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Pelvic Health

A pelvic floor physical therapist will provide education and treatment for the pelvic floor (PF) and core muscles and how they function as part of the whole body. The PF muscle's main role includes providing support to the pelvic organs, optimizing bladder, bowel and sexual function, and contributing to core stability for the pelvis and spine.

As with all PT evaluations, the visit begins with the therapist taking a history of current symptoms and detailed past medical history. This is followed by a physical assessment which may include an internal exam if appropriate, and there are no contraindications*. The internal exam does not involve a speculum, but a gloved finger. This allows for assessing for prolapse, how well the pelvic floor muscles are able to contract and relax, as well as the muscle tone and any possible restrictions from scar tissue. The internal component can also be used to treat and retrain the pelvic floor muscles utilizing electrical stimulation or biofeedback devices.

Common conditions treated include:

Prenatal

  • Education and preparation during pregnancy to decrease the risk of postpartum complications
  • Pelvic girdle pain, including pubic symphysis, sacroiliac joint, and coccydynia pain
  • Bowl and bladder issues (i.e. incontinence, urgency, constipation, or pain)

Postnatal

  • Pelvic pain, shortened pelvic floor/spasm
  • Diastasis Recti - abdominal separation
  • Perineal tearing

Pelvic Floor Dysfunction

  • Urinary urgency, frequency, and incontinence
  • Stress incontinence
  • Pelvic organ prolapse
  • Pelvic pain
  • Back or hip pain related to pelvic floor weakness

For more information on SRMC Rehab Services callĀ 308.254.8088.