Vitality Therapy And Performance

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Pregnancy and Postpartum

Everyone has their own pregnancy or postpartum journey…You may not feel as strong as you did before the baby, or maybe you’re experiencing discomfort you never have before. Perhaps you’re not experiencing any obvious symptoms during your pregnancy, but would like to optimize your health during pregnancy by adding a pelvic floor specialist to your healthcare team…At Vitality Pelvic Health, we can help address your needs across a broad spectrum of musculoskeletal diagnoses.

Availability & Pricing
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Can We Help?

Approach

We take a whole body evidence based approach to prenatal and postpartum care. Our goal is to help you achieve your goals during and after pregnancy.

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Work 1:1 With A Physical Therapist

At Vitality Pelvic Health you’ll work 1:1 with your physical therapist to develop a plan of care. Your plan of care may include, but is not limited to:

  • Prepare for and optimize delivery
  • Address pregnancy related pain
  • Provide education on positioning and delivery
  • Recovery of pelvic floor strength and function postpartum
  • Healing perineal tears
  • C-section recovery
  • Addressing leakage
  • Heal diastasis recti
  • Relieve and prevent hip or low back pain
  • Prevent injury
  • Address postural deficits related to pregnancy
  • Safely return to exercise
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Common complaints

“I’m intimidated to get back into my workout routine”
“Since having baby, I’m struggling to feel as physically capable as I used to”
“I thought my back pain would go away after delivery, but it is still lingering”
“I know I need to address my pelvic floor dysfunction before delivery but I don’t know where to start”
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Frequently Asked Questions

To return to exercise postpartum, it’s important to have two things – your OBGYN’s clearance and the feeling of readiness. Caring for a newborn is exhausting and you may not be ready to jump back in at 6 weeks.
Intensity of exercise should start low and gradually increase over time. Your physical therapist can help you determine a timeline and guide you safely through exercise progression based on your goals, regardless of vaginal or c-section delivery.

C-section recovery varies from person to person, but most people begin to feel more “normal” around weeks 6-8. Your physical therapist can help guide your recovery and monitor your healing.

Pelvic floor pressure is common during the first couple of months postpartum. This pressure can be the result of pelvic floor weakness and can be associated with incontinence or prolapse. Being properly evaluated by a physical therapist can help determine if there are any other contributing factors and help restore pelvic floor strength.

100% of pregnant women will experience diastasis with pregnancy, but not all of them will experience resolution of their separation postpartum without intervention. Your physical therapist can determine the extent of your separation postpartum.

Yes! Pelvic floor therapy is safe during pregnancy, and does not always entail internal examination or direct pelvic floor training. We can address pregnancy related pain such as low back pain, pubic symphysis pain, or sciatic. We can help you stay active throughout your pregnancy safely. Reach out to us with concerns and we will be glad to address them.

Can pelvic floor physical therapy help your situation?
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Get To Know Our Pelvic Health Team...

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Tristen Swengle

PT, DPT, Director of Pelvic Health
Learn More
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Nikki Randolph

PT, DPT, Pelvic Health Specialist
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Deena Winham, PT

Deena Winham

PT, DPT, PCES
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Testimonials

What Clients Are Saying

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Sarah Catherine Imhoff

I love working with Tristen! Pelvic floor therapy is so worth it and was necessary for my pregnancy. It significantly helped my lower back pain and prepared my body for labor and delivery. Everyone at Vitality is friendly and wonderful to work with. I highly recommend!

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Illustration of a woman with long, flowing brown hair, depicted in a minimalist style with soft earth tones. She is wearing a sleeveless top and appears to be in a thoughtful pose, reflecting on
Laura Eddy

I started seeing Tristian for pelvic floor therapy while expecting my 4th baby, and I couldn’t be happier with how much she has helped me prepare for this birth and work through the pelvic pain I had experienced this time around. She is professional yet friendly and can talk through even the most “awkward” topics when it comes to the pelvic region, ensuring you are comfortable and informed every step of the way. I am looking forward to working with the vitality team postpartum this time around, too.

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Ready To Get Started?

Whether you need more information or are ready to get started on your path to recovery, our team is here to help. All we ask is you simply reach out by filling out a quick form. No commitment to doing this, but we just might be the answer you have been looking for. You owe it to yourself to at least find out more.

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A smiling woman with curly hair wearing a black top, specializing in physical therapy and pelvic health, standing against a plain white background.

Tristen Swengle

PT, DPT, DIRECTOR OF PELVIC HEALTH

Tristen, a Doctor of Physical Therapy, is passionate about treating active women and men who are dealing with various types of pelvic floor dysfunction so that they are able to return to their preferred exercise routine and lifestyle. She received her doctorate from the University of Arkansas for Medical Sciences in Fayetteville, AR. Since graduating, Tristen has continued to pursue further education through the Herman and Wallace Pelvic Rehabilitation Institute.

A woman with long brown hair and a serene expression, wearing a black top, stands against a plain light gray background in a portrait style image related to pelvic health.

Nikki Baer

PT, DPT, PELVIC HEALTH SPECIALIST

Nikki is a Doctor of Physical Therapy who graduated with a bachelor’s degree from the University of Tulsa in 2015. She then received her doctorate from Washington University in St Louis in 2022. During her time there she became passionate about pelvic floor rehabilitation, specifically in both the active population and post-oncologic. Nikki is continuing to pursue her education through Herman and Wallace Pelvic Rehabilitation Institute. The opportunity to help patients achieve their goals, live free from pelvic pain, and feel empowered with the tools and knowledge to live a healthy life is incredibly meaningful to her.

Deena Winham, PT

Deena Winham

PT, DPT, PCES

Deena is a Doctor of Physical Therapy and a Pregnancy and Postpartum Corrective Exercise Specialist. She is passionate about treating women through their pregnancy to maintain a higher level of function and exercise capability throughout their pregnancy and postpartum to help mothers recover quicker from pregnancy without any pelvic floor dysfunction. Deena also enjoys treating pelvic floor dysfunction in the pediatric population as well. Since graduating in 2019 with her doctorate from South College in Knoxville, Tennessee, Deena has continued to pursue further education through Herman and Wallace Pelvic Rehabilitation Institute.