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Therapy for Pelvic Pain in Women

Nearly every movement and position of the human body depends on the pelvis. It plays a role in sexual function, supports and protects internal organs, and controls bladder and bowel functions. Proper activity and balance between all of the muscles, joints and tissues of the pelvis are essential for normal pain-free function.

Women experience pelvic pain in many ways. Women can feel pelvic pain in the abdomen, lower back and hips. Pelvic pain can sometimes result in painful menstruation. Intercourse may be painful or impossible. Sitting, walking, or wearing jeans or underwear may be painful. Pelvic physical therapy can help.

We treat:

  • Urge and stress urinary and fecal incontinence
  • Pelvic pain (pain with intercourse, gynecological exams, inserting tampon)
  • Constipation
  • Difficulty urinating
  • Interstitial cystitis (painful bladder syndrome)
  • Concerns during and after pregnancy
  • Sexual dysfunction
  • Osteoporosis
  • Musculoskeletal dysfunction during and after cancer treatment
  • Pre- and post-op surgical procedures

Read More: What is Pelvic Health Physical Therapy?

What should I expect with Pelvic Health Physical Therapy?
A women’s pelvic health physical therapist will customize a treatment plan to improve and manage pelvic symptoms and issues. Our goal is to ensure your wellness and dignity. Our therapists can help resolve incontinence and pelvic pain by designing a program just for you. Treatment occurs in private rooms. Options may include:

  • Education, the most important part of your treatment
  • Pelvic floor biofeedback
  • Manual techniques
  • Electrical stimulation to retrain the pelvic floor muscles
  • Exercise specifically designed for your condition
  • Behavior modification to teach you to use pelvic floor contractions for urge control, how to manage your diet and ways to improve your pelvic floor muscles during normal daily living

What happens at the first visit?
The initial assessment helps guide your treatment and allows your physical therapist to provide you with an individualized program. The first visit typically involves:

  • Talking one-on-one in a private room about what your concerns and goals are for treatment
  • Musculoskeletal assessment of your back, abdomen, and hips
  • Pelvic exam to assess the strength and health of your pelvic floor muscles

I’ve had my first visit. Now what?
Your pelvic health physical therapist will determine how frequent your visits will be, but most people follow up on a weekly basis. Treatment in the clinic may include:

  • Education
  • Exercises specific to your condition (stretches, strengthening, balance)
  • Kegels (pelvic floor exercises)
  • Biofeedback
  • Manual techniques
  • Electrical stimulation to retrain the pelvic floor muscles

At-home exercises will also be provided to you at each visit. For optimal results, diligent and consistent work outside of the clinic is key.

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