Targeted treatment techniques
At Holism Integrative Wellness in Coconut Grove, Miami, I provide specialized physical therapy and hands-on manual therapy for persistent pain, abdominal and pelvic adhesions, scar tissue, pelvic floor dysfunction, and restrictions following surgery.
Techniques are tailored to your presentation,
preferences, and goals. You are always in charge and no treatment technique is used without your consent.
F O R C O M P L E X, L O N G - S T A N D I N G C A S E S
Treatment Intensives
For chronic, complex presentations that haven't resolved with standard, more spread-out treatment, I offer concentrated Treatment Intensives — multiple hours of hands-on work each day over several consecutive days or weeks, typically 10–20 hours across 4–10 days.
This condensed format lets us work more deeply and consistently than weekly sessions allow, drawing on whichever combination of techniques best fits what you're experiencing.
The techniques are tools.
The person in front of me is the focus.
Not sure which approach is right for you?
That's okay. You don't need to know. We'll talk through your history,
what you are experiencing, and whether Holism may be a good fit for you.
What Brings People to Holism?
Holism may be a fit if you have or are experiencing:
Post-Surgical &
Medical Procedures
- Caesarean section (C-section) scar pain or restrictions
- Persistent abdominal pain or restricted movement following surgery
- Hysterectomy
- Prostatectomy
- Episiotomy
- Mastectomy
- Bowel resections
- History of small bowel obstruction related to adhesions
- Ostomy
- Cholecystectomy (gallbladder removal)
- Appendectomy
- Liver and kidney transplants
- Plastic surgery
Pelvic &
Reproductive Health
- Dysmenorrhea (painful periods)
- Dyspareunia (pain during intercourse)
- Endometriosis-related pelvic pain
- Chronic pelvic pain
- Pelvic floor dysfunction
- Pelvic pain and dysfunction in men
- Coccydynia (tailbone pain)
Pelvic floor therapy is available for both men and women and may include external or internal pelvic floor techniques, when clinically appropriate and with your informed consent.
Head, Neck & Jaw
- Jaw pain and TMJ dysfunction
- Voice difficulties (dysphonia)
- Swallowing difficulties (dysphagia)
Scars & Connective Tissue
- Post-surgical scarring
- Radiation scarring
- Abdominal or pelvic adhesions
- Restrictive, sensitive, or painful scars
FAQs
My condition isn't listed on your services page. Can you still help?
Many of the people I treat have conditions that don't fit neatly into a list, especially when it comes to complex or long-standing pain. Reach out and let's talk, not just about whether I can help, but whether I'm the right fit for you. That connection matters.
What makes your approach to physical therapy different?
While many physical therapy practices combine exercise, strengthening, and hands-on treatment, my approach places particular emphasis on specialized manual therapy. I look beyond the area of discomfort to consider how scar tissue, soft-tissue restrictions, and other parts of the body may be contributing to your symptoms.
Drawing on my experience with complex post-surgical conditions, abdominal and pelvic adhesions, and persistent pain, I select treatment techniques based on your individual history, clinical findings, and goals rather than following a fixed protocol.
How long after a surgery can I start treatment?
Manual lymphatic drainage can begin even before surgery, and immediately afterward to support healing. For deeper work addressing fascial adhesions or scar mobility, it is recommended to wait at least 90 days to ensure incisions are fully healed.
Is manual therapy for scar tissue and adhesions painful?
I adapt treatment to your comfort and the sensitivity of the tissues being addressed. Some areas may feel tender, particularly around longstanding scars or sensitive regions, but treatment should not require you to endure significant pain.
I communicate with you throughout the session, and techniques or pressure can be adjusted at any time.
Can manual therapy help if my surgery was years ago?
Yes, even years or decades after surgery, manual therapy may help address persistent discomfort, scar sensitivity, and restricted movement. The age of a scar doesn’t necessarily determine whether treatment may be beneficial. An initial evaluation allows me to assess your symptoms, discuss your surgical history, and determine whether hands-on treatment may be appropriate for you.
Why don’t adhesions show up on an MRI or CT scan?
Adhesions are thin, sheet-like bands of tissue with very little blood supply, which makes them difficult to distinguish from the surrounding tissue on a standard scan. I’ve worked with patients whose adhesions were later confirmed during surgery despite a “normal” scan beforehand.
There’s a more specialized option called cine-MRI, which captures how your organs move and slide against each other in real time, rather than a single static image. Because adhesions restrict that normal movement, this kind of imaging can pick up on things a standard MRI or CT often misses. It isn’t part of routine scanning, though, which is one reason adhesions are so frequently overlooked.
What if I have a new injury?
I'm always happy to help with new injuries and I will do my best to fit you in as soon as possible.
Dry needling and lymphatic drainage, in particular, can be very effective for acute injuries like ankle sprains and back pain.
Do you do mobile treatments?
Yes, treatments in your home can be arranged, with an added fee based on distance from the clinic.
Do you offer massage on its own?
Yes. As a licensed massage therapist, I offer Swedish and deep tissue massage for relaxation and general wellbeing. Please reach out to inquire about availability.
For those seeking a more comprehensive assessment and individualized treatment of a specific condition or ongoing concern, physical therapy appointments are also available.
I have an IUD, is that okay?
IUDs must be removed for any visceral work, or deep work to the abdomen and pelvic floor.
Do you treat if I am pregnant?
Please call me to see if I am the right provider for you at this time. Absolutely fine for lighter work, but deeper work needs to be addressed after birth and once you have had time to recover.
Do I need a doctor's referral?
No. Florida is a direct access state, so you can come directly for physical therapy and wellness services without a referral.
Do you take insurance?
I am out-of-network with insurance companies, but I'm happy to provide a superbill you can submit to your insurer for potential reimbursement.
Do you accept Medicare?
I am not enrolled as a Medicare provider and do not bill Medicare for physical therapy services. Medicare beneficiaries may book certain services that Medicare does not cover, such as relaxation and wellness massage.
If you have Medicare and are interested in an appointment, please contact me first so we can discuss the type of service you're seeking and whether it is appropriate for my practice.
Abdominal Adhesions & Scar Tissue
Still experiencing pain, tightness, or restricted movement following abdominal or pelvic surgery?
Learn more about abdominal adhesions, post-surgical scar tissue, and how specialized manual therapy may fit into your care.