Vitality Therapy And Performance

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Pediatric Pelvic Floor Physical Therapy:

Helps children (infants through teens) overcome bowel, bladder, or pelvic‑pain problems by restoring healthy control of the muscles at the base of the pelvis

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Vitality Pediatric Pelvic Health Services

Bedwetting

Bedwetting

(nocturnal enuresis) the involuntary release of urine, which can occur at night
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Daytime Leaking

Daytime Leaking

(daytime enuresis) the involuntary release of urine that could be related to weak or poor coordination of the pelvic floor muscles
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Chronic Constipation

Chronic Constipation

infrequent and/or difficulty and straining with bowel movements
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Involuntary Loss of Stool

Involuntary Loss of Stool

(encopresis) where a toilet-trained child repeatedly passes stool into their clothing or other inappropriate places, often involuntarily
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Potty Training Issues

Potty Training Issues

(nocturnal enuresis) the involuntary release of urine, which can occur at night
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Withholding behavior

Withholding behavior

with bowel and/or bladder - child consciously or unconsciously holding back bowel movements or voiding. Overtime can lead to more severe issues like chronic constipation and UTIs.
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Get To Know Our Pelvic Health Team...

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Tristen Swengle

PT, DPT, Director of Pelvic Health
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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 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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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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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
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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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.