PELVIC HEALTH

What is Pelvic Floor Physical Therapy?

Pelvic Floor Physical Therapy is a specialized field that focuses on the muscles, ligaments, and connective tissues of the pelvic floor. These muscles support pelvic organs, control bladder and bowel function, and play a role in sexual health. At Clearwater Physical Therapy in Bozeman, Montana, our pelvic floor therapy services help patients address pain, weakness, dysfunction, and restore optimal function.

Meet Lise Spencer, DPT

Lise received her Doctorate in Physical Therapy from the University of St. Augustine and her Bachelors of Science in Kinesiology from Montana State University, GO CATS! Lise is a Certified Level 1 Crossfit Coach and has education with training young professionals to return to their sport with emphasis on injury prevention. Lise has further specialized in the field of Pelvic Health Physical Therapy with Herman and Wallace and Institute of Clinical Excellence. Read more about Lise here.

Patients in the Bozeman area trust Lise for her compassionate, evidence-based approach to pelvic floor care.

Topics Lise Treats:

Pelvic Pain Conditions
Bowel and Bladder Dysfunction
Postpartum
Return to exercise, functional/CrossFit and recreational activities

We commonly treat individuals in Bozeman, MT experiencing any of the following conditions:

Specific Conditions:

🔸 Urinary/fecal incontinence
🔸 Bowel/bladder urgency/frequency
🔸 Constipation
🔸 Pelvic pain, pubic symphysis pain, SI joint pain, tailbone pain, vaginal pain, low back pain, hip pain, upper back pain, shoulder/neck pain (especially postpartum)
🔸 Diastasis recti
🔸 Pelvic organ prolapse
🔸 Painful intercourse / difficulty being intimate with a partner
🔸 Vulvodynia / vestibulitis
🔸 Dyspareunia
🔸 Pain associated with endometriosis, adenomyosis, or interstitial cystitis (IC)
🔸 Scar management

Links that may be helpful:

https://www.aptapelvichealth.org/
https://www.hermanwallace.com/blog
https://ptonice.com/blog/ (pelvic floor)

Labor & Delivery

Lise also provides a Labor and delivery session at 34 weeks for patient and partner which includes:

🔸 Labor and delivery positioning
🔸 Perineal stretching demonstration
🔸 Techniques for gentle pushing, coordination of breath work
🔸 Hands-on partner-assisted training for labor support
🔸 Postpartum care

Perimenopause / Menopause

Perimenopause and menopause are natural stages in a woman’s life, marked by hormonal changes that typically occur in the late 40s to early 50s. Perimenopause is the transition phase leading up to menopause, where symptoms such as irregular periods, hot flashes, mood swings, and sleep disturbances may begin. Menopause is officially reached when a woman has gone 12 consecutive months without a period, signifying the end of fertility.

During these stages, women may also experience physical changes like weight gain, bone density loss, and vaginal dryness. At Clearwater Physical Therapy in Bozeman, physical therapy can help manage these symptoms by addressing issues such as pelvic floor weakness, joint pain, and reduced mobility. Through personalized exercise programs, lifestyle advice, and support, women can maintain strength, balance, and overall well-being during perimenopause and menopause, improving their quality of life through this transition.