Conditions We Treat

Incontinence Rehabilitation

Urinary and fecal incontinence are the unwanted leakage of urine or stool (no matter how big or small the amount). In our clinic, we work to address your pelvic floor muscle strength, tension, coordination, and endurance so you can do the activities you want to do worry-free.

Recovery from Pelvic Pain

Pelvic pain can present in many different ways. Sometimes it is pain with sex or tampon insertion. It can be pain with urination, defecation, exercise or stress. At times, pain in the pelvis is constant. After a full biomechanical exam of your strength, flexibility, range of motion, posture and pelvic floor, we will initiate at-home strategies to help get your pain under control.

Prenatal Care

We firmly believe that all pregnant people should, at the very least, consult with a pelvic health physical therapist prior to the birth of their child. In our clinic, we address ways to move and exercise that are best suited for you and your pregnancy, and teach you ways to build and maintain healthy pelvic floor muscles. Sometimes during pregnancy people experience sharp, uncomfortable pain at the front or the back of their pelvic area (known as pubic symphysis pain or sacroiliac joint pain). Physical therapy can help to reduce and manage those symptoms.

Postpartum Care

Anyone who has given birth (vaginal delivery or a c-section) will benefit from a postpartum check-in with a pelvic health PT. Our goal is to address any area of concern for you. Some people may experience incontinence or pelvic pain, others may notice a diastasis recti (a separation of the abdominal muscles), and others may just feel weak and unsure of how to progress back into exercise. We can also review proper body mechanics when lifting your child, placing them into the car seat, pushing a stroller, etc. We can also discuss c-section scar management if that is an area of concern as well. Anyone who has given birth to a child will gain insight from a pelvic health PT evaluation whether you are 4 weeks or 4 years postpartum.

Pediatric Pelvic Health Services

Just like adults, children can experience pelvic floor dysfunction too. Pelvic floor physical therapy can help with constipation, bedwetting, urine leaks with laughing or running around on the playground, stool leaks, and pelvic or abdominal pain. In our clinic, we help give the parent and the patient a better understanding of what is going on in the body, at-home exercises to improve symptoms and core strength, and management strategies. We are firm believers that just because PT takes effort doesn’t mean it can’t be fun!

Post-Surgical Care

  • Post-Prostatectomy Care: Prostate cancer surgery and other medical interventions can leave patients with incontinence and pain that limits activity in daily life and recreation. We will fully assess our patient’s function and immediately initiate strategies to manage their symptoms.
  • Abdominal Surgery Care: If you’ve had a hysterectomy, colectomy, fibroid or endometrial tissue removal and experiencing pelvic floor dysfunction we can assess your condition and start you on a path for recovery.

Gender-Affirming Surgery Rehabilitation

After a person has gone through gender-affirming surgery, pelvic health physical therapy is very beneficial to address scar tissue management, dilator use, and pelvic floor muscle strengthening and control to combat urinary incontinence and pain. We also believe that people are not just single body parts. We look at the whole body and help the person return to their favorite activities without limitations.

Orthopedic Rehabilitation

The body should function as one unified system. People should not have to see one physical therapist for a pelvic health concern and another for a hip or knee concern. Evolve Physical Therapy of Rochester was created because we wanted a place where someone could receive exceptional head-to-toe care on a 1:1 basis with a physical therapist without feeling rushed. We work with people who experience neck pain, low back pain, knee pain, hip pain, ankle pain, shoulder pain and more.

Telehealth

We are able to provide both evaluations and follow-up sessions via telehealth.