For over 20 years Dr. Wegmann has specialized in orthopedics and pelvic floor rehabilitation. Her advanced training in manual therapy, spine and pelvic rehabilitation, female and endurance athlete rehabilitation, pelvic floor dysfunction, urinary incontinence, bowel dysfunctions, pregnancy and post-partum pain syndromes, and male pelvic floor dysfunctions allows her to diagnosis and treat the root of the problem. Professionally, Dr. Wegmann was an invited speaker at the 2011 International Pelvic Pain Society meeting and a guest speaker at Elon University and Pfeiffer University. She collaborates with local physicians and allied-health providers to provide total wellness for her patients. In the local community, she enjoys educating the public to bring awareness of pelvic health via community talks with local fitness clubs, the YMCA and SAS. Dr. Wegmann has a B.A in psychology from Whitman College and Master of Physical Therapy from Chapman University located in Orange, California, and a Doctorate in Physical Therapy from WSSU. In addition, Dr. Wegmann is an active member of the American Physical Therapy Association, NCAPTA, International Pelvic Pain Society, National Vulvodynia Association and Triangle Women’s Health Study Group. As a native of the Northwest, Emily enjoys running, adventures in the great outdoors, reading, and spending time with her husband and their two boys.
Endometriosis Basics What it is: Endometriosis occurs when endometrium-like tissue is found outside of the uterus. This may include areas of the pelvis- near/ around/ attached to the bowel and bladder, ligaments, and elsewhere in the peritoneum. Endometriosis may even be found in more outlying areas of the upper abdominal cavity. Why it matters: Endometriosis […] Read More
Pelvic Pain
Pregnancy
Labor and Delivery
Whether you sustained an injury, are recovering from childbirth, or you just want to up your game, returning to fitness can be overwhelming. We create a customized, graded exercise program to target the muscle groups that will help you reach your fitness goals.
The Society for Urodynamics and Female Urology (SUFU) and the American Urology Association (AUA) define BPS “as an unpleasant sensation (pain, pressure, discomfort) perceived to be related to the urinary bladder, associated with lower urinary tract symptoms of more than six weeks duration, in the absence of infection or other identifiable causes.”
Interstitial Cystitis
Urinary Tract Infection
Feeling beholden to your bladder? Stuck on the toilet for hours at a time? Pain before or during urination? An almost constant ache above the pubic bone? Never able to get completely emptied? Feeling like you have a UTI but tests are always negative? You may be experiencing bladder pain syndrome (BPS), sometimes […] Read More
Because there is no known cure for BPS, treatment is focused on symptom management. This may include medication prescribed by your medical team. If there are dietary triggers, you may consider eliminating or reducing their consumption. If constipation is also present, this must be addressed (think fiber, fluid, and Squatty Potty). Because pelvic floor muscle tightness is also frequently associated with BPS, working with a pelvic floor therapist to retrain and relax these muscles through exercise, manual therapy, and/or biofeedback can be helpful. Bladder training and progressively lengthening the time between bathroom breaks may be indicated. Meditation, regular exercise, and other stress management strategies are ways to address a hypersensitive nervous system, and working with a counselor or therapist is crucial to finding strategies that work best for you.
FAI can be diagnosed with a combination of physical examination, imaging tests such as X-rays, magnetic resonance imaging (MRI), and computed tomography (CT) scans.
Radiology
Kassarjian, A., & Fritz, B. (2014). Hip MR arthrography and femoroacetabular impingement: a primer for radiologists. Clinical radiology, 69(5), e202-e208. https://doi.org/10.1016/j.crad.2013.12.011
Johnson, A. C., & Guanche, C. A. (2016). Hip labral tears: a review of diagnosis and management. World Journal of Orthopedics, 7(10), 644–651. https://doi.org/10.5312/wjo.v7.i10.644
Arthroscopy
Matsuda, D. K. (2015). Hip Arthroscopy for Labral Tears. In AANA Advanced Arthroscopy: The Wrist and Elbow (pp. 425–438). Springer International Publishing.
Having a good care team is key when treating BPS. It is helpful to see a gynecologist, urologist, and/or urogynecologist to rule out infection and other major pathologies. Sometimes a urologist or urogynecologist will use a camera/scope in the bladder to look for ulcers in the wall called Hunner’s lesions. Because there may be dietary triggers of symptoms, a dietitian is extremely helpful. And of course, a pelvic floor physical therapist is crucial in helping you work on the surrounding muscles and nerves.
Philippon, M. J., & Devitt, B. M. (2019). Hip Labral Tears: Evaluation, Management, and Outcomes. Sports Medicine and Arthroscopy Review, 27(1), 17–25. https://doi.org/10.1097/JSA.0000000000000226
Physical Therapy
In many cases, conservative treatment options such as rest, physical therapy, and anti-inflammatory medication may be sufficient to manage the symptoms of a hip labral tear and FAI. In more severe cases, surgery may be necessary to repair or remove the damaged tissue.
Back Pain
Manual Therapy
Our board-certified orthopedic clinical specialist, Emily R. Wegmann, DPT, MPT, OCS has 20 years of experience treating complex orthopedic conditions of the spine, pelvis, hips, shoulders and neck. She uses the biopsychosocial model in addition to a thorough biomechanical exam to get to the root of your problem. Dr. Wegmann will create your individualized treatment program using advanced manual therapy skills, movement analysis, and brain-body neuromuscular retraining to help you meet your personal goals! We think outside the box to solve your complex and simple orthopedic injuries to get you back into the game of life. Don't wait another day to get back to the activities you love to do or always wanted to try.