Pelvic floor physical therapy is designed to address the conditions that can occur within the pelvic floor.  Many times women who have a pelvic floor dysfunction experience frustration because no other provider can give them an explanation for the cause of their symptoms.  Having a pelvic floor evaluation will give you many of these answers and a plan to treat your symptoms.  Signs that you may have a pelvic floor dysfunction include:

  • Incontinence (leaking urine, gas, stool)
  • Prolapse
  • Pain with intercourse
  • Deep hip or back pain that is not relieved by stretches or massage
  • Vulva pain
  • Intolerance to tampon use
  • Tear/scarring from a vaginal birth
  • Constipation

Pelvic floor physical therapy begins with education on the pelvic floor anatomy.  Then observation is done to the vulva and perineum to evaluate the ability of the pelvic floor to contract and relax and to observe any scarring and skin conditions.  External muscle palpation can provide information about muscle tenderness and function.  Then an internal exam is done when indicated to test the strength and endurance of the pelvic floor, evaluate a prolapse and assess the muscle condition of the 3 layers of the pelvic floor; looking for muscle tightness and trigger points that may be the cause of reported symptoms.  An internal exam does not need to be done with all pelvic floor patients.  A lot of information can be done with external palpation and observation only.

Contact me to make an appointment.