Pelvic Floor Physical Therapy

Pelvic joints include the pubic symphysis, sacroiliac joints and hip joints. Pelvic floor dysfunction can occur when these joints are not working in harmony with the nearby muscles and nerves. The result is often a short term or chronic pain state.

When treating pelvic pain we focus on creating balance and harmony among the joints, muscles and nerves. Whenever possible, we use non-pharmacologic and noninvasive interventions that expose patients to less risk than invasive measures or drug therapies. One of the most important of these treatment options is physical therapy.

Pelvic Floor Dysfunction and Physical Therapy

To effectively evaluate and treat pelvic floor dysfunction, our practice works with several prominent physical therapists in the community. These experts have advanced, specialized training that is essential to successfully resolving pelvic floor problems.

Pelvic floor physical therapy plays a key role in calming and desensitizing the central nervous system, and as such, it is considered the gold standard treatment. Therapists evaluate and treat dysfunction of the pelvic floor muscles using a range of techniques and modalities:

  • Myofascial release – This technique applies sustained pressure to reduce restrictions on the connective tissue called “fascia” that surrounds, separates, and connects muscles, organs and other soft body structures. It can relieve pain, improve range of motion, relax muscles, and ease neurological dysfunction.
  • Deep tissue massage – Using firm pressure and slow strokes to reach the deepest layers of muscle and fascia, this type of massage can break up scar tissue and physically undo muscle “knots” and painful, rigid tissue.
  • Postural re-education – Therapists evaluate overall posture as well as body position when standing, walking, and sitting. They will assess whether body posture and movements are contributing to pelvic pain.
  • Education for bowel and bladder issues – Many people don’t realize that the position we take when voiding our bladder or our bowel can have important impacts on our pelvic health. Training provided by a therapist often has unexpected benefits.
  • Body empowerment training – Advanced physical therapy techniques can not only help heal the pelvic region, they can improve the way we feel about our bodies as a whole.
  • Other physical therapy modalities that can aid pelvic health include: internal and external mobilization of joints and soft tissue; sensory, motor and sympathetic and parasympathetic nerve re-training; muscle relaxation techniques; and a variety of strengthening exercises.


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