What is Pelvic Physical 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)
Disorders of the bowel
IBS (Irritable Bowel Syndrome)
Feeling of fullness/abdominal pain, pressure, discomfort, and bloating
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 Inflammatory Disease (PID)
Lichens Sclerosus, Lichens Planus (skin conditions in vulvar region that can result in pelvic pain)
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