So often as women we settle for things like leaking, low back pain, vaginal heaviness, pain with intercourse, among many others because we've been told that "this just is the way it is" or "everyone struggles with that." But what if these common issues no longer had to be your normal?
Refine exists to empower women at EVERY stage of life! It's my goal to help you have the BEST experience possible, whether you're 30 weeks pregnant, newly postpartum, or 20 years postpartum.
What if I told you...
Low back/pelvic pain
Labor and Delivery Preparation
Prenatal/postpartum exercise program
Returning to running/higher level exercise
Pelvic floor tightness
Scar tissue treatment
What is the investment?
Set of 4 appointments:
DURING THE 2ND TRIMESTER (BEFORE 20 WEEKS) - 1ST VISIT: is to teach you some gentle exercises that are going to be important to utilize during pregnancy to help keep your core strong, prevent or minimize a rectus diastasis, help your pelvic floor, prevent common pain and dysfunction that occurs during pregnancy, and also give you an exercise program you can continue on with if you desire. We can also address any pain you might be having or other orthopedic issues that may come up. This is always individualized to your specific body and needs because each woman is different!
AT 36 WEEKS - 2ND VISIT: is all about getting you ready for labor and delivery. This visit can be done with your partner. We'll go over various labor/delivery positions, and I'll be able to teach you some hands-on techniques that can both be used to give the baby more room to get in the right position, which will help decrease pain, length of labor, and perineal trauma. We'll also do some pelvic floor muscle and ligamentous balancing which helps prepare the pelvic floor and uterus for birth. other orthopedic issues that may come up. This is always individualized to your specific body and needs because each woman is different!
AT 1 WEEK POSTPARTUM - 3RD VISIT: in early postpartum is focused on getting your core muscles going again. After childbirth (c-section or vaginal delivery) it can be difficult to activate the pelvic floor or other core muscles. We'll work on muscle activation and recruitment, check for any diastasis that might be present and begin treating it if able, and talk through a few other issues that are common after childbirth. We can also deal with any pain that might be present from labor and childbirth.
AT LEAST 6 WEEKS POSTPARTUM - 4TH VISIT: is after you've been given clearance from your physician to resume normal activity and exercise. Now we can really deal with any pelvic floor issues that might be going on such as pelvic floor muscle weakness, lack of control or motor recruitment, and pelvic organ prolapse. If you still have a diastasis I'd like to get a little more aggressive in treating that so it does not cause you future problems such as back injury or pain. And then we can talk about working into an exercise routine that works for you and your lifestyle if that is your goal. Many women jump back into exercise after they've been given clearance from their physician, without any real knowledge of how to do so in a smart way. I've seen lots of women struggle with back pain because their pelvic floor and core are still so weak. I want to prevent that by giving you the tools you need to return safely to exercise and normal functional activities.
I am so thankful for the timing in finding Tanya at Refine Physical Therapy. I was expecting my first baby and did the OB package (virtually, I'm from Michigan!) I absolutely loved working with Tanya, she is kind, professional, and really easy to talk to. I was so impressed with the what she could help me with even though I was in a different state! We went through how to workout safely while pregnant, what to expect for labor & delivery with exercises & positions to help me through, and then navigating postpartum. I felt so much more confident going in to labor and I had the help I needed to recover my pelvic floor. I am thankful for her perspective on how amazing our bodies were created and I would work with her again in a heartbeat.
Whether you're struggling with pelvic floor issues, ab separation, prolapse, or anything in between, you want an expert to help you, not just Dr. Google or someone who sees a little bit of everything.
I have been specializing in women's health for over 10 years and I've treated hundreds of women both in-person, virtually around the world, and through my online courses and membership. When you work with me, you can expect personalized 1-1 care, longer appointment times, a thorough examination, and a plan of care based on your specific needs and goals.
You deserve to work with someone who continues to stay on top of the latest research and practices in this field and has helped many women just like you.
Nothing's TMI. There's no shame here. You deserve to be well.
In all honesty...I never wanted to work with vaginas. 😉 I was the former athlete who wanted to work with athletes and the modest dutch girl who would have blushed if you started to talk to me about your problems "down there." But after I had my first baby, I realized what a lack of information and help there was for women struggling with any of these issues that I now treat, and so I decided I wanted to help women rather than see them settle for less.
Now it's my JOY to work with women of all ages and I get to serve them in a variety of ways depending on what their needs and goals are. I work with young athletes struggling with leaking during activity, newly pregnant moms, couples who want to decrease length and pain of labor, the veteran mom who’s had 5 babies, and the middle-aged woman who is struggling with back pain, pelvic organ prolapse, or incontinence issues.
We're changing the story - you no longer just have to "put up with" these issues. You are made to live life to the FULL. And I'd love to help you get there.
Relationships are the heart and soul of my business, and if you have a question or would like to connect, I’d LOVE to hear from you! Please reach out and I’d love to get to know you better or answer any questions you might have!!
Have a question? You can also check out our FAQs page!
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