Business Details
Specialized Physical Therapy in Missoula, MT
At Three Rivers Physical Therapy, we are dedicated to guiding patients through their healing journeys with specialized care in pelvic floor health, lymphedema, oncology rehabilitation, and orthopedics. Our team of five clinicians brings over 20 years of combined experience and advanced training in pelvic floor dysfunction, ensuring comprehensive treatment tailored to individual needs. We prioritize collaboration, continuous learning, and evidence-based practices to address complex conditions such as pelvic pain, incontinence, and post-cancer recovery. Our expertise extends to sub-specialties including pediatric pelvic health, gender-affirming care, and sports rehabilitation, supported by certifications from leading institutions.By integrating manual therapy, biofeedback, and patient education, we empower individuals to regain function and improve quality of life. Our commitment to community health is reflected in clinical instruction, advocacy, and outreach programs that enhance accessibility to specialized care. We serve as regional experts, combining technical proficiency with compassionate support to foster lasting patient outcomes.
Services
Pelvic Floor Health
Lymphedema Treatment
Oncology Rehabilitation
Pelvic Pain Management
Pregnancy Care
Dry Needling
TMJ Therapy
Sports Rehabilitation
Manual Therapy
Biofeedback
Highlights and features
- Five clinicians with advanced training in pelvic floor dysfunction
- Twenty years combined experience treating complex pelvic health conditions
- Sub-specialties in pediatric pelvic health and gender-affirming care
- Certified Lymphedema Therapists using Complete Decongestive Therapy
- Telehealth appointments available for increased accessibility
Associations and certifications
- LANA (Lymphology Association of North America)
What people say
Eliminated both issues
Very attentive
Productive sessions
Successful PT experience
Extremely kind
Services
Pelvic Floor Health
Specialized treatment for pelvic floor dysfunction addresses urinary/bowel incontinence, pelvic pain, and sexual health issues. Our clinicians use manual therapy, biofeedback, and exercise programs to restore muscle function and alleviate symptoms. Evidence-based approaches target conditions like diastasis recti, post-prostatectomy complications, and pregnancy-related pelvic pain.
Lymphedema Treatment
Certified therapists provide Complete Decongestive Therapy for lymphedema, including manual lymphatic drainage, compression therapy, and exercise programs. Treatment addresses post-cancer swelling, radiation-induced fibrosis, and chronic lymphatic dysfunction using LANA-certified protocols to reduce fluid accumulation and improve tissue health.
Oncology Rehabilitation
Post-cancer care focuses on restoring mobility and function after treatment. Services include lymphedema management, scar tissue mobilization, and strength training for patients experiencing radiation fibrosis, neuropathy, or post-mastectomy shoulder dysfunction. Treatment plans incorporate STAR Program-certified protocols for survivorship care.
Pelvic Pain Management
Comprehensive care for chronic pelvic pain employs muscle re-education, trigger point release, and nerve mobilization techniques. Therapists address myofascial pain syndromes, nerve entrapment, and post-traumatic conditions through individualized programs combining manual therapy and patient education on pain modulation strategies.
Pregnancy-related Care
Specialized care for pregnancy-related musculoskeletal issues includes posture correction, pelvic stabilization, and perineal massage training. Treatment addresses low back pain, diastasis recti, and labor preparation through exercise programs and manual therapy to support maternal comfort and postpartum recovery.
People
Maria Iles
DPT CLT-LANA
Doctor of Physical Therapy with 13 years of experience specializing in pelvic health and lymphedema. Certified Lymphedema Therapist through LANA, recipient of Clinical Instructor of the Year award, and active presenter on oncology rehabilitation topics.
Rachael Herynk
DPT
Pelvic health specialist since 2011 with advanced training in pregnancy/postpartum care. Recipient of professional achievement awards and former coordinator of student-run wellness clinics providing accessible physical therapy services.
Tara Pfeifer
DPT
Doctor of Physical Therapy with specialized training in pelvic floor dysfunction treatment. Active presenter on prenatal exercise and postpartum recovery, offering expertise in bowel pathology and pelvic rehabilitation techniques.
Hannah Fouts
DPT
Recent graduate with advanced training in pelvic health and trauma-informed care. Recipient of AAUW scholarship for gender equity initiatives, focusing on patient-centered care for diverse populations.
Holly Warner
DPT
Sports rehabilitation specialist with expertise in orthopedic and running injury treatment. Advanced training in gait analysis and TMJ dysfunction management, emphasizing exercise-based recovery and movement pattern restoration.
Questions
What conditions do you treat?
We treat pelvic floor dysfunction, urinary/bowel incontinence, pelvic pain, lymphedema, post-cancer rehabilitation, TMJ disorders, and sports injuries.
Do you offer telehealth appointments?
Yes, we provide telehealth options for patients with scheduling or travel constraints.
What happens during a first visit?
Initial appointments include medical history review, symptom discussion, and optional pelvic floor muscle assessment with personalized treatment planning.
Are exams required for treatment?
Exams are optional and performed only with consent. Alternative assessments like biofeedback are available.
How often are therapy sessions needed?
Treatment frequency varies from 1-2 times weekly to monthly visits based on individual needs determined during evaluation.
