"And then the time came, when the risk to remain tight in a bud was more painful than the risk it took to blossom." ~Anias Nin
What is EPC? Embodied Pelvic Care offers a holistic lense to personal pelvic health. EPC is a radical somatic approach to working on and within the pelvis. EPC supports the body's ability to reorganize and heal from scar tissue caused by birth injuries or trauma, gynecological procedures, chronic pelvic pain or pain associated menstrual cycles, endometriosis, pain with sexual intercourse and so much more. Embodied Pelvic Care is a modality that includes "hands-on and hands-in" manual touch of the pelvis, scar tissue remediation, somatic education and nervous system tracking.
Boundary repair, pelvic mapping and scar tissue remediation are at the foundation of Embodied Pelvic Care. Boundary repair and Somatic Experiencing are used to support individuals finding their voice and personal autonomy as we venture into the encompassing territory of the pelvis. Once a felt sense of personal boundary is experienced, pelvic mapping is used as an embodied education and exploration tool. Pelvic Mapping is also used as a tissue quality assessment for working with scar tissue and structural imbalances. Mapping involves "hands-on and hands-in" touch to become familiar with your pelvic territory. Mapping is a somatic journey of both the outer and inner world of your pelvis, including genitals.
We explore personal pelvic health through the following lenses:
Biochemical We discuss nutritional and gut health, hormonal balance and medication/drug history. Biochemistry (anything that effects blood chemistry or toxic load) can effect tissue quality, blood flow to pelvic organs, create inflammation in small or large intestines and contribute to scar tissue, as well as muscle tension. We discuss way to support healthy tissue through nutrition, hydration, lifestyle changes and various detox practices such as peri/vaginal-steams, castor oil packs, enemas ect.
Biomechanical We assess overall body alignment from "head to toe". As we support the ability of the body to reorganize to gravity by assessing globally, habitual strain patterns ease and often chronic pain is alleviated. We explore daily movement (or lack of) movement patterns, flexibility, strength, core mobility, internal organ placement, as well as integrity in and of the pelvic floor.
Emotional Our emotional stories and landscapes are often overlooked in traditional medical models. Emotional or traumatic experiences may impact our psyche at both conscious and unconscious levels. When the nervous system does not complete it's stress response after an overwhelming experience, sleep, cardiac, digestion, respiration, and immune system function can be seriously disturbed. Unresolved physiological distress can also lead to an array of other physical, cognitive, and emotional symptoms.As we work together with hands-on, hands-in modalities, emotional experiences or memories may spontaneously arise. We track these somatic experiences by becoming aware of sensations, images, spontaneous movements, emotions and stories or memories our body may shares. This process allows for integration without re-traumatizing through a titrated process.
Scar Tissue The visible scar of a cesarean section or abdominal surgery are only the tip of the iceberg. These scars often lay down roots just like a tree, underneath the skin. These roots may adhere to bone, muscle, nerves, and ligaments reeking havoc. Scar Tissue may spread creating adhesions to the pubic symphosis (pubic bone), the hip flexors, pelvic floor, back muscles and vertebrae restricting movement and causing pain. Additional remifications can include nerve damage, low back pain, neck pain, sciatica,incontinence, pelvic organ prolapse, bowel issues (constipation,IBS), nueromuscular disfunction, and diaphram restrictions that inhibit breathing and rev up the nervous system.
What can you expect from treatment? EPC sessions last 75-90 minutes. A thorough history will be taken and we will address questions and concerns. We start sessions with nervous system tracking and body awareness practices. We may move on to abdominal work and/or bone holding, followed by detailed pelvis and vulva mapping. Mapping allows clients to become familiar with their own pelvic territory. Once you are comfortable, we move from external to internal work. It may take more than one session before we begin internal work as each person's journey and timing is unique and honored.
Internal work is always done with written and verbal consent (see rules and regulations below). Internal pelvic work is always practiced using gloves and uses a lubricant as needed. Internal work may include additional pelvic mapping, scar tissue remediation, pelvic organ assessment and nervous system tracking.
Stat. Auth.: ORS 687 Stats. Implemented: ORS 687.121 Internal Cavity (1) An internal cavity massage must be performed using gloves and utilizing universal precautions for communicable disease control. (2) Internal Cavities consist of nasal cavities, oral cavities, auricular cavities, anal cavities, and vaginal cavities. (3) Prior to performing these special procedures, an LMT must: (a) be able to present evidence of the completion of specialized contact hours as training beyond the minimum competencies, which includes but is not limited to, indications, contraindications, therapeutic treatment techniques, expected outcomes, client safety, client consent, client communication, draping techniques, sanitation, and ethical responsibilities related to internal cavity massage; (b) be able to articulate a therapeutic rationale which is acknowledged by the client; rationale may include a medical prescription and/or permission to consult with the clients health care provider(s); (c) acquire prior written and verbal consent before proceeding; (d) intra-anal and intra-vaginal written consent must include clients’ option to accept or decline to provide a witness, in addition to the client and LMT. (4) While performing these procedures a LMT must use appropriate draping techniques at all times. Any temporary exposure of the genital area for the purposes of treatment is acceptable only in respect to appropriate procedures for that treatment. Immediately following treatment of the area, the genital area must be covered again. (5) Under no circumstances will intravaginal or intra-anal techniques be performed on individuals under 18 years of age.