#PTonICE Podcast Episode 1965 - Pelvic floor 2.0: serving both sexes
Jul 9, 2025
Dr. April Dominick is a pelvic health expert and owner of Revitalize PT in Denver, specializing in cash-pay practice. She shares her journey from traditional PT to prioritizing pelvic health and creating safe spaces for patients to discuss sensitive issues. April highlights the significance of rectal assessments in understanding conditions like constipation and tailbone pain, and emphasizes the power of active listening and empathy in treatment. She discusses the emotional complexities of pelvic therapy and the need for open dialogue to normalize these conversations.
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Ireland Road Trip Anecdote
- April Dominick shared a road trip experience driving in Ireland with a friend, navigating the challenge of driving on the opposite side.
- The trip up the western coast to the Isle of Skye was magical and strengthened their friendship.
Pelvic Conditions Affect Whole Life
- Pelvic conditions affect many aspects of life including intimacy, bathroom habits, and social situations, creating shame and isolation.
- This broad impact makes pelvic health issues more emotionally charged than typical musculoskeletal problems like shoulder pain.
Embrace Lengthy Subjective Sessions
- Allow lengthy, uninterrupted patient stories during subjectives to build trust and uncover deeper issues.
- Viewing talking as an intervention helps provide education and emotional space that many patients lack.