Phoenix Physical Therapy strives to be a welcoming, safe, respectful place for all, our patients and staff.  Pelvic health is an important component of overall well-being and can be especially challenging for individuals in the transgender and gender diverse community. Gender affirming practices and surgeries can have significant impact on the pelvic floor muscles, the muscles that assist in pelvic stability, sexual activity, and control of bowel and bladder function. In addition to the conditions outlined on our website, transgender and gender diverse individuals may experience unique pelvic health concerns such as:

• Dilation for neo-vaginoplasties
• Wound and scar tissue management
• Changes in toileting practices
• Tissue changes secondary to hormone treatment
• Side effects related to tucking or binding including pelvic pain, back pain, chest pain, poor posture, shoulder pain, numbness, and scarring
• Development of UTIs related to changes in urinary patterns or positions

Phoenix Physical Therapy can assist with addressing these complications because we understand the complex ways in which the many systems of the body work together to provide optimal pelvic function.  We specialize in treatment aimed at improving pelvic floor muscle control, awareness of optimal pelvic function, and pain commonly associated with pelvic floor dysfunction.  

What should you expect from your first visit?

We will first discuss your history and concerns, review your intake forms, and answer any questions you may have regarding your symptoms. Next, we will educate you on the function of the pelvic floor muscles and how/why they are related to your symptoms. Every portion of the exam will be thoroughly explained to you, and you will have an opportunity to ask questions.  Most importantly, you have the option to choose or refuse any part of the process with which you do not feel comfortable.

Plan of care:

With your therapist, you will determine a plan of care that supports your goals and moves forward at a pace that is comfortable and practical for you. Progress will be reviewed at every visit to answer questions and promote a relationship based on trust and mutual understanding, as well as to collect feedback on what is working best for you and your body. Treatment throughout your plan of care may include strengthening, stretching, techniques for increasing pelvic floor muscle control and awareness, as well as manual therapies. As with the initial examination, we will proceed only with patient understanding, comfort, and consent.

We recognize that transgender and gender diverse individuals have limited access to quality and inclusive care, and we at Phoenix are here to support you. Contact us with any questions and a skilled physical therapist will be happy to assist you!