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Pelvic floor therapy

The pelvic floor is a group of muscles found in the lower part of the torso in both men and women. These muscles stretch like a sling from front to back, supporting and keeping organs in place, such as the bladder and rectum, uterus (women) and prostate (men).

Bladder and bowel movements are controlled when you contract and relax the pelvic muscles. You feel them most when you lift or strain.

Pelvic floor dysfunction

When the muscles, ligaments and connective tissue that support pelvic organs don’t work as they should, this can lead to symptoms such as:

● Frequent urination or an urgent need to go to the bathroom
● Urinary leakage
● Enlarged prostate
● Constipation
● Bowel incontinence
● Pain during intercourse
● Pelvic pain or pressure
● Diastasis rectus abdominis (abdominal muscle separation)
● Postpartum scar treatment after a perineal tear, episiotomy, or c-section
● Tailbone, lower back or hip pain

What can I expect?

● All sessions are one on one in a private room and last about one hour.
● During your first visit, you’ll have the opportunity to share your history and concerns. We’ll discuss the exam so your questions are answered right away.
● An internal exam allows us to assess the pelvic floor most effectively; however, if
this is something you’re uncomfortable with you can request an external exam only.
● Your physical therapy sessions will be with the same therapist.
● If you’re currently menstruating you can still participate in a full exam.

What is the goal of therapy?

With diligent self-care and guidance, we can help you:
● Gain control of your bladder/bowel
● Reduce pain and increase activity tolerance
● Increase function during pregnancy
● Postpartum recovery
● Reduce medication used for incontinence and pain
● May prevent the need for surgery
● Recover and rehabilitate from surgery

We also can assist you in finding a trusted referral if your condition does not improve with
physical therapy.

How can a physical therapist help?

We use therapeutic exercise, manual therapies, lifestyle and activity modification, and
modalities to decrease pain. By the end of your care plan, you will feel confident managing
your condition independently!

How long will it take to get better?

We see most of our patients for an average of 6-12 visits. Some people require less and
others more.

Do I need a referral?

Yes! A prescription for pelvic floor physical therapy is required from a physician, nurse
practitioner, physician’s assistant, midwife or chiropractor. Talk to your provider about a
referral today.

Learn about Men's Pelvic Floor Health

Find out if pelvic floor therapy could help you. Take this quiz.