Gender-Affirming Care
Interventions are tailored to each patient’s anatomy, goals, and stage of care, and may include:
- Pelvic floor muscle assessment and treatment (strengthening, relaxation, coordination)
- Neuromuscular re-education
- Manual therapy to address soft tissue and scar mobility
- Dilator therapy and graded tissue mobility (when indicated)
- Postural, breathing, and pressure management strategies
- Functional movement retraining
The goal of care is to improve function, reduce pain, support surgical outcomes, and enhance overall quality of life in a medically appropriate and affirming environment.
Conditions & Indications Treated
Pelvic Floor Dysfunction:
- Pelvic floor muscle overactivity or underactivity
- Impaired coordination of pelvic floor musculature
- Pelvic pain
Bladder & Bowel Dysfunction:
- Urinary incontinence
- Urinary urgency and frequency
- Incomplete bladder emptying
- Constipation
- Dyssynergic defecation
- Fecal incontinence
Pre-Operative Care (when applicable):
- Baseline pelvic floor assessment
- Education on post-operative expectations
- Preparation for dilator use and pelvic floor coordination
- Optimization of bowel and bladder function prior to surgery
Post-Operative Rehabilitation (procedure-dependent):
- Scar tissue and soft tissue mobility
- Pelvic floor muscle retraining
- Vaginal dilation training and progression (for vaginoplasty)
- Return to functional movement and activity
- Management of urinary or bowel changes following surgery
Sexual Function:
- Pain with penetration or dilation
- Tissue mobility restrictions
- Pelvic floor muscle dysfunction impacting sexual function
Chest Binding-Related Symptoms:
- Thoracic spine stiffness
- Rib and chest wall pain
- Restricted breathing mechanics
- Postural changes (increased kyphosis, forward shoulder positioning)
- Shoulder and neck pain associated with prolonged binding
Post-Operative Upper Body Care (e.g., top surgery):
- Scar tissue restrictions and reduced tissue mobility
- Shoulder range of motion limitations
- Chest wall tightness
- Postural and movement compensations
- Gradual return to lifting, exercise, and functional activities
Hormone-Related Musculoskeletal Changes:
- Changes in muscle mass and strength
- Joint stiffness or increased joint laxity
- Tendon or soft tissue sensitivity
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Take the Next Step Toward Healing
If you are experiencing any of the above, you are not alone, and effective treatment is available.
👉 Schedule your evaluation today at Two Rabbits Physiotherapy and begin your journey toward healing.
