Pelvic Floor Therapy & Wellness in Rio Rancho, NM
A personalized, non-surgical approach to pelvic health for women and men experiencing bladder, bowel, sexual, and pelvic floor symptoms
Pelvic Floor Rehabilitation Program
At Zia Therapy & Pain Relief in Rio Rancho, our pelvic health program provides individualized assessment and treatment for men and women experiencing pelvic floor dysfunction. Our program is overseen by Kelly Hoock, FNP-C, and combines clinical evaluation with non-invasive pelvic floor rehabilitation techniques based on each patient's symptoms and goals.
Kelly Hoock, FNP-C
Kelly Hoock, FNP-C, is a New Mexico Family Nurse Practitioner and a clinical provider at Zia Therapy & Pain Relief's pelvic floor program in Rio Rancho. Kelly worked as a delivery and labor nurse for 12 years before earning her FNP-C from Walden University in 2021. Kelly works with women and men experiencing pelvic floor dysfunction, including urinary incontinence, urgency and frequency, bowel dysfunction, pelvic pain, and other pelvic health concerns.
Kelly has developed a particular passion for pelvic health because of the significant impact these conditions can have on a person's independence, confidence, relationships, and overall quality of life. She believes patients deserve to feel comfortable discussing pelvic health concerns and to have access to individualized, evidence-informed treatment options.
At Zia Therapy & Pain Relief, Kelly helps evaluate patients, develop individualized plans of care, and provide clinical oversight for the pelvic health program
Pelvic Floor Symptoms We Treat:
Urgency
The sudden, intense sensation of needing to go to the restroom and having to rush to get there is called ‘urgency ‘.
Treatment may help improve bladder control and increase the amount of time between experiencing urgency and needing to use the restroom
Frequency
Urinary frequency refers to needing to urinate more often than expected or often enough that it interferes with daily activities. Pelvic floor dysfunction can contribute to urinary frequency in some individuals.
Stress Incontinence
Stress Urinary Incontinence (SUI) is defined as a sudden, unintentional loss of urine during normal day-to-day activities. If you have this problem, you may notice leakage if you laugh, cough, sneeze, walk, exercise, or lift something.
Pelvic floor treatment may help improve muscle coordination and bladder control in people experiencing stress urinary incontinence.
Source: National Library of Medicine - Pelvic Floor Muscle Training
Sexual Dysfunction
Pelvic floor dysfunction can contribute to pain during intercourse, difficulty with pelvic muscle relaxation or coordination, and other symptoms affecting sexual function. Treatment is individualized based on the patient's symptoms and medical history.
Incontinence Without Awareness
Leaking without feeling it or waking up wet.
Retention
Urinary retention occurs when the bladder does not empty completely or when a person has difficulty initiating or completing urination.
Because urinary retention can have several causes, appropriate medical evaluation may be recommended.
Nocturia
Nocturia is waking during the night to urinate. When nighttime bathroom visits repeatedly interrupt sleep or affect quality of life, pelvic floor dysfunction may be one contributing factor worth evaluating.
Pelvic Pain
Pelvic pain can have many causes and may involve the pelvic floor muscles, bladder, bowel, reproductive system, nerves, or surrounding tissue. Conditions such as bladder pain syndrome/interstitial cystitis may occur alongside pelvic floor dysfunction. Our providers evaluate symptoms to determine when pelvic floor treatment may be appropriate and when referral to another healthcare provider is warranted.
Chronic Constipation
Hard stool, infrequent stools (typically fewer than three times per week), the need for excessive straining, a sense of incomplete bowel evacuation, and excessive time spent on the restroom or unsuccessful defecation.
In some people, difficulty coordinating or relaxing the pelvic floor muscles can contribute to constipation and difficulty emptying the bowels.
Typical Symptoms Include but Are Not Limited To:
Stress Incontinence (Sneezing, Laughing, Coughing) (MedlinePlus)
-
Daytime frequency (disrupting daily activities)
-
Nighttime frequency (preventing a good night’s sleep)
-
Urgency (uncontrollable urge for bathroom visits)
-
Retention (unable to process normal body functions)
-
Incontinence without awareness (unexpected dampness)
-
Post-Void Dribble
-
Incomplete Bladder Emptying
-
Pain During or After Sex (Dyspareunia)
-
Post-prostatectomy urinary incontinence in men (MedlinePlus)
-
Pelvic or Rectal Pain (bathroom visits or menstrual cycle)
-
Chronic constipation (periodic discomfort)
-
Fecal Incontinence (uncontrollable bowel movement)
-
Prolapse (Organ displacement) (ACOG)
-
Interstitial Cystitis
-
Dyspareunia
Primary Benefit
Improving Quality of Life
Our pelvic health program uses a structured, non-surgical appraoch tailored to each patient's symptoms and functional goals. Treatment may include pelvic floor muscle assessment, neuromuscular re-education of the levator ani muscle, education, electrical stimulation, and other appropriate interventions. Progress is monitored throughout the treatment so the plan can be adjusted based on each patient's response.
Timeline to a Better Life
Typical treatment consists of 8-12 weekly visits. This includes an initial evaluation along with a conclusive visit to document measurable progress. Treatment plans vary based on diagnosis, symptoms, and individual response. Many patients begin with weekly appointments, with progress reassessed throughout the program.
Secondary Benefits
Erectile Dysfunction
Pelvic floor dysfunction may contribute to urinary symptoms, pelvic pain and some aspects of sexual function in men. Our program also works with men experiencing urinary incontinence following prostate surgery and other pelvic health concerns.
Postpartum/Abdominal Surgery
Patient Testimonial:
Patients reported post-surgery pain during intercourse, incontinence without awareness, and frequency/urgency issues. Many reported significant improvements after just three visits.
Clinical Review & Pelvic Health Resources & References
This page was reviewed by Kelly Hoock, FNP-C, Family Nurse Practitioner and clinical provider for Zia Therapy & Pain Relief's Pelvic Health Program.
-National Institute of Diabetes and Digestive Kidney Diseases - Bladder Control Problems & Pelvic Floor Exercises
- MedlinePlus, National Library of Medicine - Pelvic Floor Disorders
- MedlinePlus, National Library of Medicine - Pelvic Floor Muscle Training Excercises
- American College of Obstetricians and Gynecologists- Pelvic Support Problems
-