Pelvic Floor Therapy

We offer pelvic floor therapy services for the following conditions. We treat both men and women.

Urinary Incontinence (Women)

Women can develop urine leaks from many causes. We tend to think it is “normal” after having children or surgeries. Urine leakage IS common, but definitely NOT normal! Stress urinary incontinence is when a person leaks urine during or after an activity such as changing position, laughing, coughing, sneezing, jumping or running. The biggest risk factor for this is a vaginal birth, but can have many reasons. Urge urinary incontinence is when a person has a sudden severe urge to urinate and cannot make it to the restroom on time. Mixed urinary incontinence is a combination of both stress and urge incontinence. These problems have an average of 80% or better improvement with pelvic floor occupational therapy.

Post-Prostatectomy Urinary Incontinence (Men)

Men often suffer from urine leakage after removal of a cancerous prostate, or after a TURP procedure from an overgrown prostate. Pelvic floor therapy is successful in teaching men how to strengthen the correct pelvic floor muscles, recruit their core muscles correctly, manage their incisional scars, and promote proper bladder habits.

Pelvic Organ Prolapse

Many women are told that they have “dropped” or low organs – typically one’s bladder, rectum or uterus. This can occur after childbirth, chronic constipation, chronic cough, work requirements that include heavy lifting, or just from having weak pelvic floor muscles. Research shows that pelvic organ prolapse can be effectively treated with pelvic floor therapy.

Pelvic Pain Syndromes (Women)

Women may have vaginal pain with penetration, pain with sitting or having clothes touch their skin, or be restricted from doing work or exercise activities that they would like to do. Some of the pelvic pain diagnoses that we treat are vaginismus, vulvodynia, pudendal neuralgia, painful scars, and similar dysfunctions.

Prostatitis Type Rectal or Perineal Pain (Men)

Often men have rectal pain that is diagnosed as an inflammation of their prostate, or “prostatitis”. Sometimes when this initial infection clears, men are left with the secondary problem of high tone (spasm) of their pelvic floor muscles. This muscle spasm can mimic the pain that started from an inflamed prostate. Resultant muscle spasms typically resolve well with pelvic floor therapy manual treatments.

Testicular/Penile Pain (Men)

Men can develop penile or testicular pain from a variety of reasons. Pelvic floor muscle spasms can cause pain in this region, as well as nerve impingements in the torso from tight connective tissue or poor body mechanics for daily activities and work requirements Muscle spasms and nerve impingements can be addressed successfully with biomechanical evaluations and treatments of the restricted tissues.

Constipation

Constipation is one of the most common complaints for individuals when they visit their primary care provider. Sometimes the GI tract moves slower than it should due to abdominal surgical adhesions, poor dietary habits, poor abdominal strength/compression, or improper breathing and movement patterns. Constipation can also worsen urinary incontinence, organ prolapse and pelvic pain. Pelvic floor therapy uses manual techniques such as bowel massage and visceral mobilization, teaching proper toileting mechanics and discussing dietary impact.

Fecal Incontinence

Fecal incontinence is the loss of fecal matter, either with physical activities or with urgency and the inability to make it to the restroom on time. This can happen due to weak or damaged pelvic floor muscles (such as after hemorroidectomy, other anal surgeries, childbirth tears or episiotomies) or poor bowel movement consistency. Pelvic floor occupational therapy addresses core and pelvic floor strengthening, dietary habits and any co-existing bladder concerns.

Abdominal pain

Abdominal pain from muscle dysfunction, nerve dysfunction, or scar tissue from surgeries.