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Sarina Karwande PT, DPT, CAFS

Doctorate of Physical Therapy, Certification in Applied Function Science

Sarina (she/her/hers) earned her Doctorate of Physical Therapy (DPT) from Western University of Health Sciences, Pomona CA. After graduation, she worked in a variety of settings treating all ages and working her way to specializing in pelvic floor dysfunctions. Sarina’s passion for pelvic floor physical therapy began when she was a teenager as a patient herself. After years of experiencing pelvic pain, she became an advocate among her friends, family and now her patients to find the care they need. 

Since graduating she has attended specialized courses in Dynamic Neuromuscular Stabilization (DNS) and courses to treat pelvic pain and dysfunction for both men and women. Most recently, she completed her certification in Applied Function Science (CAFS) to help customize treatment plans for patients with orthopedic, neurological, and sports-related injuries. Sarina is working towards completing her Pelvic Floor Level 1 course and a Pediatric Incontinence Course through Herman and Wallace.  

Sarina is a part-time therapist here who also specializes in pediatric, neurological and orthopedic conditions at Shriners for Children's Medical Center. There she is a clinical instructor and developed a return to sport training program to help young athletes return safely. She hopes to expand in pediatric pelvic floor rehabilitation here at Fusion Wellness PT creating treatments using exercise-based play therapy, behavioral modification and sensory processing therapy. Sarina loves working with children of all ages and is excited to merge her two passions into one clinic. 

Sarina prioritizes a manual and exercise approach with emphasis on breath and visualization exercises to assist in chronic pain. Outside of work, Sarina is found camping, hiking, and swimming laps with her local master's swim team

What Our Patients Have to Say

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Testimonial by M.M.

A personal journey and testimonial from one of my patients:

My husband and I were married for 5 years before we were able to have intercourse due to my vaginismus. There was nothing traumatic in my past but for some reason, even though I wanted sex, I mentally avoided "that area" of my body and didn't even admit to myself that there was a problem for a long time, even though I was never able to put tampons in. Once I finally opened my eyes up to the fact that I had a problem, I had a surgery that was supposed to fix the issue.

Read more: Testimonial by M.M.

Testimonial by Rosanna R., age 35

Heather has affected my life in the MOST POSITIVE way and I am forever grateful. My husband refers to her as the "sex doctor" so you can only imagine how happy he is with my therapy outcome.

After the birth of my son I suffered from "Vaginismus", however, at the time I just thought I was broken. My "broken vagina" affected me physically but it was an emotional struggle as well. Many women in my life also suffered with pain from sex after their babies were born so I knew I wasn't alone. They told me they "just got used to it" but I couldn't see myself living that way.

Sex wasn't just painful, it was literally impossible - IT DIDNT FIT!

Read more: Testimonial by Rosanna R.,...

Testimonial by T.H.

I started seeing Heather in October 2014. For more than two years, I had been suffering from painful urinary tract infection type symptoms after my bartholins gland surgery which included constant burning and urinary frequency sensation that led to more and more painful intercourse. I had made multiple visits to internist, obgyn and urologist's offices, went through a range of treatment with UTI and bladder frequency medication that included antibiotics, vesicare, estrogen cream, but nothing worked.

Read more: Testimonial by T.H.

Testimonial by A.W., age 32

I wanted to let you know that my pelvic floor held strong and gave me no trouble whatsoever in my trail race this morning (12 miles)! In a way, I felt like I ran better than ever because my core feels so rock solid from all the exercises you have me doing. That was especially valuable on the technical downhill - I just flew down the trail because I had confidence in my balance and form. Thank you for helping me get back to doing what I love.

-- A.W., age 32
(completed Post-partum Renewal Program using the InTone biofeedback/stim unit)

Testimonial by M.N., age 28

A personal journey and testimonial from one of my patients:

I was diagnosed with vaginismus 4 years ago. I never heard of such medical condition until after I got married. At first my husband and I didn't know what to do, we didn't know what the issues were or how to overcome it. Being born and raised in Armenia and being Christian I wasn't that open about talking to sex with others and so it wasn't easy to seek help. But eventually I went to an Ob-Gyn and luckily she knew about the medical condition (not many doctors know). She referred me to a physical therapist and I couldn't believe it and thought it's something I can handle myself. I ordered a kit from vaginismus.com and started practicing with dilators. There was some small progress but wasn't much helpful.

Read more: Testimonial by M.N., age 28

Testimonial by A.W., age 32

I wanted to let you know that my pelvic floor held strong and gave me no trouble whatsoever in my trail race this morning (12 miles)! In a way, I felt like I ran better than ever because my core feels so rock solid from all the exercises you have me doing. That was especially valuable on the technical downhill - I just flew down the trail because I had confidence in my balance and form. Thank you for helping me get back to doing what I love.

-- A.W., age 32
(completed Post-partum Renewal Program using the InTone biofeedback/stim unit)

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