⭐⭐⭐⭐⭐ Rated 5 Stars by Over 280 Patients — Read Our Reviews on Google!
Brain fog. Fatigue that sleep doesn't fix. A body that feels unfamiliar. Bladder leaking that wasn't there before. Weight that won't shift no matter what you do. Joint pain. Hair thinning. Mood changes that seem to come from nowhere. These symptoms are real, they are connected, and they have a source.
At Pelvicore Rehab & Wellness, we specialize in perimenopause and menopause treatment that gets to that source — combining pelvic floor physical therapy, hormone therapy, diagnostic testing, and whole-body care to help women feel like themselves again.
Perimenopause and menopause affect virtually every system in the body. The decline of estrogen, progesterone, and testosterone during this transition drives symptoms that are frequently dismissed, misdiagnosed, or treated in isolation. At Pelvicore we treat the full picture:
"The most intense, thorough, and empathetic therapist I have encountered. Susan is exceptional and I would recommend her without reservation." Pat
"Not sure words can capture how amazing Susan is! Her knowledge, her energy, her professionalism, and her approach are all 5 stars plus. Her passion for helping others heal comes through in spades. Sessions with her fly by, and she always customizes to what my body needs. I leave feeling like I had a complete healing experience... body, mind, and spirit. And her knowledge.... layers and layers of it! She is worth every penny and then some." Monica
"I have been working with Susan since June of 2019. While other practitioners I spoke to immediately spoke about surgical methods to correct my prolapse, Susan taught me how lifestyle changes, improvement in posture and breathing could make all the difference in my health and in my life. I have never felt any pressure from Susan to make an appointment. If anything she was very forthright in telling me that She does not want to keep patients in therapy longer than they have to be. This speaks very highly not only of her practice but of her character. In between sessions Susan is easily accessible by text or email and was happy to answer whatever questions I had. Susan is very well educated on multiple disciplines that she incorporates into her practice. I feel very fortunate to have her as my therapist." Rachel
MEET YOUR MENOPAUSE TREATMENT SPECIALIST
Susan Winograd, MSPT has been treating pelvic floor dysfunction in men and women for nearly 30 years. She founded Pelvicore Rehab & Wellness with a single focus: getting to the root cause of symptoms that other providers have dismissed, misdiagnosed, or failed to resolve.
Susan specializes in the kind of cases that arrive at her door after years of dead ends — chronic pelvic pain, post-surgical recovery, bladder and bowel dysfunction, and sexual health issues that most men have never been able to talk openly about with a provider. She's been featured in Peloton, Fit + Well, and numerous health podcasts for her whole-body, non-surgical approach to pelvic health.
Her approach is thorough, judgment-free, and built around one question: what is your body actually telling us?
MEET YOUR MENOPAUSE TREATMENT SPECIALIST
Kelley Maple APRN, FNP-BC is the founder of the KM Health Collective, an educational platform dedicated to educating women on how to thrive through midlife. As a board-certified Family Nurse Practitioner, Kelley is recognized for her forward-thinking approach and her outstanding professional and academic achievements.
Perimenopause treatment depends on which symptoms are most affecting your quality of life and what's driving them. At Pelvicore, our approach combines pelvic floor physical therapy for bladder, pelvic, and sexual symptoms; hormone therapy when clinically indicated; and lifestyle medicine, including nutrition, movement, and targeted supplementation. Most women benefit from a combination of these approaches rather than a single intervention.
Yes — and the evidence base for natural perimenopause treatment is stronger than most women are told. Pelvic floor physical therapy has strong clinical evidence for bladder leaking, pelvic pain, and sexual dysfunction during perimenopause. Nutritional strategies, targeted exercise, sleep optimization, and specific supplements all have meaningful evidence supporting their use.
Most providers treat perimenopause symptoms in isolation. At Pelvicore, Kelley Maple, APRN, and Susan Winograd, MSPT, collaborate to address hormonal balance and pelvic floor function simultaneously — which is where the most meaningful improvements happen for women in perimenopause and menopause.
Perimenopause typically begins in the mid-40s, though it can start as early as the late 30s. Symptoms often precede the formal diagnosis by years — women frequently experience brain fog, fatigue, sleep changes, and mood shifts long before their periods become irregular. If you're experiencing symptoms that match this picture, you don't need to wait for a formal diagnosis to seek support.
Yes — particularly for bladder leaking, pelvic pain, painful intercourse, and pelvic organ prolapse, which are among the most common and most undertreated menopausal symptoms. Declining estrogen directly impacts pelvic floor tissue and function, and pelvic floor physical therapy addresses these changes directly.
Our expert Pelvic Floor Physical Therapists have created a FREE short guide to help women experiencing hot flashes due to menopause and perimenopause.
Are frequent bathroom trips, leaking, or sudden urgency disrupting your daily life? You might be blaming your bladder — but the real culprit could be perimenopause. In this post, Susan Winograd of Pelvicore Pelvic Rehab breaks down the connection between hormonal changes and bladder health, and shares 4 simple tips every woman in midlife needs to know.
Are you navigating weight training during menopause? In this video, Susan Winograd PT discusses how to approach weight training for women over 50 with caution and care.
Are you experiencing unexplained menopause and perimenopause joint pain, muscle aches, or inflammation? You’re not alone! Learn the science behind how these hormonal changes affect your body during this season of your life.
Perimenopause and menopause treatment at Pelvicore Rehab & Wellness in Boca Raton. Call us at 561-295-1631 or book your free discovery call below.
350 Camino Gardens Blvd, Unit 102, Boca Raton, FL 33432
