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Pelvic Floor Physical Therapy

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When they are not functioning properly, you may experience bowel, bladder, sexual dysfunction or pain. 

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Our pelvic floor therapy aims to INTEGRATE the external body's position, alignment and functions with the functions of the pelvic floor. 

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What can lead to Pelvic Floor Dysfunction?

Just about anything! Anyone at any age can be affected. Anyone at any age has potential to improve!

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Common physical causes and contributing factors: 

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  • Pregnancy, Labor & Delivery

  • Lack of awareness of the pelvic floor

  • Chronic straining/constipation

  • Endometriosus, IC, IBS, Chrons

  • Other symptoms of the hips, pelvis and spine

  • MVA, falls (including tailbone), accidents

  • Sexual trauma/abuse

  • UTIs, BV, or other systemic/localized infections

  • Poor diet/exercise

  • Menopausal/hormonal changes

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Emotional causes of pelvic floor dysfunction

  • Fear, instability, lack of control

  • Anxiety, Depression, mental disease

  • Childhood beliefs of lack, self worth and love

  • Any trauma, including painful sexual experiences

  • Miscarriages

  • Postpartum depression

Psychologist Session
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The pelvic floor is a group of muscles inside your pelvis that supports your spine, holds the pelvic bones together, supports your organs and assists in transfer, load and control of your intra abdominal pressure.

 

The pelvic floor also very important, and very underserved, for your bladder, bowel, and sexual function. 

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The Pelvic Floor, just like other muscle groups in your body, muscles require adequate

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  • strength

  • endurance

  • range of motion

  • motor control

  • tone (hypertonic or hypotonic)

  • extensibility (ability to or not)

  • sensation (hypersensitive/decreased/diminished)

  • functional integration

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Diagnosis related to pelvic floor dysfunction:

  • urinary incontinence (stress/urge/mixed/functional)

  • urinary retention

  • urgency and/or frequency

  • pelvic organ prolapse (cystocele, rectocele, uterocele, enterocele)

  • painful urination

  • nocturia (frequent nighttime voiding)

  • enuresis (bedwetting)

  • Chronic UTIs or cystitis

  • constipation

  • fecal smearing

  • excessive fecal wiping

  • fecal incontinence

  • painful and/or incomplete bowel evacuation

  • dysynerga

  • rectal prolapse

  • diverticulitis

  • secondary to Chrons

  • secondary to cancer

  • secondary to colorectal disease

  • hemorrhoids

  • vaginismus

  • vulvodynia

  • myofascial pain/spasm

  • dyspareunia

  • atrophic vaginitis

  • lacerations, tears, incisions from labor/delivery

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There are even more diagnosis related to the pelvic floor not listed here. If you have something rare, unique, and not typical, ALL the more reason to reach out. It is our approach that makes therapy successful, and willing to work with anyone who's ready for change!

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Additionally, an external assessment is another component of our evaluation as our holistic approach to the physical presentation. 

Please read on to "Physical Therapy Services" to learn more!

Please reach out if you are having symptoms. We understand this therapy can seem intimidating.

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We will be led by your pace.

We will guide you every step.

Let us help you! 

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How do you assess the pelvic floor?

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We are trained Doctors of Physical Therapy with extensive training and experience in evaluating the pelvic floor through an internal examination, whether that be vulvar, vaginal and/or rectal examination, we have a very direct and specific approach. Your prior permission is always required and discussed. There are alternative assessments and approaches used when an internal exam may not be the first priority upon examination, especially if you are not comfortable. This will be discussed after the examination, to determine the best course of action, especially the prioritization of treatment. 

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