Vitality Therapy And Performance

Pelvic Prolapse

Pelvic organ prolapse results from weakening and lengthening of the muscles of the pelvic floor. When these muscles become weak, the bladder, rectum, or uterus can drop down or “prolapse”. You may experience symptoms of pressure, bulging, or the sensation of something “falling out”. Prolapse can be distressing, but physical therapy is proven to help!

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Vitality

Can We Help?

What Causes Pelvic Organ Prolapse

Prolapse is a common and treatable problem that can be caused by any strain to the pelvic floor. Childbirth and delivery can cause prolapse. Hormonal changes related to menopause can weaken muscles of the pelvic floor and contribute to prolapse. Other causes of prolapse can be constipation, poor regulation of intra abdominal pressure, and muscle disease.

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How does PT help Prolapse?

At Vitality Pelvic Health you’ll work 1:1 with your physical therapist to develop a plan of care typically centered around strength and coordination of the pelvic floor, regulating intra-abdominal pressure, and strengthening of surrounding musculature.

How long will it take?

A typical plan of care for prolapse is longer, around 10-16 weeks depending on severity. However, prolapse can be improved by 1 full grade with just physical therapy alone.

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Pelvic prolapse is common, but not normal!

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of women will experience pelvic organ prolapse

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of pelvic organ prolapse surgeries fail within the first 5 years

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of women with prolapse in America opt for a pelvic organ prolapse surgery

COMMON & TREATABLE

“My tampon no longer fits the same way”
“If the vaginal opening were a doorway, there used to be nothing there and now I can visualize something in the doorway”
"I feel pressure or movement when I sit on the toilet"
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Frequently Asked Questions

Prolapse is often described as creating a sensation of “bulging” or “pressure” in the vaginal canal. Other common symptoms include difficulty emptying the bladder or rectum, urinary leakage, and discomfort with intercourse. Symptoms typically get worse towards the end of the day.

Most commonly, women who have had a vaginal birth experience prolapse. Women experiencing menopause or women who participate in high intensity exercise or strenuous occupations are also at a higher risk.

Average plan of care for prolapse patients is around 12 weeks. Symptoms of prolapse can improve sooner around 4 weeks, and improvement in grade of prolapse usually requires 8-16 weeks of consistent therapy.

Left untreated, prolapse can get better, remain the same, or worsen. Prolapse should be treated based on your symptoms.

Pelvic Prolapse Quizzes
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Can pelvic floor physical therapy help your situation? Take this quick quiz!

Get To Know Our Pelvic Health Team...

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Tristen Swengle

PT, DPT, Director of Pelvic Health
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Nikki Randolph

PT, DPT, Pelvic Health Specialist
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Kally Owen

PT, DPT
Deena Winham, PT

Deena Winham

PT, DPT, PCES
Testimonials

What Clients Are Saying

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Stacy B

I have been coming to Vitality Pelvic Health for several weeks. I was looking for options to help strengthen my pelvic floor following an injury during childbirth and just aging in general. I am 44 years old, and my youngest child is 13, but Tristan explained that we are always in that postpartum phase. Tristan is extremely knowledgeable and so incredibly thorough! I’ve never met anyone who knows so much about pelvic dysfunction and ways to combat it. She’s created a strengthening program for me that I can continue to use long after my sessions are completed. I highly recommend her to any woman seeking help in this area. You will not regret it!

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Shannon F

Dr. Nikki is truly amazing. I came to her a year and half after having my baby because I felt like something was off and that I was still not fully recovered. She gave me a whole toolbox of movements and practices to get myself back together and feel confident that my body could safely pick up my growing daughter. She figured out exactly what I needed to do, and gave me a realistic plan all while being so kind and patient. I could not recommend her more to any new moms or moms to be (or really anyone struggling with functional movement).

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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.

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Nikki Randolph

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.

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Kally Owen

PT, DPT, Pelvic Health
Kally holds a Bachelor of Science in Nutritional Sciences and a minor in Microbiology from Oklahoma State University graduating in 2019 and from there went on to earn her Doctorate of Physical Therapy from the University of Oklahoma Health Sciences Center in 2022. Kally enjoys treating all orthopedic conditions with a special interest in pelvic floor physical therapy and she is Dry Needling certified. She enjoys working with patients who desire to take an active role in their recovery and loves learning unique and holistic ways to provide the best to the clients she treats. Kally is continuing to pursue her education through Herman and Wallace Pelvic Rehabilitation Institute.
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.