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Pelvic Health is a sub-specialty of physical therapy. Pelvic Health Physical Therapists receive specialized training in the evaluation and treatment of pain and dysfunction related to the pelvis and its corresponding muscles, bones and soft tissue structures. Pelvic Health Physical Therapists treat women and men with pelvic floor dysfunction. The pelvic floor muscles play an important role in support for bladder and bowel, sexual health, stabilization of the pelvis, and normal function during the childbearing period. Dysfunction in these muscles can result in bowel/bladder issues, pain, sexual dysfunction, and instability of the pelvis. Our therapists have taken additional courses that cover pelvic floor rehabilitation and how to properly evaluate and treat multiple conditions that involve the pelvic floor musculature.

Conditions Pelvic Health Physical Therapists Can Help

  • Pre/Post-Natal
    • Pre-Natal
      • Individualized exercise program
      • Instruction in proper exercise form
      • Low back pain
      • Diastasis recti
      • Supportive care
      • Taping techniques
    • Post-Partum
      • Low back pain
      • Diastasis recti
      • Scarring
      • C-Section, episiotomy, or perineal tear
      • Pelvic floor weakness
      • Pelvic organ prolapse
      • Urinary or fecal incontinence
      • Pelvic pain
  • Pelvic Pain
    • Pudendal neuralgia
    • Penile fracture
    • Generalized pain- abdomen, pelvis, hip, groin, low back, Sacroiliac dysfunction
    • Specific pain- vulvar, testicular, penile, vaginal, clitoral, labial, rectal, tailbone/coccyx
    • Pain with sitting
    • Pain during bowel movements or voiding
    • Endometriosis pain
    • Interstitial cystitis (painful bladder syndrome)
    • Painful periods
  • Elimination Dysfunction
    • Constipation
    • Urinary urgency-frequency
    • Urinary or fecal incontinence
    • Overactive bladder
    • Incomplete emptying (bowel, bladder)
    • Frequent urinary tract infections
    • Hesitancy or intermittency
  • Peri- and Post- Surgical Issues
    • Pelvic reconstruction
    • C-section or abdominal procedures
    • Oncology interventions- surgical, radiation effects
    • Gender reassignment surgery
    • Post-vasectomy pain syndrome
    • Pre- or post- prostatectomy surgery
  • Sexual Dysfunction
    • Dyspareunia (pain with vaginal intercourse)
    • Anodyspareunia (painful anal intercourse)
    • Peyronie’s disease
    • Pain with or after ejaculation
    • Pain or difficulty with orgasm
    • Persistent Genital Arousal Disorder (PGAD)
  • Supportive Dysfunction
    • Pelvic Organ Prolapse (POP)
    • Diastasis Recti (separation of abdominals)

What to expect during your visit

Most initial evaluations last at least on hour and are one on one.

The initial part of the exam will involve a discussion on many topics related to bowel/bladder, sex life, leakage, diet, and other private issues that many people are not used to discussing. However, it is very important that the Pelvic Health Physical Therapist discuss these topics to get a complete picture of the health and wellness of the entire body.

Musculoskeletal exam of the entire body.

Internal exam:

  • Digital exam to patient comfort
  • No gynecologic tools used (NO speculums!)
  • Assessment of:
    • Strength of pelvic floor muscles
    • Motor control/coordination of pelvic floor muscles
    • Tenderness
    • Fascial restrictions

After the examination the Pelvic Health Physical Therapist will discuss the findings from the exam, treatment options, and expected prognosis.