About Me
Hi! I’m Dr. Erica O'Neal, a Doctor of Physical Therapy and the owner of Trailhead Physical Therapy and Wellness. I specialize in pelvic health physical therapy, helping individuals overcome issues like pelvic pain, incontinence, and other dysfunctions that impact their daily lives. With a holistic, one-on-one approach, I’m passionate about empowering my clients to feel strong, confident, and capable again. Whether you’re dealing with chronic pain, needing pregnancy or postpartum support, dealing with incontinence or bowel issues, or simply want to optimize your pelvic health, I’m here to guide you every step of the way.
How to Book with Me
Taking the first step is simple! Visit my website at www.trailheadptandwellness.com or call 231-224-6016 to book an evaluation. Let’s work together to create a personalized plan that helps you get back to doing what you love—without limitations.
The Top 5 Pelvic Floor Issues No One Talks About (But Should)

When most people think about pelvic floor issues, they often associate them with childbirth or postpartum recovery. While pregnancy can certainly impact pelvic health, it’s not the only factor. The truth is, pelvic floor dysfunction affects individuals of all ages and genders, and it’s time we shed light on the issues no one talks about. Here are the top five pelvic floor problems that deserve more attention:
1. Urinary Leakage (It’s Not Just ‘Aging’)
Many people think urinary leakage is an inevitable part of getting older, but it’s not something you have to live with. Whether it’s a little dribble when you laugh or a sudden urge that’s impossible to hold back, urinary incontinence is a sign of pelvic floor dysfunction. It’s common but not normal—and it’s highly treatable with physical therapy. Leakage can occur due to weak or overly tight pelvic floor muscles, hormonal changes, chronic coughing, or even high-impact exercise. If you’re altering your daily habits to avoid accidents, it’s time to seek help.
2. Pelvic Pain (The Silent Disrupter)
Pelvic pain is one of the most under-discussed pelvic floor issues. Conditions like interstitial cystitis, endometriosis, vaginismus, or prostatitis can cause significant discomfort and disrupt your daily life. Pain with sitting, intimacy, or even using the bathroom might point to pelvic floor dysfunction. Unfortunately, many people suffer in silence, believing it’s just their “normal.” But chronic pelvic pain is often related to tight or dysfunctional pelvic floor muscles, and specialized therapy can make a world of difference.
3. Bowel Issues (It’s Not Just About ‘Going’)
Struggling with constipation, incomplete emptying, or even fecal leakage? These bowel issues can stem from pelvic floor dysfunction. If the muscles in your pelvic floor are too weak, too tight, or not coordinating properly, it can affect how you go to the bathroom. Straining or chronic constipation can also put excess pressure on the pelvic floor, creating a vicious cycle. Addressing the root cause through physical therapy can help restore function and ease these embarrassing symptoms.
4. Painful Intercourse (Dyspareunia)
Pain during intimacy is often dismissed or normalized, but it’s a clear signal that something’s not right. For women, this might be due to tight pelvic floor muscles, vaginal dryness, or conditions like endometriosis. For men, pelvic pain or tightness can also contribute to discomfort during or after intercourse. Pelvic floor therapy focuses on releasing muscle tension, improving blood flow, and addressing underlying causes so intimacy can feel good again.
5. Hip, Back, or Tailbone Pain
Did you know your pelvic floor is closely connected to your hips, lower back, and even your tailbone? Chronic pain in these areas could be linked to pelvic floor dysfunction. For instance, a fall on your tailbone, poor posture, or overcompensation during workouts can strain the pelvic floor muscles. If you’ve been to chiropractor after chiropractor without relief, it might be time to take a closer look at your pelvic floor.
Why It’s Time to Talk About Pelvic Health
Pelvic floor issues are incredibly common, yet they’re often ignored due to embarrassment or the misconception that nothing can be done. The good news? Pelvic floor physical therapy offers hope and healing. By addressing the root cause of your symptoms—whether it’s weakness, tightness, or poor coordination—you can regain control of your body and live without discomfort.
If any of these issues sound familiar, don’t wait to seek help. Pelvic health is just as important as any other aspect of your well-being, and you deserve to feel strong, capable, and pain-free.
Ready to take the first step? Book an evaluation today at Trailhead Physical Therapy and Wellness to find out how we can help you get back to doing what you love, without limitations.

Comments