Holistic Pelvic Care


Have you ever considered the body’s trauma that is left behind after the birth of our beautiful children into this world?

Holistic pelvic care is a session that is solely focused on releasing any trauma, tightness or areas of concern within the vaginal walls that will allow many benefits for you. Many mothers have begun to feel improved sensation in their vagina, reduced stress, increased libido and an overall sense of release in areas they did not realise they were carrying tension often years after their birth experience.

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What is Holistic Pelvic Care?

Holistic Pelvic CareTM is a combination of physical and energetic tools developed by Tami Kent, M.S. Physical Therapy, and designed to assess and then restore balance to the pelvic space of the female body. Holistic Pelvic Care is for women of all ages to address pelvic symptoms or enhance general wellness. These techniques were pioneered by Tami based on extensive experience as a women’s health physical therapist.

Holistic Pelvic Care™ is a gentle form of internal pelvic floor bodywork and intra-vaginal massage that was pioneered by Tami Kent, a Portland-based women’s health physical therapist. HPC™ is similar to traditional physical therapy in that it addresses the physical aspects of pelvic floor imbalance, but it brings with it a deeper understanding of health and balance at the root of a woman's equilibrium: her pelvis.

The pelvis, or "womb-space" is an energetically and emotionally receptive core area of our bodies, as women. Not only do we hold our own personal stories here, we hold the stories of our sisters, our mothers, and our cultural and ancestral heritage from women before us. To enter into the "womb-space" and invite a healing intention is to heal not only your own personal story, but also everyone who came before you. In doing this, you are also clearing your "womb-space" for all those you gestate and birth in your own lifetime.

From a physical standpoint, just as other major muscles of the body can become tightened, stressed and imbalanced from overwork, so too can the internal muscles of the pelvic bowl become imbalanced from illness, stress, or trauma (either your own, or something you are carrying that belongs to someone else). As we restore balance in the muscles you will also experience shifts in hormones, blood and lymph flow, and most commonly, emotions. In order for a woman to truly be in balance, all aspects- physical, emotional, and spiritual- must also be in balance. As traditional cultures tell us, and as my patients affirm- when our uterus is in proper alignment within our bodies, so is our entire being in alignment with Spirit.

Holistic Pelvic Care™ incorporates restorative massage, breath-work, and intuitive listening to help you shift your pelvis physically and energetically.

Who can benefit from Holistic Pelvic Care™?

Any woman who is looking to reestablish health and balance within, or a connection to her pelvic bowl, or is simply seeking to nurture her female body in a holistic way, may benefit from one or more treatment sessions. However, specific concerns that may be aided by Holistic Pelvic Care™ include (but are not limited to):

  • Painful sexual activity, intercourse, or sexual dysfunction
  • Myofascial Pelvic Pain Syndrome
  • Urinary leakage or incontinence
  • Organ prolapse
  • Chronic bladder or vaginal infections
  • Rectocele/ cystocele
  • Fertility support and pregnancy preparation
  • Postpartum complaints and recovery, including c-section births, vaginal tearing, and episiotomy
  • Healing after miscarriage, pregnancy loss or abortion
  • Pelvic congestion
  • Menstrual pain and endometriosis
  • Menopausal complaints
  • History of pelvic trauma or abuse

Holistic Pelvic Care™ also brings women back in touch with their deepest emotions, desires, cravings, and creative awareness. In Tami Kent's words: "Working with core balance and pelvic energy flow can assist you in times of transition, accessing your joy, deepening your relationship to the feminine, and enhancing your overall creative vitality."

What can I expect from treatment?

In the first session, pelvic anatomy is introduced with a skeletal model. Then a woman’s pelvic muscles are assessed intervaginally. Tami determines where muscles are actively engaging and where they are not during a pelvic squeeze or “Kegel” exercise, making note of internal pelvic trigger points and tension patterns. The assessment is followed by treatment to balance the pelvis through such techniques as intervaginal massage with myofascial release and trigger point work as well as breathwork and visualization tools to assist core physical and energetic balance. Follow-up sessions begin with a brief re-assessment and then focus primarily on treatment.

The first appointment is generally the longest: 45 minutes of treatment, plus pre-treatment information gathering. During this conversation a brief history will be taken where we will discuss your goals for treatment. This is also the time where we will discuss any questions or concerns you may have and review female anatomy and muscles. We will move on to some basic external work and then, if you are comfortable, we will move on to internal work.  The internal work is manual therapy performed by your provider using a lubricated, gloved digit in the vaginal canal. From here, she will assess the musculature and connective tissue. Exercise and gentle massage techniques will then be applied for the duration of the treatment session. People have widely varying experiences of the sensations of massage and tissue release. Your experience depends upon your own personal history and the goals you have for your treatment sessions.

Follow-up sessions are generally shorter (30-45 minutes) once the initial goals have been established. You are welcome to add time to your appointment for additional Naturopathic medical care if you desire a very well rounded approach to resolving your health concerns.

How many treatments will be prescribed?

In the first session, pelvic anatomy is introduced with a skeletal model. Then a woman’s pelvic muscles are assessed intervaginally. Tami determines where muscles are actively engaging and where they are not during a pelvic squeeze or “Kegel” exercise, making note of internal pelvic trigger points and tension patterns. The assessment is followed by treatment to balance the pelvis through such techniques as intervaginal massage with myofascial release and trigger point work as well as breathwork and visualization tools to assist core physical and energetic balance. Follow-up sessions begin with a brief re-assessment and then focus primarily on treatment.

The first appointment is generally the longest: 45 minutes of treatment, plus pre-treatment information gathering. During this conversation a brief history will be taken where we will discuss your goals for treatment. This is also the time where we will discuss any questions or concerns you may have and review female anatomy and muscles. We will move on to some basic external work and then, if you are comfortable, we will move on to internal work.  The internal work is manual therapy performed by your provider using a lubricated, gloved digit in the vaginal canal. From here, she will assess the musculature and connective tissue. Exercise and gentle massage techniques will then be applied for the duration of the treatment session. People have widely varying experiences of the sensations of massage and tissue release. Your experience depends upon your own personal history and the goals you have for your treatment sessions.

Follow-up sessions are generally shorter (30-45 minutes) once the initial goals have been established. You are welcome to add time to your appointment for additional Naturopathic medical care if you desire a very well rounded approach to resolving your health concerns.

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