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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Why Choose Two Rabbits Physiotherapy?
Patients across Baltimore City, Baltimore County, New Market, Frederick and surrounding Maryland communities choose Two Rabbits Physiotherapy for our:
- One-on-one, private sessions with a Doctor of Physical Therapy
- Specialized expertise in pelvic health
- Trauma-informed, compassionate care
- Integrative approach that looks at the whole body, not just the pelvic floor
- Customized treatment plans based on your personal goals and needs
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.
