Pelvic floor physical therapy starts with a thorough evaluation of the pelvic floor muscles and the surrounding tissues, and includes spine and pelvis alignment assessment. Your therapist will look for areas of tightness or weakness in your pelvic floor and surrounding lower-back and leg musculature. Internal vaginal work is performed only when necessary, and may not be performed on every visit. Biofeedback equipment or pelvic floor stimulators can also be used during treatment. Patient education is tailored to the condition being treated, and instructions on self exercises are given when appropriate.
Typically, treatments are performed weekly, and patients usually start seeing dramatic improvements within 8 weeks. Your treatments will only be performed in a private room by a female therapist.
These are some of the issues that pelvic floor physical therapy succeeds in treating:
- Urinary incontinence-leaking urine, usually during physical activity or coughing/sneezing
- Urinary frequency or urgency
- Pelvic pain
- Pain or difficulty with sexual activity or penetration
- Interstitial cystitis
- Overactive bladder
- Low back pain/sciatica
- Pregnancy-related pain
- Post-partum complications