Hello! My name is Em Ike (they/them) and I am a queer, non-binary pelvic floor occupational therapist and the owner of Pioneer Valley Pelvic Health, LLC. I am located in Hadley, MA in the Pioneer Valley and specialize in treating LGBTQIA+ people with pelvic floor dysfunction. I treat people of all genders, anatomies, sexual orientations and and body types who are experiencing issues such as:

-Pelvic pain — including endometriosis, adenomyosis, painful menstruation, tailbone pain, hip pain, abdominal pain, low back pain
-Pain with sex — including pain with penetration of any kind, dyspareunia, vulvodynia, pain with orgasm, pain with arousal
-Bowel and bladder dysfunction — including urinary leakage/incontinence, fecal leakage/incontinence, constipation, frequent urination, urinary/fecal urgency, painful bladder syndrome, interstitial cystitis
-Pre and post gender affirming surgery — surgery preparation, pain, post surgical recovery and care, scar management
-Pregnancy — general strengthening and conditioning, maximize participation in daily activities and exercise, pain management, perineal massage, birth preparation including positioning and pushing strategies to reduce tearing
-Postpartum — general strengthening and conditioning, returning to daily activities and exercise, diastasis recti, c-section recovery, scar management (c-section and perineal), pelvic organ prolapse (POP), pubic symphysis dysfunction/pain

I attended Hampshire College for my undergraduate degree, focusing on gender and sexuality education and developing resources for intersex children. I received my Masters of Science in Community Health Education from Columbia University in 2013, and my Masters of Science in Occupational Therapy from Tufts University in 2020. I have been trained in a variety of pelvic floor assessment and treatment strategies and participate in ongoing continuing education to further my knowledge and stay up-

I deeply respect the vulnerability it takes to seek treatment for pelvic floor issues. In our sessions, I hope to make you feel comfortable, validated, and supported. My goal is to help you feel connected to your body and approach it with curiosity rather than fear and judgement, and provide a space for you to feel empowered with the knowledge that your body has the capacity for healing and change. I offer sliding scale rates and payment plans.

I live and work in the Pioneer Valley with my spouse, our two dogs, and two cats. I enjoy rest and relaxation, being outdoors, weaving and other crafts, eating snacks, and connecting with the people and animals that I love.

Training and Certifications
-Massachusetts Occupational Therapist, License #14037
-Pelvic Rehab-Manual Assessment & Treatment Techniques
-Herman and Wallace PF2A: Colorectal and Coccyx Conditions, Male Pelvic Floor, Pudendal Nerve Dysfunction
-Biofeedback Evaluation & Treatment for Elimination Disorders & Pelvic Floor Disorders
-Transgender Patients: Pelvic Health and Orthopedic Considerations
-Certified Lymphedema Therapist (Klose Training)