Begin your pelvic health journey, today.
Our Services
Urinary Incontinence
We treat all bladder leaks from stress incontinence, urge incontinence, and mixed incontinence!
Fecal Issues:
We work with bowel leakage, constipation, and gas leakage!
Pre-Natal and Post-Natal Pelvic Floor Therapy:
We work with pregnant mommas struggling with issues or just wanting to prepare for birth through their postpartum recovery to return to all things life has to offer without bladder leakage, prolapse, bowel issues, or pelvic pain. Please inquire about our birth preparation services and postpartum pelvic floor therapy.
Pelvic Pain
We treat all chronic pelvic pain conditions, tailbone pain, hip pain, back pain, abdominal pain, pubic bone pain, SI joint pain, penile pain, testicular pain, and vaginal/ vulvar pain.
Sexual Dysfunction
We also treat pain with sex caused by vaginismus and vulvodynia. We work with those struggling with erectile dysfunction and penile pain with sexual activity too!
Women’s Pelvic Health
We work with all women from menses to menopause! We specialize in painful periods, pregnancy, postpartum recovery, and pelvic health concerns that come with menopause. Please check out all the symptoms we work on here at Pacific Pelvic Health!
Men’s Pelvic Health
We work with men struggling with bladder, bowel, and sexual health issues who are dealing with pelvic floor dysfunction. This is not just a women’s problem and men are too often overlooked. Get the help you deserve!
What We Treat in Pelvic Floor Physical Therapy
Treating women, men, and everyone with a pelvis with pelvic floor dysfunction!
Urinary Urgency or Leakage: Difficulty controlling your bladder or bladder leakage. We treat urge incontinence, stress incontinence, and mixed incontinence!
Bowel Urgency or Leakage: Difficulty controlling your bowels or having bowel leakage. We work on those with bowel/ fecal leakage, gas leakage, and issues with holding back bowel movements.
Pelvic Pain: Hurting in your lower abdomen, pubic bone, low back, hips, tail bone, vaginal pain, rectal pain, testicular pain, or penile pain. Chronic pelvic pain conditions such as: endometriosis, interstitial cystitis, chronic prostatitis, pudendal neuralgia, and those without a clinical diagnosis.
Pregnancy Low Back and Pelvic Girdle Pain : Helping parents-to-be with pregnancy pains such as: Low back pain, hip pain, groin pain, pubic symphysis dysfunction, SI joint pain, and round ligament pain.
Pregnancy Bladder Leaks: This does not have to happen! Working on this now can help prevent bladder leaks in your postpartum period and can allow for a stronger pelvic floor in pregnancy.
Birth Prep: Work on improving your overall pelvic and pelvic floor mobility to prepare for a more comfortable vaginal birth experience while reducing your risk for grade 3 and 4 perineal tears and optimizing your postpartum recovery.
Post-partum Recovery: Helping the postpartum parent wherever they are in their recovery journey with returning to life and exercise without urinary/ bowel issues, pain, or prolapse symptoms.
Post-Surgery recovery: Helping you get better after surgeries like a C-section, tummy tuck, or invasive abdominal surgeries (prolapse repair, hernia repair, post c-section, endometriosis excision, and any other abdominal or pelvic surgery)
Pelvic Organ Prolapse: Great for prevention of surgery, reduction of prolapse symptoms, maximizing your results for prior to surgery, and preventing failure after repair.
Constipation: Difficulty with defecating and going to the bathroom.
Bladder Retention: Difficulty starting and finishing your urine stream.
Sexual dysfunction: Discomfort or pain with foreplay or intercourse, difficulty with arousal, or pain with arousal and climax .
Sciatica/ Piriformis syndrome: Buttock and leg pain, numbness, and tingling.
Pudendal Neuralgia: Pain, numbness, or discomfort in your genital region. Typical for many cyclers!
Coccydynia: Tailbone pain.
Endometriosis: Relieve pain and improve pelvic function through therapy.
Interstitial Cystitis: Relieve bladder pain and improve urinary function with therapy.
Hernia Pain: Whether you are or are not planning to have surgery. We can work on hernia management, hernia repair pre-rehabilitation to maximize your results, or post hernia repair to prevent failure
Gender Affirmation Surgery Rehabilitation: Recovering from top or bottom surgery
1:1 Pelvic Floor Physical Therapy
10 reasons to choose Pacific Pelvic Health:
One on one treatment! You will be working with your therapist who is a specialist in treating pelvic floor dysfunction. You won’t get sent off to an aid or be double booked with other patients, like many other physical therapy clinics. You will get my undivided attention with individualized and personalized care.
Longer appointments geared towards your issues. You will have a full hour (or longer if requested) to not feel rushed to tell your story and to really dive deep in the reasons you are having symptoms. We can really focus on your issues so you are able to leave your appointment with treatment started to get you going towards your goals on day one! Stop feeling rushed like many other therapy appointments do.
Work with a specialist! We ONLY treat pelvic floor dysfunction. You will not get uneducated pelvic health care. Our specialist, Dr. Anya has years of experience treating pelvic floor dysfunction in women and men. Unfortunately, many therapists say they “treat” the pelvic floor, but have not had the updated education to support their care plans. We are constantly updating our knowledge to provide evidence based and cutting edge care.
Personable care. This is a small individually women owned business. Dr. Anya wanted to make sure your care is not the headache that’s provided by the big medical facilities. You will talk to a human when you call to schedule and not a robot and from your first appointment you will be seeing a pelvic floor physical therapist who will create a plan for you and your body.
We do holistic physical therapy where we take into account not just your symptoms, your medical background, but also your stress, nutrition, and physical/ mental health within my scope of practice. We look at you as a whole person instead of you just as a body part so that we can see long term results in your care.
Dr. Anya is a versed in strength and conditioning for those who are athletes. We complete every session with this in mind, instead of staying only with mat exercises that are too easy and not focused towards your higher intensity goals. If you are a runner, CrossFit athlete, weight lifter, cyclist, triathlete, surfer, pilates queen, or compete any level of athleticism, you have found the right place! We will work on meeting your athletic goals
I provide hands on work, but with a trauma informed approached, to assist in facilitating more optimal movement patterns versus hands off and rushed care just telling you what exercises to complete. We make sure that every ounce of your care is completed with full informed consent by you and with your past in mind.
We allow and encourage your children to be involved, instead of requiring you to get child care for an appointment. We understand you have a busy life and it’s actually helpful for me to see how busy you are and how you care take care of/ carry/ love your kids, so we can better give you things to do that are more do-able versus ask you to complete exercises that aren’t plausible with your busy schedule, aren’t incorporating the physical exercise you already do as a Mom or Dad, and make you feel overwhelmed.
We are an out of network provider. This means, no being restricted by insurance that requires a referral, restricts the number of visits that I can provide you, limits the time we spend together, and stops treatments that you and your practitioner feel are necessary for you to find lasting results and to truly meet your most optimal pelvic health goals. (We do provide itemized bills for reimbursement by insurance companies who have out-of-network benefits.)
You will have a PLAN and updates on where you are EVERY session. Dr. Anya has been on the receiving end of poor care with therapists who gave NO education on she would move forward. She does not want that for you. You are the main player in this game and we need you to have an understanding and choice in your care. We start your evaluation outlining your individualized plan moving forward and every session we are making sure we are on the right path to meet your goals.
MEET DR. ANYA
Dr. Anya Vierra, Doctor of Physical Therapy
Certified Strength and Conditioning Specialist
Aloha! My name is Anya Vierra. I am originally from California, but based out of Maui, Hawaii. I treat people in person on island or online for those outside of Maui. My passion is working with people hoping to return to exercise, movement, and life pelvic floor dysfunction free and confident in themselves and their body.
My experience ranges from working with just your average Mom and Dad trying to make it through work and life issue free, all the way to weight lifters, marathon runners, martial art athletes, triathletes, general HIIT work out mommas, military, the weekend jogger, the new mom trying to carry a heavy diaper bag and a 15 lb baby up a flight of stairs, and even to people recovering from gender affirmation surgery.
I myself am a woman of the water. I love to free dive, surf, open water swim, and do anything where I am in or on the ocean. I enjoy power and olympic lifting, going to crossfit, making art, hiking, and spending time with my friends and family. You can typically find me on the North Shore surfing, walking at the beach, at the gym, on a hike, or spending time catching up with friends and family at a brewery or coffee shop.