Pelvic Floor Therapy for women is offered at Physio Logic. This includes the treatment of pelvic dysfunctions through rehabilitation of the many muscles, ligaments, and nerves within the pelvis. These conditions can range from minor to severe. Common concerns include pain, urinary and bowel incontinence, and sexual dysfunction.
One of the most commonly treated conditions within the Physical Therapy practice is post-partum pain and weakness. After enduring the athletic event of childbirth (both vaginal and cesarean delivery), one’s body might not feel back to “normal” after six weeks of healing. Injuries sustained during labor and delivery can leave a lasting impact; such as painful scarring and an overall feeling of weakness. Other after-effects can include organ prolapse, nerve entrapments, and reduced sensation/inability to achieve orgasm.
Women who deliver via cesarean section also experience dysfunction secondary to load sustained by the pelvic floor to accommodate the growing baby for 40 weeks. The uterus can weigh up to 15x more, not including the weight of the baby. It can also hold up to 500x more, putting a large demand on these tiny muscles and ligaments to maintain the support. Cesarean section scarring can lead to lower back pain and increased tension across the anterior pelvis, creating difficulty with proper abdominal engagement.
Urinary and bowel incontinence (ranging from mild leaking while exercising to full on the loss of control) is a widespread concern. This can affect both men and women across the life span. Incontinence products line entire aisles of drug stores, making it a huge industry. Pelvic floor physical therapy addresses the exact muscles that control our sphincters, improving one’s control and reducing or eliminating incontinence. Treatments include strengthening (Kegels- specific to each individual) as well as behavioral approaches.
Hypertonic pelvic floor muscles and scarring can lead to pain. Dyspareunia (painful intercourse) can be addressed with pelvic floor PT, as well as the inability to tolerate tampons, and GYN exams. Scar mobilizations and trigger point release with gentle stretching help reduce tension in the tissue. These clients are instructed to avoid Kegels and work on down-training their muscles to reduce tension and pain.
The pelvic floor muscles function to support the organs, control the sphincters and are also responsible for sexual function. They deserve some attention and fine tuning when there is a problem. Pelvic floor muscles are a group of muscles located on the lowest aspect of the pelvis, the bottom of the core. They consist of 3 layers of muscles running from the pubic bone in the front to the SIT bones and coccyx posteriorly. The pelvic floor muscles synchronize with other core muscles to stabilize the pelvis and lumbar spine, reducing load to the surrounding joints.
The physical therapy evaluation consists of a typical orthopedic assessment of the pelvis and lumbar spine. It also includes an internal pelvic floor muscle assessment. This can give information regarding muscle tone, weakness and painful trigger points or scarring. Once a diagnosis is reached, an appropriate rehabilitation program will be initiated.
If patients are experiencing any pain, incontinence, sexual dysfunction, or simply have a question; they should seek help from a PT or MD. Physio Logic’s prenatal and postpartum Physical Therapists recommend that all post-partum women (both vaginal delivery and c-section delivery) do at least one PT visit to learn how to better facilitate their pelvic floor muscles. The pelvic floor muscles are put under a ton of stress to support the growing fetus and uterus throughout 40 weeks of pregnancy and deserve some attention to fully recover.
“Treatment always feels right here. I’m always raving about Physio Logic to my friends and family. I pay out of pocket with the knowledge that I could probably go somewhere else cheaper, but I know it’s well worth it. Everyone here is friendly, helpful, and so knowledgeable.”
“[The physical therapists] were able to explain each step of my care in a way that I could understand. They were very good at answering any questions I had.”