Pelvic Floor Therapy

The pelvic floor is a group of supportive muscles in your pelvic area, supporting organs like a sling. The organs in this area include the bladder, uterus (women), prostate (men), and rectum (the area at the end of the large intestine where your body stores solid waste). Contracting and relaxing these muscles, you control your bowel and bladder movement. When an individual is unable to control the muscles in your pelvic floor to have a bowel movement, it is called pelvic floor dysfunction.


Causes of pelvic floor dysfunction are unknown. Traumatic injuries to the pelvic area such as complications from vaginal childbirth or other accidental injuries can contribute to this condition. Pelvic floor dysfunction can often be successfully treated without surgery. These treatments can be carried out by our specially trained physical therapists. The most common of these treatments is biofeedback. This non-painful, non-surgical technique provides improvement in more than 75% of people with pelvic floor dysfunction. Our physical therapists may utilize several approaches to biofeedback, including the use of special sensors and video to monitor the pelvic floor muscles as the patient attempts to relax or contract them. Then the therapist provides feedback and works with the patient on improving their muscle coordination. The physical therapist may also design a patient-specific program of warm baths, yoga and exercises. Seeing one of our physical therapists for pelvic floor dysfunction can provide treatment and improve the quality of your life, and you can say good-by to this often debilitating condition.

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Other common symptoms may include:


Before pelvic floor treatment begins, your pelvic health physical therapist will take your full medical history and thoroughly discuss your current problems and symptoms.

With informed consent, your pelvic floor physical therapist will perform a complete physical assessment of the joints and tissues affecting the area. This may include internal and external examinations to identify the affected tissues that may be contributing to your urinary, bowel or pelvic pain symptoms.

Common areas that refer pain to the pelvic region include: the abdomen, lower back, hips, pubic symphysis (the front part of your pubic bones) and sacro-iliac joint (the joint formed by the sacrum and ilium from your low back to your coccyx).

Based on your examination, your pelvic health physical therapist will work with you to put together a plan of care that is specific to your particular goals, symptoms and dysfunction.

Since every person has a unique case, it is important that your treatment is customized to address your specific needs.


There are various modes of pelvic floor treatment that are well supported by the scientific literature and can be effective as part of your care. Some of these treatment options are:

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