Pelvic Floor Dysfunction

What is Pelvic Floor Therapy. 

Pelvic floor dysfunction refers to a wide range of complications or issues that occur when the muscles of the pelvic floor are not functioning properly. Pelvic Physical Therapy evaluates and treats common and complex conditions with a variety of techniques.

We treat both men and women with various pelvic dysfunctions including:  Fibromyalgia, Vulvar/Vaginal Pain Syndromes, Painful Bladder/Interstitial Cystitis, Urinary Incontinence, Urinary hesitancy, Dysuria, Fecal Incontinence, Constipation Chronic Pelvic Pain, Endometriosis Dyspareunia, Dysmenorrhea, and Pelvic organ prolapse.

Common Pelvic Floor Diagnoses and Conditions:

Disorders of the bladder

  • IC (Interstitial Cystitis)
  • Prostatitis
  • Prostatodynia

Disorders of the bowel

  • IBS (Irritable Bowel Syndrome)
  • Feeling of fullness/abdominal pain, pressure, discomfort, and bloating
  • Constipation/incomplete emptying

Sexual Dysfunctions (Related to Pelvic Floor Muscle Dysfunction)

  • Levator Ani Syndrome refers to pain, pressure, or ache in the sacrum, coccyx, rectum, and/or vagina caused by unusual tension in the levator ani muscles.
    • may increase with intercourse, sitting, defecation, and constipation
    • may refer pain to the thigh, coccyx/sacrum, abdomen, groin, or gluteal region
    • may cause severe, sharp, burning, or aching with urination 
  • Pain with intercourse (Dyspareunia)
  • Pain with ejaculation
  • Difficulty getting/maintaining erection
  • Difficulty reaching orgasm

Pelvic Pain/Dysfunction

  • Pudendal neuralgia
  • Dyspareunia
  • Vulvodynia
  • Vulvar vestibulitis
  • Vaginismus
  • Pelvic Inflammatory Disease (PID)
  • Pelvic congestion
  • Erectile dysfunction
  • Lichens Sclerosus, Lichens Planus (skin conditions in vulvar region that can result in pelvic pain)

Coccydynia

Post-Surgical: hysterectomy, hernia, laparoscopy, caesarean section, appendectomy, prostatectomy, and episiotomy.

Physical Therapy Treatments used for Pelvic Floor Dysfunction:

  • External and internal manual therapy including: myofascial release and trigger point release, visceral manipulation, connective tissue manipulation, Biofeedback, electrical stimulation, and transcutaneous electrical nerve stimulation (TENS), Bladder/Bowel Training, Postural Coaching, scar tissue mobilization, coccyx mobilization, core muscle coordination and stability, bowel massage, relaxation techniques, pregnancy and post-partum injury and exercise guidance
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