In my first year of PT school, in the jumble of summer anatomy class and lab, the pelvic floor was briefly mentioned. The gist of the lesson was that it was a very in-demand field, there were not enough people doing it, and the majority of people affected were female. I was immediately intrigued, but also a little confused by the quick overview that was barely ever mentioned again until our special topics course 2 years later. By then, I was certain I wanted to learn more.
In my third year of PT school, I took the Herman & Wallace Pelvic Floor Level 1 (now Pelvic Function Level 1) course and entered my last clinical internship at a fully dedicated pelvic floor practice. The experience gave me exposure to the wide variety of pelvic floor issues that physical therapy can address. In school, it was mainly presented as something that was primarily addressed post-partum. In the clinic, it actually showed up as that coupled with a bulk of nulliparous patients of all genders and lifestyles with pelvic pain, complex cases with multiple co-morbidities, and incontinence in all age groups. This larger view of the field solidified my belief that pelvic floor rehab was being underutilized.
Through the following years, I worked in many different settings including hospital-based outpatient and private practices. Exposure to multiple populations across three states again broadened my view of pelvic rehab to something that could benefit so many people throughout their lifespan. In the summer of 2020, I began working under the mentorship of Raquel Perlis in her clinic in Wellesley, MA. Being one of the first pelvic rehab practitioners in the PT world, Raquel is widely known for her treatment of the chronic pelvic pain population. Together we addressed many cases of vaginismus, vulvodynia, SI joint pain, coccydynia, endometriosis, rectal pain, etc. Working with the pelvic pain population was both challenging and rewarding, as working with many chronic conditions in PT can be.