⭐⭐⭐⭐⭐ Rated 5 Stars by Over 280 Patients — Read Our Reviews on Google!
⭐⭐⭐⭐⭐ Rated 5 Stars by Over 280 Patients — Read Our Reviews on Google!
For many women diagnosed with pelvic organ prolapse, surgery is presented as the inevitable next step. But pelvic floor physical therapy is a well-established, evidence-based treatment for prolapse that can significantly reduce symptoms, improve quality of life, and in many cases allow women to avoid surgery altogether — or delay it indefinitely.
At Pelvicore Rehab & Wellness, we specialize in non-surgical pelvic organ prolapse treatment. We understand how frightening and distressing a prolapse diagnosis can be. Our role is to give you a real picture of what's possible without surgery — and then help you get there.
The bladder drops into the vaginal canal, often causing bladder leaking, urgency, and incomplete emptying.
The rectum pushes into the back wall of the vagina, contributing to constipation and difficulty with bowel movements.
The uterus descends into the vaginal canal, causing pelvic pressure and heaviness
The top of the vagina collapses after hysterectomy
The small intestine pushes into the vaginal canal, typically after hysterectomy
A combination of two or more of the above, which is common
"My doctor told me my only option was surgery or to live with this uncomfortable condition. After receiving treatment here, I was able to avoid the surgery." Tammy, age 54
"After pregnancy I had a uterine prolapse, constipation, and I was unable to have sex with my husband. After visiting Pelvicore Rehab and following the recommendations of these awesome therapist, I no longer have these issues. My husband and I have a better sex life than we have ever had. Thank you Susan & Jessica!" Mari, age 31
MEET YOUR PELVIC FLOOR THERAPIST
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 PELVIC FLOOR THERAPIST
Jaime Greene, DPT is a Doctor of Physical Therapy and pelvic floor specialist at Pelvicore Rehab & Wellness. She earned her Doctor of Physical Therapy degree from Ohio University in 2005 and spent over 16 years in outpatient clinical practice in the Chicago area — including 12 years at Rush University Hospital, where she also served as a clinical supervisor.
Yes — and this is one of the most important things women with prolapse are often not told. Pelvic floor physical therapy is strongly recommended as the first-line treatment for pelvic organ prolapse before surgery is considered, particularly for stages 1–3. Research shows that pelvic floor PT produces significant and lasting symptom reduction in the majority of cases. Surgery is not inevitable — and in many cases it can be avoided altogether.
The most common symptoms are a feeling of pelvic pressure or heaviness, a bulge or sensation of something falling out of the vagina, bladder leaking or urgency, difficulty with bowel movements, low back pain, and painful intercourse. Symptoms often worsen with prolonged standing or physical activity and improve when lying down.
Pelvic floor strengthening exercises — done correctly — are one of the most effective conservative treatments for prolapse. This goes well beyond Kegel exercises and includes comprehensive pelvic floor coordination training, breathing mechanics, postural strategies, and load management. At Pelvicore, we design a specific exercise program based on your evaluation findings — generic exercises without a proper assessment can sometimes worsen symptoms rather than help.
Stage 4 prolapse — complete prolapse outside the vagina — may warrant surgical evaluation, though conservative treatment is still beneficial before and after any procedure. Stages 1–3 are generally well-managed with pelvic floor physical therapy. If you've been told you need surgery at stage 2 or 3, a second opinion, including a pelvic floor evaluation, is worth having before proceeding.
They're closely related but distinct conditions. Bladder leaking (urinary incontinence) is caused by pelvic floor weakness or dysfunction affecting bladder control. Prolapse is the physical descent of a pelvic organ. Many women have both simultaneously, and both are addressed as part of our comprehensive evaluation and treatment approach.
A prolapse diagnosis is not a surgery sentence. Non-surgical pelvic organ prolapse treatment at Pelvicore Rehab & Wellness in Boca Raton gives you a real alternative. Call us at 561-295-1631 or book your free discovery call below.
350 Camino Gardens Blvd, Unit 102, Boca Raton, FL 33432
