. In that time during physical therapy, we focus on pain management.

This is typically in a calm environment (dim lighting and meditation tones are helpful to relax the nervous system). I provide an environment that helps downtrain the CNS with visceral and nerve mobilization, passive mobility, and breathing techniques.

After surgery,
It depends on the person and their individual goals. Some want to continue visceral mobility. Some want to focus on pelvic floor retraining and possibly integrating dilators. Some are trying to manage bowel and bladder symptoms.
Others are trying to get back to exercise or recreational activities.

I use dry needling if appropriate and if I feel someone’s nervous system will respond well.

Improving management of bowel and bladder hygiene can be accomplished through pelvic floor retraining, breath work, CNS down training, visceral and fascism mobility and getting back to joyful activities.

Interdisciplinary care and communication is important and can involve the surgeon/specialist, GYN, PCP, nutritionist, acupuncturist, GI/colorectal doc, or urogynecologist just to name a few.

I try to help my patients navigate this complex system so they can prioritize their care and not feel as overwhelmed.

The most important thing I have learned is that although endo can have a lot of similar symptoms, every patient is individual in their goals, factors that exacerbate their symptoms, activity tolerance and overall lifestyle. I try to meet them where they are at for treatment and goals may change over time.

More information:

My main priority is providing a welcoming space for LGBTQ+ community. I am an advocate for gender-inclusive language, inclusive and affirming intake paperwork, and not assuming heteronormative or cisnormative lifestyle when asking my patients about sexual health and gender identity.

I always have my pronoun pin on.

I want to normalize transgender individuals seeking care for pelvic physical therapy.

image
4 years ago

Rebekah Slafka, PT, DPT

Visit types: Office/Hospital

Spoken languages: English

Interpreting services for other languages: Yes

Philosophy of care and typical treatment strategies:

As a licensed pelvic floor physical therapist, I’m passionate about all things pelvic floor—and
providing care that helps patients feel seen, heard, loved, and empowered.
I have been working in this specialty since 2018, with expertise in helping patients—women,
men and those within the LGBTQIA+ population—with diverse diagnoses. I am one of the few
physical therapists in Ohio to earn a PRPC accreditation from the international Herman &
Wallace Pelvic Rehabilitation Institute, and I’m also a certified Endometriosis Physical Therapist
on iCareBetter. I am manually trained and believe in taking a biopsychosocial approach to care.
My specialties include cupping, integrative dry needling, muscle energy techniques, visceral
mobilizations, myofascial release, and more.
Beyond my skillset, I’ve also experienced living with pelvic floor dysfunction and chronic pain. I
know firsthand how much pelvic floor dysfunction can affect your life—and how hard it can be to
find a provider who understands and advocates for you. My goal is to be both your provider and
your partner in achieving sustainable, functional wellness.
When I’m not doing all-things-pelvic-floor, you’ll find me fixing up our Lebanon farmhouse and
spending time with my husband and two daughters.
image
4 years ago

Nicole Cozean, PT, DPT

Visit types: Office/Hospital

Spoken languages: English

Interpreting services for other languages: Yes

Philosophy of care and typical treatment strategies:

We know from the literature that the majority of patients with endometriosis have a trigger or tender points in the abdomen and/or pelvic floor that can be contributing to symptoms. We work to alleviate pain associated with muscoloskeletal drivers with a variety of techniques, including myosfascial release, visceral manipulation and pelvic floor trigger point release.
We also work with patients to decrease central nervous system sensitization which can be amplifying pain signals for patients through education, breathing exercises and vagus nerve stimulation.
We help prepare patients for excision surgery and facilitate a full recovery after surgery, including scar tissue mobilization to reduce scar tissue adhesion.
We are also able to significantly reduce associated symptoms like painful intercourse, low back pain, and hip/groin pain that often accompany an endometriosis diagnosis (or suspected diagnosis). As we know, many patients with endo are also diagnosed with other comorbid pelvic pain conditions (like interstitial cystitis) that pelvic physical therapy can also address.
image
4 years ago

Jennafer Vandevegte, PT, MSPT

Visit types: Office/Hospital

Spoken languages: English

Interpreting services for other languages: Yes

Philosophy of care and typical treatment strategies:

It’s an honor and a privilege to walk with someone on their journey to improve their pelvic health. I use a team approach with my patients taking into account their unique story and goals. I utilize multiple approaches such as visceral, nervous system down regulation, my official work, yoga, stretching, meditation and mindfulness, diet and nutrition and self care.

image
4 years ago

Jessica Reale, PT, DPT

Visit types: Office/Hospital, and Virtual

Spoken languages: English

Interpreting services for other languages: Yes

Philosophy of care and typical treatment strategies:

I believe most people with endometriosis require a multidisciplinary approach. I work with amazing excision specialists and other physicians specializing in pelvic pain. As far as physical therapy, my approach is guided by current evidence in pain-science. My goal is to help people move more freely with less pain. I love yoga and use many of these movements in my practice. I also enjoy gentle manual therapies. I use a variety of manual therapy techniques including visceral mobilization, myofascial release, scar tissue mobilization, connective tissue mobilization, positional release techniques, cupping, and dry needling. I also help patients through behavioral education and coaching for mindfulness, meditation and optimizing bowel, bladder and sexual health. I use both external and internal techniques, and my goal is to help my patients learn self-care strategies and optimize their health.

image
4 years ago

Caitlyn Rumsey, PT, DPT

Visit types: Office/Hospital

Philosophy of care and typical treatment strategies:

As a pelvic health physical therapist who also has endometriosis, I believe I offer a unique perspective for treatment with a personal connection. I truly empathize with all the aspects of life touched by endometriosis and pelvic pain. My practice offers holistic evaluation and treatment looking beyond the pelvis at the movement system from head to toes. The care is patient-centered with the patient as a crucial part of the healthcare team. I help my patients to navigate their care and value autonomy with healthcare education. Individuals with endometriosis often have overactive nervous systems and responses. It is important to use gentle treatment modalities for the sensitized system. This may include external and internal myofascial work, yoga, breathwork, and desensitization of the nervous system.

image
4 years ago

Shaista Ambreen, PT, DPT

Visit types: Office/Hospital

Philosophy of care and typical treatment strategies:

I believe PT can play a greater role in treating endometriosis patients. We can apply many techniques to overcome the issues related to Endometriosis.

image
4 years ago

Terri Sullivan, PT, DPT

Visit types: Office/Hospital

Spoken languages: English

Interpreting services for other languages: No

Philosophy of care and typical treatment strategies:

I would probably call myself a ‘Jane of all Trades’ as I have learned several different specialties to help a variety of patients. Now, as a physical therapist with 20+ years’ experience, I have settled into devoting my skills to helping women with pelvic floor issues. I also have a very strong background in orthopedic physical therapy, which not only helps in women’s health but makes me versatile and able to assess a multitude of injuries and conditions. When caring for my clients, I listen closely to formulate the most effective way to address their concerns and improve their function. I like to address the whole musculoskeletal system during treatment. Everything is connected and can be a cause of source of a patient’s problem. Lastly, I am an exuberantly happy person, and I will try to make your session not only beneficial, but fun. Regarding treatment of endometriosis, I use a multimodal approach to help my patient with their issues. After performing a thorough examination, I design a plan of care that is discussed with the patient. Sessions can include manual therapy (myofascial release, soft tissue mobilization and visceral mobilization), postural education, functional and movement retraining, exercises, pain management, and nutritional considerations.

image
4 years ago

Mary Hughes-Johnson, PT, DPT

Visit types: Office/Hospital, At Home

Spoken languages: English

Interpreting services for other languages: No

Philosophy of care and typical treatment strategies:

I am a manual therapist who focuses mainly on myofascial release techniques, in order to improve tissue mobility and progress with strengthening when tolerated.

image
4 years ago

Susan Clinton, PT, DScPT

Visit types: Office/Hospital, Virtual

Spoken languages: English

Interpreting services for other languages: No

Philosophy of care and typical treatment strategies:

I take an integrated holistic Biopsychosocial approach for individualized care for the client. I keep up to date with the current literature of movement science and employ a full-body approach to the movement system and NOT a regional approach. Considerations for my clients are within the biology of the person including cardiovascular (optimizing HR, HRV), neurology (HPA axis, gut-brain connections, Autonomic NS and motor planning/brain protection and neuroscience of pain application, mindfulness/meditation, neural tension, and the peripheral NS), Endocrine (Nutrition, Life-style as medicine, sleep optimization and other factors to help with endocrine optimization), Musculoskeletal (Movement system optimization, exercise balance, loading/strengthening and soft tissue techniques for tissue changes, scar) and Visceral System (optimization of the urinary and GI system functioning, respiratory with breath/voice optimization and CV/ANS as above – including visceral mobilization). My practice is patient-centered with the goal to facilitate my clients return to self-efficacy and care with facilitated communication with the entire health care team.

iCareBetter