Many women feel they have no options when dealing with issues such as, stress and/or urge incontinence (leaking urine), pelvic floor dysfunction/pelvic pain, chronic pain, and prenatal and post-partum musculoskeletal dysfunction. This is simply not the case.

There are treatments and strategies that can be utilized and are effective, including manual therapy, biofeedback, muscle reeducation, and general patient education in management strategies.

At Endurance Physical Therapy, we can assist with the treatment of incontinence, pelvic floor dysfunction/pelvic pain, chronic pain, and prenatal and post-partum musculoskeletal dysfunctions.

What is Pelvic Rehabilitation?

A conservative rehabilitative approach to the dysfunctions in the pelvis that contribute to bladder, bowel, sexual health, and pain symptoms. Therapy may include behavioral strategies, manual therapy, modalities/biofeedback, therapeutic exercise, education, and functional retraining.

Common Conditions Treated:

  • Urinary Incontinence
    • Stress, Urge, and/or Overactive Bladder
    • Voiding difficulties
  • Pelvic Pain Conditions
    • Pelvic Floor Myalgia
    • Levator Ani Syndrome
    • Vaginismus
    • Vulvodynia
    • Vulvar Vestibulitis
    • Interstitial Cystitis/
    • Painful Bladder Syndrome
    • Pudendal Neuropathy and Neuralgia
  • Pregnancy and PostPartum Pain and Related Conditions
    • Trauma, C-Section, scarring, pain
    • Pelvic Floor weakness and/or restriction
    • Lumbar/Pelvis dysfunctions
  • Musculoskeletal Conditions
    • Sacroiliac Joint (SI) Dysfunction
    • Coccyx or Tailbone pain
    • Pubic pain/dysfunction
    • Lumbosacral strain
    • Low back, hip, pelvic conditions that have not responded to previous PT

Pelvic Floor Evaluation

The Pelvic Floor includes several layers of muscles that line the pelvic cavity. The muscles are located between the pubic bone and the tailbone. The function of the Pelvic Floor is to support the spine, pelvis, internal organs, control the bladder and bowel muscles, and enhance sexual appreciation.

  • External Observation and Palpation of the Pelvic Floor Muscles
    • To identify contraction and relaxation techniques.
    • To identify trigger points and muscle spasms.
    • To identify significant weakness and/or severe organ prolapse.
  • Internal Vaginal Examination:
    Performed to examine the musculoskeletal components of the pelvic region.

    • To identify muscle symmetry, strength, length, tone, and contraction/relaxation ability.
    • To identify myofascial restrictions and organ prolapse.

Treatment

Once the evaluation is complete, a comprehensive and individualized treatment plan will be established.

  • Treatment techniques can include:
    • Manual Therapy: scar and soft tissue mobilization, joint mobilization, strain counterstrain, muscle energy
    • Education bladder retraining/behavioral strategies and pelvic floor strengthening and/or relaxation
    • Therapeutic Exercise: core strengthening, Kegels, and spinal stability exercises.

Please call for information to find out if Women’s Health PT is appropriate for you.