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Worth It PT

Pelvic Floor Physical Therapy

Image by Denys Nevozhai

What is Pelvic Floor Physical Therapy?

Pelvic Floor Physical Therapy is a subspecialty of physical therapy that focuses primarily on the pelvic floor and surrounding areas including the hips, core, and low back. The pelvic floor is made up of muscle and other soft tissue to support your abdominal organs from below. 

Learn more about what Pelvic Floor Physical Therapy is on our blog.

Our initial evaluations are two hours in length, so we can get to the root cause and leave no stone unturned in the quest to make you feel better.

What does Pelvic Floor PT treat?
What does our first appointment look like?

The first appointment to pelvic floor physical therapy can be nerve-wracking, especially if you don’t know what to expect! In our first appointment:

  • We sit down and focus on your goals and the history of the issue you’re seeking to resolve. 

  • There is a physical assessment where we look at your whole person and help identify areas that might be contributing to your symptoms. 

  • We develop the plan of care with you, guided by our suggestions, so you can decide how to best reach your goals. 

  • In some cases, the first appointment may or may not include a pelvic floor muscle examination (external, internal, or both) where we visualize the pelvic floor to help make and guide a treatment plan. This will always be discussed first, and completely under your control and decision-making.

  • With the remaining time after the assessment, treatment can vary from manual therapy, dry needling, exercises, and home program  development.

  • FAQ
    • What if I have my period the day of my appointment? Should I reschedule?

      • Your period in no way impacts the ability to have a comprehensive exam. Tampons should be removed during the session. Menstrual cups sit higher up towards the cervix so they do not get in the way. Periods are a part of being a healthy human. You only need to reschedule if you want to for your comfort.​

  • Bowel Dysfunctions 
    • Constipation and Obstructed Defecation

    • Frequent complaints of diarrhea

    • Accidental bowel leakage (aka incontinence of stool, gas, or liquid)

    • Digestive issues that can lead to pain, i.e. IBS (aka irritable bowel syndrome)

    • Mild prolapses

  • Pain
    • Dyspareunia (painful sex, penetration)

    • Vaginismus

    • Endometriosis

    • Vulvodynia

    • Pudendal Neuralgia

    • Myofascial Pain

    • Painful bladder syndrome / Interstitial Cystitis 

    • Pelvic girdle pain

    • Low back pain / general orthopedic pain

  • Underactive Pelvic Floors
    • Urinary incontinence (urge "gotta go gotta go", stress incontinence, increased frequency, or a mixture of everything)

    • Pelvic organ prolapse (the feeling of heaviness / bulging around the vagina or deep inside. Can sometimes make you feel like you can't fully empty your bladder or bowels).

    • Loss of gas when not desired or appropriate (both from the anus or vagina)

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