We use personalized physical therapy treatments with a whole-body approach.
Whether you're leaking urine when you sneeze, having to get up multiple times at night to urinate, wanting to improve your running or walking technique without leaking urine, trying to solve chronic low back pain, struggling with erectile dysfunction or prostatitis, or having pain during or after sex, we can help you!
Our specialist is certified to
Pelvic Prime is Aiken's premiere comprehensive pelvic floor physical therapy clinic. We are the ONLY clinic in the Aiken area that has an APTA orthopedic certified clinician that also specializes in pelvic floor rehabilitation. Our focus on a whole body approach ensures that you are equipped with the tools you need to overcome a multitude of pelvic issues.
Our services are performed one-on-one by an educated and qualified professional following the most up to date research practices. We believe each client should experience a personalized physical therapy treatment plan with a whole body approach.
What we treat
Pelvic floor physical therapy includes an orthopedic assessment of pelvic floor muscle integrity and how it affects your entire body. Some common symptoms are:
Interstitial cystitis / painful bladder syndrome
Low back pain
What is the pelvic floor?
The muscles that support your reproductive and urinary tracts, including your bladder, uterus, prostate, and rectum, are referred to as the pelvic floor. These muscles are connected to the pelvis, tailbone, and sacrum. They help you control your bladder and bowel function in addition to providing support. When these muscles don't work right, they can cause pain and other symptoms that make it hard to go about your daily life.
Both men and women can have trouble with their pelvic floor. It happens when the muscles are weak, don't work well, and only contract. If the muscles don't relax as they should, they cause the following.
Urinary incontinence/urinary incontinence in men.
Women experience pain during sex.
No one knows what causes pelvic floor dysfunction, but there are some things that can make it happen. These are some of them:
Having surgery on the pelvic area.
Using the pelvic muscles too much.
Injury or damage to the area around the pelvis.
Weight problems and obesity.
Physical therapy can help relieve pain and other symptoms so you can get back to normal.
What is pelvic floor physical therapy?
Pelvic floor physical therapy is a hands-on treatment that can help with pelvic floor muscle pain, weakness, and dysfunction. This type of therapy may include pelvic floor muscle reeducation, pain desensitization, bowel and bladder retraining, breath work, changes to posture and gait, and an assessment of the diet and amount of fluids taken in. The type of therapy recommended will be determined by the symptoms you are experiencing. For example, some symptoms require muscles to be relaxed and lengthened, while others may require muscles to be strengthened.
Pelvic floor physical therapy can be used to treat pelvic floor dysfunction as well as the symptoms that often accompany it. Pelvic floor physical therapy can help with the following symptoms:
Urinary problems, such as:
Difficulty stopping or starting urinating
Difficulty fully emptying the bladder
Bowel problems, such as:
Straining or experiencing pain during bowel movements
Chronic pain, such as:
Low back pain
Hip “popping” or “snapping”
What to expect at your first appointment
There are some things you can expect when working with a physical therapist to improve pelvic floor function. Your therapist will conduct an assessment at your first appointment before determining which types of therapy will be most effective. An orthopedic evaluation will be part of that evaluation. You may be asked to stand, walk, and sit so that the therapist can determine whether you have any posture or joint problems that are affecting your pelvic floor muscles.
Most physical therapy for pelvic floor pain and dysfunction is done by hand, both inside and outside the body. Because some people find internal physical therapy difficult, therapists are sensitive to the needs of each individual and will not begin internal physical therapy until you are ready.
Your therapist may recommend Kegel exercises to strengthen your muscles, depending on your condition. She will assist you in learning how to do Kegels correctly.
Internal techniques may include using a specialized instrument or a finger to perform trigger point therapy inside the vagina or rectum. An internal exam is usually required to evaluate the pelvic floor. The exam is designed to look for muscle strength, tightness, trigger points (small muscle "knots"), painful areas, and muscle coordination. The internal exam is usually not painful. If you are here for pain relief, it is critical that the specific muscles causing the pain be identified during the exam. This will aid in the development of an appropriate care plan.
The initial evaluation will determine the appropriate plan of care. Treatment options include:
Exercises to strengthen or stretch the trunk, legs, or pelvic muscles
Exercises to relax shortened pelvic muscles
Self-management and prevention education
Biofeedback electrical stimulation for either pelvic muscle strengthening or relaxation
Pelvic floor therapy is recommended as a first-line treatment for many pelvic disorders.
Why choose Pelvic Prime
"Dr. Rea has helped ease my foot pain with dry needling and custom exercises - I can go for walks again! She has also helped the pelvic pain I've been experiencing during pregnancy through exercises and manual work, like massage. Dr. Rea is an excellent clinician and superb physical therapist. She is extremely tenacious when it comes to diagnosing and treating your pain! I appreciate that she takes a whole body approach - for example, my foot pain has altered my gait which is contributing to some of my hip pain - and she treats it all. I wholeheartedly recommend Pelvic Prime for all your PT needs!"
"Dr. Hubbs is an expert in her field. She works diligently to get to the core of the issue and targets interventions to bring resolution. If the case is particularly tricky, she will relentlessly dig into research and current best practice to find the solution. Dr. Hubbs has inspired me to pick up running and has offered helpful videos on improving my running form. In addition to her excellent clinical skills, Dr. Hubbs is passionate, kind, and hilarious. I trust her completely with my care."
"Rea is an amazing Physical Therapist, who truly cares for her patients. She was wonderful to work with."
"Shandrea has a great balance of professionalism and personality. Her warmth, humor and passion make her a great person and she's great at what she does."
Aiken Medical Center
410 University Parkway
Aiken, SC 29801
Congratulations to Rea on becoming a certified Pregnancy and Postpartum Corrective Exercise Specialist! With this certification, Rea is even more qualified to help women successfully navigate pregnancy, childbirth, and the postpartum period. Working together, we can help increase your comfort during pregnancy, help decrease the chance of injury during birth, and help you recover more quickly and safely after your sweet bundle arrives. Additionally, if you are entering perimenopause or menopause, your hormones and body have undergone a significant change, leaving you more vulnerable to injuries, like prolapse. Rea can help you navigate this period of your life to prevent injuries and exercise appropriately. Pelvic Prime is now better able than ever to help you enjoy a lifetime of healthy exercise!