Certified WOMEN’S HEALTH SPECIALIST at LaBorde Therapy Center

Rachel LeDoux, PT

Rachel LeDoux PT
Women’s Health Specialist

At LaBorde Therapy Center we offer tailored treatment options that cater to women's health. Our goal is to provide you with expert care in a comfortable environment that is supportive and understanding of therapy needs in order to produce positive results and a better quality of life. Some of the services we provide include a variety of women's health services and adaptive treatment options to best suit your needs.

Women's Health Services

  • Pelvic Floor Dysfunction: Pelvic organ prolapse, bladder dysfunction (frequency, urgency, retention and/or incomplete emptying)
  • Incontinence: urinary (stress, urge, mixed, overflow)
  • Pelvic Pain: Vulvodynia, vulvar vestibulitis, dyspareunia, vaginismus, coccydynia, levator ani syndrome, interstitial cystitis, endometriosis, painful defecation, anal and/or rectal pain
  • Pregnancy and Postpartum Care: Obstetrical low back pain, sacroiliac joint pain, pubis symphysis, sciatica, diastasis recti
  • Pre-Post-Surgical: Hysterectomy, cesarean, episiotomy, sling procedure, prolapsed repair, radiation

Treatment Options

  • Patient, dietary and behavioral education
  • External and internal soft tissue mobilization, myofascial and trigger point release, visceral manipulation, connective tissue manipulation, deep tissue massage, therapeutic dry needling
  • Appropriate strengthening exercise and muscle awareness activities (including isolated pelvic floor strengthening, core strengthening, Pilates, yoga, etc.)
  • Biofeedback (surface EMG), electrical stimulation and transcutaneous electrical nerve stimulation (TENS); internally or externally as needed.

Frequency/ Duration of Treatment

With any type of therapy, the time it takes before any positive results can be appreciated varies from person to person, depends on diagnosis and the severity of symptoms. However, as a general rule, patients with pain conditions may need up to 8 treatments to notice any improvement and up to 12 treatments to see functional or QOL-altering changes. For patients with incontinence diagnoses, a positive change can be expected at about 6 weeks, if not sooner. These time frames are generally related to the length of time needed to make physiologic adaptations in muscle tissue.

The typical frequency of visits to PT is once or twice a week. Again, this is depending on symptom severity and diagnosis. As a patient improves the frequency of visits is tapered to weekly, then every other week and then monthly until she is ready for discharge from PT care. Some patients are able to complete PT and achieve symptom resolution in 3 months' time. For others, PT helps manage symptoms of an incurable disease so that they may continue performing their activities of daily living, recreational tasks and work- related activities with less severe or less frequent symptoms.