The best pelvic floor physical therapy care for all persons.
What is Pelvic Floor Dysfunction?
Pelvic floor dysfunction (PFD) refers to conditions which involve the pelvic floor muscles (muscles which surround the vagina and rectum) when they do not function “normally”.
This may be seen as laxity and low tone in the muscles and surrounding tissues or spasming and increased tone in the muscles. Symptoms may include pelvic pain, urinary and/or bowel dysfunction (incontinence, urgency, frequency, nocturia) and sexual dysfunction (painful intercourse, painful ejaculation, etc).
Pelvic Pain
Vestibulodynia/Vulvodynia/Vulvar Vestibulitis
Interstitial Cystitis
Vaginismus
Dyspareunia
Pudendal Neuralgia
Incontinence
– Stress Urinary Incontinence
– Urge Incontinence
– Mixed Incontinence
– Fecal Incontinence
Obstetrical Dysfunction/Pre-Natal Care
Postpartum Care
Postpartum pain and symptoms are rarely discussed, but do need to be addressed. Such symptoms as Diastasis Rectus Abdominis, Urinary Incontinence, Sacro-Iliac Joint pain, Lumbar (low) back or Thoracic (mid back) pain, abdominal pain or weakness, post C-section, posture, etc.
Prolapse
Pre and Post Pelvic/Abdominal Surgery
Hysterectomy, laparoscopy, C-section, TVT, Prolapse repair, Sling procedure, Prostatectomy, Endometriosis Excision surgery, Colon surgeries, etc.
Coccydynia
Constipation
Post Prostatectomy
Men often deal with urinary symptoms such as incontinence and erectile dysfunction after their surgery.
Pediatric
Children may be dealing with Enuresis (bedwetting), constipation and pelvic pain.
Treatment
- Manual Therapy: Soft tissue mobilization, Myofascial Release, Trigger Point release, Visceral Mobilization, Joint Mobilization
- Neuromuscular re-education: coordination, awareness, proprioception, graded exposure, polyvagal exercises
- Therapeutic exercise: strengthening, stretching, movement, return to sport/activity, lifting
- Patient education and coaching
- Posture, lifting techniques and biomechanics
- Biofeedback/SEMG, Rectal Balloon