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Pelvic Health

The pelvic floor is composed of muscle fibers of the levator ani, the coccygeus, and associated connective tissue which span the area underneath the pelvis. A “pelvic floor physical therapist” is one who has received specialized training in the treatment and education of women’s and men’s pelvic health issues.

The assessment and treatments are comprehensive – examining primary and secondary drivers of dysfunction. We treat the musculoskeletal aspects of pelvic dysfunction –tissue restriction, joint hyper/hypomobility, over or under-recruitment, posture and alignment dysfunction, etc.

As a patient, you receive one-on-one treatment with a therapist in a private and comfortable setting, whether it is for preventive or restoration services.

The most common diagnoses that we see are as follows:

  • Coccydynia (tailbone pain)
  • Incontinence (stress or urge)
  • Urinary urgency/frequency
  • Painful bladder syndrome/interstitial cystitis
  • Bowel dysfunction
  • Pregnancy related pain symptoms
  • Pelvic organ prolapse
  • Pelvic Pain Diagnosis (post-partum, pudendal neuropathy, sacroiliac joint pain, endometriosis, vulvodynia/vulvar vestibulitis, pubic symphysis dysfunction, chronic non-bacterial prostatitis, etc.)
  • Dyspareunia (pain with intercourse)
  • Post pelvic surgery

After taking a comprehensive history, a thorough evaluation can include evaluating posture, range of motion, pelvic alignment, flexibility, strength, pelvic stability, joint mobility, tissue restriction, specific muscle recruitment, presence of a diastasis rectus abdominals (gap in your abdominals, your “6-pack”, often found post-partum), and specific pelvic floor muscle assessment.

Treatments include various forms of manual therapy, neuromuscular re-education, strength and stabilization exercises, relaxation training, and education, including behavior modifications, bladder/bowel/pelvic floor specific education, postural changes, discussion of prognosis and plan of care, and setting goals.

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