What is Pelvic Floor Physical Therapy?

Pelvic floor therapy is a specialized form of physical therapy that focuses on assessing and treating the muscles, ligaments, and connective tissue of the pelvic region. The goal is to restore independent function, regain strength and coordination and support the pelvic floor to improve bladder, bowel and sexual health.

Who can benefit from Pelvic Floor Physical Therapy?

All genders and ages can benefit from pelvic floor physical therapy

Some commons conditions include:

• Urinary and fecal incontinence

• Pelvic pain/pressure

• Pelvic organ prolapse

• Constipation and bowel dysfunction

• Pre-post natal support

• Post-surgical rehabilitation (prostate/pelvic surgeries)

• Oncology support

What should I expect during the initial evaluation?

The initial assessment or evaluation includes a detailed review of your medical history and current symptoms. Your therapist will perform an external postural assessment and movement analysis along with core function. With your consent, an external and internal pelvic floor examination may be conducted to evaluate skin appearance, muscle tone, strength and coordination of your pelvic floor muscles and associated pelvic organs.  This information helps guide the development of your individualized treatment plan

What treatment techniques/modalities are used?

• Manual therapy (internal and/or external) to address soft tissue and myofascial restrictions

• Pelvic floor muscle education/training along with relaxation techniques (It’s not always about kegels!) 

• Biofeedback for muscle coordination and awareness

• Neuromuscular re-education 

• Patient education and HEP to ensure independence and maximizing optimal functional movement 

Is Pelvic Floor Therapy uncomfortable?

Patient comfort, privacy and consent are ALWAYS the highest priority. Your therapist will explain and instruct each step and ensure you are comfortable throughout the entire session

How long does it take to see improvement?

Pelvic Physical Therapy is highly individualized and tailored to your specific symptoms. Most patients notice improvement within the first few sessions depending on the consistency of treatment and compliance of the individual. There is ongoing assessments to adjust the treatment and plan in order to hit your goal(s).

Do I need a referral to begin therapy?

In most cases, a physician's referral is not required. However, certain states and insurance plans may require one. 

How can I determine if Pelvic Floor Physical Therapy is appropriate for me?

If you are experiencing urinary or bowel changes, pelvic pain or discomfort that affects your quality of life, a pelvic floor physical therapy evaluation may be indicated. Even if you do not have pain but questions or concerns that disrupt your day to day functioning, consider a pelvic floor physical therapy evaluation.