PELVIC FLOOR THERAPY WITH WHOLE BODY APPROACH TO FIND LASTING RELIEF !

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Welcome to Core & Beyond

Core and Beyond physical therapy LLC. is located in Troy, Michigan. We provide Pelvic floor Therapy for individuals experiencing pelvic pain, urinary leaks, painful intimacy, prolapse, perimenopause- menopause related pelvic floor concerns, male pelvic health, pregnancy-birth prep &postpartum recovery and lot more. At Core and Beyond physical therapy, you will be able to share your story and receive individualized, 1-on-1 care for long lasting relief from your symptoms.

At Core & Beyond , you will work directly with a pelvic floor therapist . You will receive personalized, whole body approach from a pelvic floor rehab expert to identify the root cause of your symptoms to help resolve your concerns .

You are more than just a few symptoms and you deserve the care beyond just a symptom resolution!

Conditions we treat at Core & Beyond

You may have mixed symptoms . Get in touch to learn more.

  • Urinary & Bladder problems

    Stress(SUI), urge(UI) or Mixed urinary incontinence

    Interstitial Cystitis (IC)

    Bladder leakage with cough/sneeze or exercises

    Feeling of constant Urge, pressure to rush to the bathroom

    Having to pee frequently , having to push to pee , unable to empty bladder completely

    UTI like symptoms of burning, painful and frequent urination but negative urine culture

  • Pelvic pain and related conditions

    Female Pelvic pain : Vulvodynia , Vestibulodynia , Vaginismus

    Painful penetrative sex , Increase in low back, tailbone pain after sex

    Pain in Tailbone , SI joint, low back & hip

    Painful tampon insertion, Painful OB exams , painful ultrasound, speculum insertion

    Spasm, pressure & tension in vagina & rectal area

    Painful sexual arousal and /or orgasm

  • Male Pelvic health

    Chronic pelvic pain syndrome (CPPS) : feeling of tension, spasm in genitals , rectum

    Male sexual pain : pain during /post sexual activity

    Groin injury, pain/pressure in abdomen, groin , hip, low back

    Chronic prostatitis related pain- not resolved with antibiotics

    Painful /burning urination but no UTI

    Pre & Post surgery rehab : Hernia, Prostate , abdominoplasty , pain post surgery

  • Pelvic Organs Prolapse

    Bladder wall, Uterus , Rectal prolapse

    Heaviness in pelvis or lower abdomen

    Feeling of “Something is going to come out of my vagina”

    Feeling of constant pressure /tension in rectum /anal area

    Feeling of pressure in lower belly during or post activities, walking, standing or exercising

    Unable to stay active / exercise due to prolapse symptoms

  • Pregnancy care and Wellness

    Pelvic girdle pain or heaviness

    Low back, Sciatic pain & hip joint pain affecting daily activities & walking

    Pubic bone , SI joint & Tailbone pain during pregnancy

    Pain/pressure/heaviness in vagina/lower belly during pregnancy

    Prepare for labor and learn pushing techniques for vaginal birth

    Core, pelvic floor & whole body strength, flexibility and mobility training specific to each trimester

  • Postpartum Recovery

    Diastasis recti recovery

    Tailbone pain, low back , hip Pain

    Whole body rehab after vaginal birth, episiotomy and C-section

    Bladder leaks ,Unable to hold gas, Painful sex postpartum .

    Core & Pelvic floor weakness , unable to engage your core muscles

    Difficulty in doing ADL’s, lifting, carrying walking or exercising

    Core, pelvic floor & whole body mobility + strength training program .

  • Perimenopause & Menopause Care

    Genitourinary syndrome of menopause (GSM)

    Urine leakage with sneeze, cough or laugh

    Painful penetrative sex or any pain getting worse post sex

    Pain, burning , irritation during urination, urgency-frequency to pee

    Constipation , Incomplete bowel emptying , having strain , push for BM

  • Pre & Post surgery rehab for whole body

    Hysterectomy

    Abdominal, inguinal hernia repair

    Abdominoplasty( Tummy tuck ) surgery

    Endometriosis ablation /excision procedures

    Surgeries for pelvic organ prolapse, bladder sling procedure

    Prostate cancer , Breast cancer, abdominal-pelvic cancer procedures or post radiation therapy

  • Bowel Disorders

    Chronic constipation not resolved with fiber

    Having to strain/push hard for bowel movement

    Incomplete bowel emptying

    Gas incontinence , fecal incontinence

  • Wellness & Maintenance Care

    Pelvic health wellness care

    Maintenance visits to update, modify home exercise program

    Specific guidance for return to gym with your pelvic floor condition

    Want to start and learn strength training , stretching, mobility exercises specific to your condition

Request an Appointment

Meet Your Physical Therapist

Dr. Reshma Salvi, PT, DPT, CAPP-Pelvic.

Founder & Pelvic Floor Physical Therapist

I started working as a physical therapist 16 years ago. During my work as an orthopedic PT, I noticed growing need to address the pelvic health issues experienced by many of my patients. My clients were complaining of pelvic pain, urinary/bowel problems and sexual pain which needed pelvic health assessments and specific interventions.

I was hearing stories of patients that their pelvic health concerns were dismissed and they might have to live with their symptoms. I wanted to help change this situation thus, I decided to deep dive in to the world of pelvic health and pelvic floor therapy.

I have completed extensive training in pelvic floor physical therapy at the Pelvic Health Academy, a branch of the American Physical Therapy Association (APTA). Additionally, I am trained in physical therapy interventions designed specifically for pregnancy and postpartum-related conditions through APTA's Pelvic Health Academy.

My passion is to improve awareness about pelvic health issues and the role of pelvic floor physical therapy to find lasting relief from symptoms. I believe that pelvic floor therapy with a whole body treatment approach can be a game changer for many people suffering with pelvic floor dysfunctions.

Why to choose Core & Beyond ?

  • Dr. Reshma has an extensive clinical experience and training in pelvic health rehab to provide skilled, specialized & high quality care required for treating pelvic floor conditions .

  • You will receive individualized and customized care plan designed to achieve your unique goals and needs.

  • You will receive whole body + thorough pelvic floor assessment to identify all the contributing factors to your symptoms .

  • You will receive 1 on 1 care in a calm & comfortable private treatment room to help you navigate through your evolving symptoms and flare ups.

  • Your concerns will not be dismissed and you will be able to share your story to get the best care you deserve!

  • Each session includes targeted exercises suitable for your conditions and hands on manual therapy care.

  • You will be empowered with evidence based education, resources and video recordings of your exercises to manage your condition in between the visits

Frequently Asked Questions

  • During your 1 st visit at Core and Beyond physical therapy, your physical therapist will have one on one conversation about your story regarding the symptoms you are feeling. It will be followed by comprehensive full body evaluation to assess joint range of motion, muscle tightness, muscle strength and pain evaluation. Your physical therapist will discuss details of the plan of care after completing evaluation steps. You will be involved in setting personal goals and plan of care to achieve them. Our goal is to make you feel comfortable and to provide you with correct education to manage your symptoms.

  • Internal vaginal/rectal examination allows a physical therapist to determine muscle tone, muscle strength, tenderness and other valuable details. Thus, it is recommended to conduct internal examination to accurately determine the source of the symptoms. You may opt out of the internal examination if you don’t feel comfortable. Your physical therapist can use external palpation techniques to gather required information.

  • No, you can visit us directly for an initial evaluation. The state of Michigan allows direct access to receive physical therapy care for 21 days or 10 visits. After completing initial evaluation, your physical therapist will guide you to obtain appropriate PT script.

Request an appointment

(248) 933-7207
pelvicpt@coreandbeyond.com

1000 John R Road, Suite 214 ,
Troy, Michigan 48083.