Pelvic Floor Physical Therapy

Pelvic Floor Physical Therapy

Pelvic floor rehabilitation is a specialized subset of orthopaedic physical therapy designed to treat a range of issues. Our pelvic floor physical therapists, Dr. Fei Zang & Dr. Lindsay Brunner, have undergone additional training to be able to perform pelvic floor examination and treatment.

Typical Conditions Treated in Pelvic Floor Physical Therapy:

Bladder Dysfunction

  • Urinary urge incontinence – increased frequency of urges and urination, with potential leaking
  • Stress urinary incontinence – leaking with activities that increase intra-abdominal pressure, such as laughing, coughing, sneezing, jumping
  • Interstitial Cystitis – chronic pain and pressure in the bladder, also known as bladder pain syndrome (BPS)

Pelvic Dysfunction

  • Pelvic pain – pain in the groin and pelvis, including pain with intercourse (dyspareunia)
  • Pudendal neuralgia – pelvic nerve pain
  • Vulvodynia – pain around the vulva
  • Vaginismus – muscle spasm of the pelvic floor muscles
  • Tailbone pain – pain in the tailbone with movement or sitting

Bowel Dysfunction

  • Fecal incontinence – increased fecal urges or difficulty controlling bowel movements
  • Constipation – decreased frequency of bowel movements and hard stool
  • Irritable Bowel Syndrome – chronic disorder of the large intestine with bowel changes and discomfort

Post Surgical

  • Cesarean Section
  • Hysterectomy
  • Prostatectomy
  • Episiotomy
  • Any abdominal or pelvic operation

What does pelvic floor physical therapy involve?

Examination:

As with orthopaedic physical therapy, pelvic floor rehabilitation starts with examination. An intial exam typically involves both an external exam and internal examination, depending on the needs of the client. Internal exams are performed intra-vaginally or intra-rectally, depending on the gender of the client and condition being treated. Your therapist will discuss with you what type of exam is recommended and what you’re comfortable with. In addition to pelvic-specific examinations, your therapist will also assess full body movement, strength, and flexibility in order to take the whole system into account.

Treatment:

Treatment will depend on what your condition is and what your therapist finds upon examination. Pelvic floor rehabilitation may include:

  • Internal and external manual release of restricted muscles
  • Pelvic floor muscle strength training with or without biofeedback
  • Pelvic floor muscle relaxation training
  • Bladder and bowel behavioral retraining strategies
  • Dilator training for increasing penetration tolerance
  • Core and gluteal training
  • Body mechanics training

Request an Appointment Online, or Call Us at (323) 912-9166