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 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 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 from muscle dysfunction, nerve dysfunction, or scar tissue