Treatment first begins with taking an extensive history of the issues at hand and then a thorough evaluation of the floor and the surrounding areas if needed (low back, abdomen, hips, etc.). Assessing and treating the pelvic floor is done by internal palpation. This is how our board-certified therapists directly access the muscles and surrounding tissues. The internal treatment is never required- you are ALWAYS in control of what happens in each and every visit. We typically recommend internal treatment however we recognize how personal this may be for patients and ensure that every step is explained and consent is constantly obtained as we proceed. In our facility, trauma informed care is mandatory as we respect each patient’s individual, evolving needs and boundaries. Education is interwoven in everything we do at Emerald, our aim is to ensure our patients have the tools needed to help themselves long after therapy is completed.