Physician-Guided Shockwave Therapy at Sereno Pain
Pelvic and bladder symptoms in women are often dismissed as normal changes related to aging, childbirth, or hormonal shifts. However, many of these symptoms are linked to underlying neuromuscular dysfunction, reduced circulation, and tissue changes—areas commonly addressed in pain medicine.
At Sereno Pain, women receive physician-guided, non-surgical care for pelvic and bladder-related symptoms under the direction of Dr. Maia Chakerian. Treatment focuses on conservative options designed to support pelvic health without surgery, injections, or downtime.
Symptoms Women Commonly Seek Care For
Women frequently seek care from Dr. Maia Chakerian at Sereno Pain for symptoms such as:
- Pelvic discomfort or pressure
- Urinary urgency or frequent urination
- Nighttime urination that disrupts sleep
- Urine leakage with coughing, laughing, or physical activity
- Bladder symptoms associated with nerve irritation
- Pelvic floor weakness or loss of support
These symptoms often overlap with pain and nerve signaling disorders, making evaluation by a pain-focused physician especially important.
A Pain-Informed Approach to Pelvic & Bladder Dysfunction
From a pain-medicine perspective, pelvic and bladder symptoms often involve altered nerve signaling, impaired microcirculation, tissue stiffness, or neuromuscular dysfunction.
Dr. Maia Chakerian approaches these concerns by evaluating how nerves, muscles, and connective tissues interact to contribute to symptoms—rather than treating bladder complaints in isolation.
This comprehensive evaluation helps guide conservative, individualized care planning at Sereno Pain.
JillWave® Shockwave Therapy for Women
At Sereno Pain, shockwave therapy for women is delivered using the JillWave® system, a low-intensity acoustic wave technology used to support biological responses in pelvic tissues.
Under the supervision of Dr. Maia Chakerian, JillWave therapy is used as a non-invasive option to support blood flow, neuromuscular signaling, and tissue responsiveness in areas involved in bladder control and pelvic support.
JillWave therapy is externally applied, performed in short outpatient sessions, and does not require anesthesia or recovery time.
Overactive Bladder & Urinary Urgency
Overactive bladder symptoms—including urgency, frequent urination, and nighttime urination—are commonly associated with abnormal pelvic nerve signaling and tissue changes.
Dr. Maia Chakerian may recommend shockwave therapy as a conservative option for women seeking non-surgical support for these symptoms. Clinical observations suggest this approach may help improve urgency and frequency by supporting circulation and neuromuscular communication.
Typical care plan may include:
- Weekly sessions for 4 weeks
- In-office treatment with no downtime
- Improvements that may persist after treatment completion
Stress Urinary Incontinence & Activity-Related Leakage
Stress urinary incontinence involves involuntary urine leakage during activities such as coughing, sneezing, laughing, or exercise. From a pain-medicine standpoint, this condition is often related to pelvic floor degeneration and urethral sphincter dysfunction.
Dr. Maia Chakerian evaluates each patient individually to determine whether shockwave therapy may be appropriate as a non-surgical option. Studies have shown that low-intensity shockwave therapy can increase the pressure at which bladder leakage occurs, potentially improving symptoms.
Typical care plan may include:
- Weekly sessions for 8 weeks
- Gradual improvement over time
- A conservative alternative to invasive procedures
What to Expect at Sereno Pain
Women receiving care at Sereno Pain can expect:
- A medical evaluation by Dr. Maia Chakerian
- Symptom-based assessment and personalized care planning
- Non-invasive, in-office treatment sessions
- No downtime or activity restrictions
All treatment decisions are guided by physician oversight and patient goals.
Who May Be a Candidate?
According to Dr. Maia Chakerian, shockwave therapy may be considered for women who:
- Experience pelvic discomfort, urinary urgency, or leakage
- Prefer non-invasive treatment options
- Want to avoid medications or surgery when possible
- Have symptoms related to nerve or tissue changes
A consultation with Dr. Chakerian is required to determine appropriateness.
Frequently Asked Questions
Why do I feel the urge to urinate so often, even when my bladder isn’t full?
According to Dr. Maia Chakerian, frequent urgency is commonly associated with overactive bladder or changes in pelvic nerve signaling. Factors such as hormonal shifts, aging, and pelvicfloor dysfunction can contribute.
Is urine leakage when I cough or exercise normal?
Urine leakage during activity is a common sign of stress urinary incontinence. Dr. Maia Chakerian emphasizes that while common, it does not have to be ignored and may be addressed with conservative care.
Why do I wake up at night to urinate?
Nighttime urination, or nocturia, may be related to bladder signaling changes or pelvic floor weakness. Dr. Maia Chakerian evaluates these contributing factors during consultation.
Do I need medication or surgery for bladder problems?
Not always. Dr. Maia Chakerian often discusses non-surgical options first, depending on symptoms and medical history.
What does JillWave therapy feel like?
Most women describe JillWave therapy as mild tapping or pulsing. Dr. Maia Chakerian ensures treatments are well tolerated and performed comfortably.
How do I know if JillWave therapy is right for me?
A consultation with Dr. Maia Chakerian is the best way to determine whether this treatment aligns with your symptoms and goals.
Schedule a Consultation with Dr. Maia Chakerian
If pelvic discomfort, bladder urgency, or urinary leakage is affecting your quality of life, Dr. Maia Chakerian at Sereno Pain offers physician-guided, non-surgical care options.
Schedule a consultation to discuss your symptoms and determine whether JillWave shockwave therapy may be appropriate for you.
