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Do you experience bone and joint pain?

Joint, back or spine, and other types of musculoskeletal or orthopedic pain are common, affecting millions of Americans each year. Orthopedic and musculoskeletal conditions are typically caused by the aging process, normal wear and tear or overuse, sports injuries, trauma and disease. The pain that results from a joint, bone or muscle condition often limits the amount or type of activity a person can perform — even sitting or lying down can be painful or uncomfortable. If you currently experience musculoskeletal or orthopedic pain, the physical therapists at St. Charles Physical Therapy may be able to help.

Find orthopedic treatment at St. Charles Physical Therapy

The orthopedic specialists and physical therapists at St. Charles Physical Therapy provide experienced, compassionate care that focuses on relieving your pain, restoring your mobility and returning you to the active, pain-free lifestyle you once enjoyed. Our expert staff will help you regain the skills that allow you to move better, improve your wellness and prevent further injury, as well as increase your flexibility, strength and independence. Our musculoskeletal and orthopedic treatments can positively improve a wide range of orthopedic conditions, including: 

  • Back and neck pain
  • Work-related injuries
  • Sports injuries
  • Osteoporosis
  • Orthopedic injuries
  • And other bone or muscle conditions

To learn more about our physical therapy expertise and services, view our Frequently Asked Questions or call 541-706-5940 today to speak to a physical therapist or to schedule an appointment.

St. Charles Physical Therapy in Bend, Oregon can help relieve joint, bone or muscle pain and restore mobility in people with a variety of orthopedic and musculoskeletal conditions.

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Understanding arthroscopy

Arthroscopy is a special type of minimally invasive surgery. It is performed by inserting a tiny camera, called an arthroscope, through a small incision. The images from the camera are displayed on a monitor. This allows the surgeon to see the area clearly without making the type of large incisions that would be needed in open surgery. This technique can be used for either diagnostic procedures or treatment, depending upon the condition. If operation is necessary, the surgeon uses extremely thin surgical tools guided by the arthroscope images.

Arthroscopic surgery can be performed on many parts of the body, but it is especially useful in knee surgery.

The benefits of knee arthroscopy

The advantage of arthroscopic surgery over open surgery is that the patient experiences less pain and stiffness, and the recovery time is often much shorter as well. That means a smoother, more comfortable rehabilitation period and a quicker return to activities. This makes an especially big difference when it comes to knee surgery, because this type of recovery tends to keep patients off their feet. Faster healing means a faster return to independence.

There are many reasons why someone may need arthroscopic knee surgery. A few of the more common ones include:

  • ACL tears
  • Kneecap problems
  • Meniscus tears
  • Osteoarthritis

Experts in arthroscopic surgery in Central Oregon

At St. Charles Health System, our arthroscopic surgeons specialize in knee arthroscopy. If you need treatment for knee pain, you know that you’ll be working with experienced specialists with a long record of successful outcomes.

Talk to your orthopedic specialist to determine whether knee arthroscopy may be right for you.

St. Charles Health System offers arthroscopic knee surgery in Bend, Oregon to help our patients return to active, healthy lives.

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Recognizing anxiety during pregnancy

Pregnancy is an emotional time, and anxiety is just one of many feelings that pregnant women experience. A moderate amount of new fears and worries is normal and expected during this time of change, but sometimes anxiety can become so intense that it gets in the way of daily functioning. It can negatively impact our sleep, relationships, parenting or work performance.

Factors that could increase the chances of experiencing high anxiety during pregnancy include:

  • history of high anxiety and/or depression
  • perfectionism (believing you should not make any mistakes and do everything just right)
  • history of miscarriage(s)
  • high-risk pregnancy
  • major life stressors (such as marital or financial problems)

If you think your anxiety may be interfering with your life, consider discussing it with your maternity care provider. At St. Charles Center for Women’s Health, our maternity providers partner with integrated behavioral health specialists who can offer skills to help you regulate your emotions and anxiety during pregnancy and beyond.

Christopher L. Hunter, Jeffrey L. Goodie, PhD Abpp, Mark S. Oordt, Anne C. Dobmeyer. Integrated Behavioral Health in Primary Care - Step by Step Guidance for Assessment and Intervention
American Psychological Association (APA); 1 edition, 2009.

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Behavioral Health at the Center for Women's Health

“Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.”- World Health Organization

Integrative medicine can help women achieve well-being across the lifespan, as supported by rich research spanning decades. There are many things women can do every day to promote healthy living and aging.

Lifestyle changes such as improvements in diet and exercise, sleep behavior, and developing mindfulness -- a skill to live in the moment without judgment -- can be beneficial to wellness, disease prevention and improved health at any age.

Whether you are interested in developing skills for improved wellness, disease prevention, or you are coping with a medical or mental health condition, integrative approaches can help. Our skilled, knowledgeable and relatable behavioral health consultants at St. Charles Center for Women's Health are available. Talk to your provider about scheduling an appointment today.

What is the Behavioral Health Consultant?

Behavioral Health Consultant (BHC) services at St. Charles Center for Women's Health are offered to you as part of your obstetrics and gynecological services. This service is meant to complement your care by helping you gain a more holistic perspective of your issue(s) and develop skills to improve your management of stress, worry, lifestyle habits or emotional concerns about obstetric or gynecological issues. Screening may also be offered prior to surgical procedures to increase the likelihood of positive outcomes.

The BHC and your OB/GYN provider work together as a team to consider the medical, behavioral and emotional aspects of your health to help you determine a course of action that will work best for you.

What kind of concerns can a behavioral health consultant help me address?

The BHC can help reduce symptoms associated with various OB/GYN conditions, or help you cope with these conditions. A few of these conditions are:

  • Perimenopause or menopause
  • Chronic pelvic pain
  • Sexual function concerns
  • Management of STDs
  • Diabetes
  • Polycystic ovarian syndrome
  • Infertility
  • Alcohol or drug abuse
  • High blood pressure
  • Recurrent abdominal pain
  • Pregnancy and post-partum related concerns
  • Intimate partner violence
  • Obesity and weight loss
  • Sleep issues
  • Irritable bowel syndrome
  • LGBT and gender identification
  • Smoking/tobacco cessation

The BHC can also help you develop skills to effectively manage emotional or behavioral difficulties that affect your health, pregnancy, relationships and/or parenting such as: Anger, anxiety, bereavement/grief, depression and stress.

What should I expect when I see the behavioral health consultant?

Your BHC will spend 15 to 30 minutes with you. You will be asked specific questions about your physical symptoms, emotional concerns, health history and behaviors. This evaluation will help determine what kind of care you may need. You may continue to see the BHC until your concern is resolved, or the BHC may make other recommendations.

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Midwives in Central Oregon

The idea of childbirth can be a daunting one. If you are looking for education and support during your labor and delivery in Central Oregon, consider working with a midwife. Midwives are experts in care for low-risk, healthy women during their pregnancy and childbirth. They are here to provide a full spectrum of women’s health needs, including prenatal care, labor and delivery and postpartum care. Midwives also educate patients on contraception and menopause management.

At St. Charles Center for Women’s Health, we are dedicated to providing collaborative care that allows women to achieve optimal health. Learn more about our Central Oregon midwives and how they can provide help and support while you welcome your baby into this world.

Expert midwife care at St. Charles Center for Women’s Health

All of the midwives at St. Charles Center for Women’s Health are certified nurse-midwives (CNMs), which means they have obtained a minimum of a master’s degree in nursing from an accredited university. Our midwives can perform the following tasks:

  • Order labs, write prescriptions and create care plans
  • Work closely with partners while consulting and referring as needed for complicated cases
  • Deliver babies in hospitals

Interested in learning more about how a midwife can assist you with your labor and delivery in Central Oregon? Schedule a meeting with one of the midwives at St. Charles Center for Women’s Health today.

St. Charles Center for Women’s Health offers midwife services to assist with labor and delivery in Bend, as well as pre-natal care at sites throughout Central Oregon.

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When should I register at the hospital?

No need to pre-register at the hospital! Check-in is handled through our electronic health records system, Epic (also known as MyChart). If you don’t have a MyChart account, sign up today.

Sign up for MyChart

Will I have a private room?

Yes. You will have a private room during your labor, delivery and recovery. Our comfortable birthing suites, which also provide room for your spouse or partner to spend the night, feature warm, soothing interiors and large windows to let in natural light.

What should I pack?

Ideally, it is best to pack and have most items prepared to go by 36-37 weeks of your pregnancy, just in case you go into labor before your due date. If your pregnancy has complications, you may choose to get ready a little earlier. We want your stay to be as comfortable as possible.

Items for you:

  • Hospital paperwork, identification card, insurance card
  • Breast pump: you may need to use your breast pump prior to leaving the hospital. St. Charles has a skilled lactation team that can be consulted if feeding issues arise. This is an important item to remember, and can be obtained through your OB/midwife as you near the 36-week gestation mark. 
  • Toiletries: shampoo, conditioner, toothbrush, tooth paste, hair brush and ties, glasses/contact lenses
  • Pillows and soft bath towels are luxury items that will make your stay more comfortable, though we do have those if you don’t bring your own.
  • Comfortable clothes: robe, nightgown, slippers, socks, nursing/pumping bras.
  • Drinks: if you have favorite sports or electrolyte replacement drinks, juices or water flavoring packets, please feel free to bring them. There are kitchen services and room services available as well. 
  • Reusable water bottle.
  • Snacks: high protein snacks are always a great go-to in labor, as are protein shakes, bars or comfort foods. Consider snacks that are mild in flavor in case you aren’t feeling very hungry as well. 
  • Comfort items: items that make your birthing experience more like a spa can go a long way toward making your experience more relaxing. Portable essential oil diffusers for aroma therapy with your favorite oils, sound machines, or portable speakers to play your personal music are popular choices. If you want the ambiance of candles, please only bring battery operated or plug-in options, as we cannot allow flames in the hospital for safety reasons.
  • Eye mask or ear plugs to help with sleep
  • Phone charger 

Items for baby:

  • Car seat: infant car seats are required to take your new baby home. Bend Fire and Rescue holds a free car seat clinic to help educate parents on proper installation.
  • Going home outfit (or a few!). Baby is swaddled and in a diaper for most of their time in the hospital, but having a go-home outfit (and a backup) is great. 
  • Light swaddle blanket, for going home with as well. 
  • Nail clippers or file, babies are often born with long nails. 
  • Diapers and wipes will be provided by the hospital.
  • Feeding items:  
    • If you intend to breastfeed, bring your electric breast pump, nipple butter or cream, and other lactation-related items. 
    • If you intend to formula feed, bring formula of choice, bottles, and cleaning items. 
    • If unsure, please come with questions and allow your medical team assist you to make the best choice for your family.
    • Pediatrician: Do your research prior to having your baby and select a pediatrician who will take care of your baby after you discharge home. It is best to have a doctor or nurse practitioner picked out ahead of time, and call ahead to ensure they are accepting new patients. Most providers like to schedule a newborn visit 2-5 days after delivery so having a clinic picked out prior to your delivery will make scheduling appointments easier.

Support Person/Intended Parent Items:

  • Snacks
  • Reusable water bottle
  • Comfortable clothes, activity books, crosswords, movies, etc. Babies come into the world on their own schedule, so some entertainment is a good idea.

What are my options for labor and delivery?

Many of our delivery and recovery rooms are equipped with deep Jacuzzi tubs for laboring mothers. We offer many options to help you cope with the progression of labor.

Will my baby stay in my room?

Yes. We want mother and child to spend as much time together as possible to help develop a strong bond. Your baby will stay with you in your birthing suite.

What are the visiting hours at the Family Birthing Center?

We have special visitor restrictions in place due to the pandemic. Please visit our Visitor Guidelines page for our current policy.

How safe is my baby in the Family Birthing Center?

We provide the highest level of security to ensure your baby's safety. All Family Birthing Center doors are camera-equipped to monitor people entering and exiting. Babies are never left alone, and we regularly check identification bands for mothers and babies.

May I have my birth videotaped?

For safety and legal reasons, St. Charles Health System does not allow video cameras in delivery or operating rooms. You are welcome to take other types of pictures.

How do I get my baby's birth announcement published in the newspaper?

You'll receive a form authorizing us to release your birth information to local newspapers. 

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Family birthing centers

St. Charles Health System and the teams at our Family Birthing Centers in Bend and Madras are here to help you begin or grow your family in a soothing and joyful environment. We have made the commitment to help give babies the best possible start in life through promotion and education around breastfeeding and mother-baby bonding. From prenatal classes to your baby’s arrival and beyond, our staff will guide you step-by-step through this important and sensitive time.

You'll find the full range of obstetrical services at our Family Birthing Centers. Our comfortable, newly designed private birthing suites feature Jacuzzi tubs for laboring moms, sleeper beds for family, plenty of natural light as well as many other amenities. 

Obstetrical care services

Our professional nursing staff provide all the expertise and support you'll need during labor, delivery and postpartum recovery. Our medical staff include obstetric hospitalists, certified nurse midwives, pediatricians and family physicians — all committed to providing quality health care for you and your baby.

If extra care is needed, St. Charles Bend houses the only Neonatal Intensive Care Unit in the region, so your baby has access to the highest level of care.

Perinatal Nurse Navigation Program

Perinatal nurse navigation is a free service for expectant families which includes:

  • A partner in care to help you achieve the highest level of health for your growing family
  • Access to an experienced registered nurse who can answer questions about your prenatal, pregnancy and postpartum journey
  • Guidance and care coordination, including education about your diagnosis, plan of care and preparation for appointments and procedures
  • Connection with available hospital and community resources
  • Advocacy and emotional support with pregnancy and postpartum challenges

Call 541-397-8909 to speak to a perinatal navigator.

St. Charles Bend - FBC Tour

Expectant parents are encouraged to tour our Family Birthing Center either virtually or in person. Our Bend FBC holds a free onsite tour every Sunday at 1 p.m. To sign up for an in-person tour, scroll down to the "Upcoming Classes & Events" section and register for the date that works best for you. If you can't attend an in-person tour, the videos below will give you a glimpse of what to expect.

English version

En Espanol

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Hormonal imbalance and irregular periods

When it comes to reproductive health, hormones are in full control of menopause, menstruation, libido and fertility. Glands in the brain and ovaries produce the hormones that directly affect hormonal balance in the body. The most common types of hormones that are produced include GnRH (triggers the pituitary gland), FSH and LH (trigger the process of ovulation).

Whether you are suffering from menopausal weight gain, an irregular period or infertility issues, you can trust the Central Oregon gynecologists at St. Charles Health System to provide state-of-the-art treatment. We are highly trained in the areas of hormonal imbalance and reproductive health.

Achieve optimal reproductive health with help from the Center for Women's Health

Our physicians and team members have experience treating the following issues related to hormonal imbalance in Central Oregon:

  • Infertility
  • Early menopause
  • Female sexual dysfunction
  • Lack of periods
  • Missed periods

When you visit our Center for Women’s Health, you will walk into a friendly and welcoming environment. One of our gynecologists will sit down with you to collect your medical history and determine the cause of your hormonal imbalance. We will then develop a customized treatment plan to help you achieve the best possible reproductive health.

Schedule an appointment with one of our gynecologists in Central Oregon today. We look forward to helping you lead a happy, healthy life.

Our Center for Women’s Health offers treatment for hormonal, menstruation and menopausal issues in Bend, Redmond, Prineville and surrounding areas of Central Oregon.

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Your Maternity Care Team: Obstetricians, Midwives & Nurse Practitioners

Welcoming a baby is one of life’s most meaningful journeys—and at the St. Charles Center for Women’s Health, our team is here to walk it with you. From your first positive test to the moment you hold your baby in your arms (and beyond), our skilled and compassionate providers deliver personalized, supportive care every step of the way.

We believe maternity care should be built on trust, expertise and a true partnership between you and your care team. That’s why we offer a collaborative model that includes board-certified obstetricians, certified nurse midwives and nurse practitioners—all working together to ensure a safe, empowering and joyful experience.

Medical Expertise You Can Rely On

Our providers specialize in managing both routine and high-risk pregnancies. Whether you need advanced monitoring, support for a medical condition, or simply the peace of mind that comes from experienced care, our team is here for you. We provide expert prenatal care, deliver babies at our Family Birthing Centers and are trained to respond quickly to complications—always prioritizing the safety of you and your baby. Our team’s approachable, knowledgeable care helps you feel confident and supported at every stage of your pregnancy.

A Team That Supports Your Birth Experience

No two pregnancies are alike—and your care shouldn’t be either. If you’re looking for a highly medicalized birth plan, a low-intervention experience, or something in between, we’re here to support your preferences while prioritizing safety. With a team that works closely together, you’ll receive seamless care from familiar faces throughout your journey.

Let us help you welcome your little one with confidence, care and compassion. 

If you are having delivery concerns, you can reach out to the obstetricians, nurse practitioners and midwives at St. Charles Center for Women’s Health by calling 541-526-6635

Obstetric services you can trust

This is a very exciting time in your life, and we want to make sure it is as stress-free as possible by offering the following obstetric services at our Center for Women’s Health:

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Perimenopause, Menopause and Postmenopause

Health needs change as we age. For women, hormonal shifts throughout life cause changes in our bodies — first at menstruation, again in pregnancy and finally, at menopause — all with different outcomes and medical needs. The women’s health specialists at the St. Charles Center for Women’s Health can help manage each stage of your life, guiding you through these changes and keeping you as comfortable as possible during it all.

Menopause is often the most confusing stage of life for women. As we approach our 30s and 40s, reproductive hormone levels begin to decrease, triggering the onset of menopause (perimenopause) and the end of menstruation. But this shift in hormonal levels can also bring new health risks and, for some, uncomfortable symptoms. Many women feel lost during this time, not necessarily connecting bothersome symptoms with menopause, or realizing that those symptoms can be treated. That’s where we come in. Our experts are here to help you understand what this change in life can bring and what treatments are available to reduce symptoms.

Perimenopause

Perimenopause is the transitional phase leading up to menopause. It can start in your 30s and 40s and last several years. Estrogen and progesterone levels start to fluctuate and gradually decline, which could cause you to experience irregular periods, hot flashes, night sweats, mood swings, weight gain, sleep disturbances and more. Perimenopause ends when you haven’t had a period for 12 consecutive months.

Menopause

Menopause is a point in time, not a phase. It is officially diagnosed when you haven’t had a period for 12 straight months. In the U.S., this happens around age 51, but can vary. Your ovaries stop releasing eggs and estrogen levels are much lower. Women who reach menopause can experience many of the same symptoms as perimenopause, but for some women, symptoms lessen.

Postmenopause

Postmenopause is the phase after menopause, lasting the rest of your life. Hormone levels remain low and you're no longer fertile.

Menopause treatments

Though menopause is a natural phase of life, it can be very disruptive to some women. For many, learning how to manage symptoms at home can be effective, but some women need additional help. It’s important to bring any concerns you may have about your experience to your doctor to discuss treatment options. At the St. Charles Center for Women’s Health, our specialists will help find the best solution to make you more comfortable during this time of life. Some of our treatment options include:

  1. Hormone replacement therapy
  2. Guidance on lifestyle changes that can help reduce symptoms
  3. Menopausal weight gain support
  4. Calcium supplements and other medications
  5. Alternative therapies

Behavioral health during perimenopause

If you feel like you're riding an emotional roller coaster during perimenopause and menopause, you're not alone.

It's common for women to experience anxiety, depression, sexual dysfunction, and/or irritability during this transition. You may also have hot flashes, which can lead to insomnia — and constant fatigue.

It is important to remember that your shifting moods are real effects of fluctuating hormones and decreasing estrogen levels in your body. The good news is, these symptoms can be successfully managed through healthy habits, behavioral skills and medications, if necessary. Your providers at St. Charles Center for Women’s Health partner with integrated behavioral health consultants and together they can help guide and support you to find ways to manage your physical and emotional symptoms, and navigate these transitional years with more ease.

For more information about our services or to schedule an appointment, call 541-526-6635.

The St. Charles Center for Women’s Health offers comprehensive health services, including perimenopause and menopause management.