Pelvic Health for Women & Men

Pelvic Health Physical Therapy for Women

Women of all ages experience changes in their pelvic floor muscle function that can directly impact both the strength of the core and overall pelvic health (bladder, vaginal and bowel systems). The pelvic floor muscles are a direct component of the bodies core strength. When the pelvic muscles are weakened women may experience low back pain, abdominal pain, pelvic pain, and weakness with movement. We provide targeted physical therapy to increase the strength of your core and pelvic girdle, which will ultimately help you get back to moving comfortably.

The most common pelvic health concern women have is bladder leakage.  All women can develop bladder control problems, even professional athletes.  By improving the strength and control of the pelvic floor muscles and the inner core we can eliminate leakage and get you back to moving with confidence.

Discomfort with sexual intimacy is another common concern and can be a difficult topic for many people to talk about. Finding the right provider and a positive support system is one of the most important steps in the healing process. We help women overcome sexual discomfort by providing expert care designed to address your specific concerns. Commonly, women have tightness in the pelvic muscles, as well as other physical changes leading to discomfort with intimacy, that can likely be treated with manual therapy and exercise. Working together we will improve your pelvic health and return you to comfortable sexual function.

Most common concerns women have:

  • Bladder leakage (stress urinary incontinence)
  • Bladder urgency or frequency (urge urinary incontinence)
  • Vaginal heaviness/pelvic organ prolapse
  • Painful intercourse or sexual activity
  • Vaginal dryness/vulvar tissue sensitivity
  • Vaginal scar healing associated with childbirth
  • Vaginismus (vaginal tightness and pain)
  • Pain with gynecology visit or feminine products
  • Pelvic floor muscle dysfunction
  • Constipation
  • Low back pain
  • Hip pain

Pelvic Health Physical Therapy for Men – COMING AUGUST 2019

Our specialty services address the unique pelvic health needs of men. The two primary pelvic health needs of men are urinary leakage and pelvic pain (often associated with prostatitis). Bladder leakage most commonly effects men immediately following prostate surgery. Research has shown that the sooner men begin pelvic floor rehabilitation the sooner this leakage is reduced and with up to 90% of men that complete physical therapy regaining full bladder control. In fact, men that participate in care before and after surgery have even faster recovery.

Pelvic pain in men is often associated with pelvic floor muscle tightness and spasms that can cause pain throughout the pelvis, abdomen, and genital area and can impact comfort with sitting, exercise, and sexual function. Often men with pelvic pain are mis-diagnosed with prostatitis (inflammation of the prostate gland) and symptoms do not respond to medication. Targeted pelvic health care is needed to reduce the muscle spasm and improve the health and function of the region; this eliminates pain.
The most important component to specialized pelvic health care is education. We will work closely with you to ensure we understand your symptoms and can educate you on how the pelvic muscles may be impacting your health. Together we will get you back to playing at the top of your game.

Treatment we provide

​Examples of treatment that maybe offered with your care include:

  • Hands on manual therapy to reduce muscle spasm, trigger points and pain including equipment assisted soft tissue release.
  • Joint mobilization to improve joint movement and position.
  • Muscle energy techniques to improve pelvic alignment and SI joint position.
  • Biofeedback training to improve your pelvic floor muscle control and coordination.
  • Strengthening and core stabilization exercises with targeted training to ensure correct performance.
  • Exercise progression from developing foundation strength to full muscle function and performance.
  • Bladder education on bladder irritants, urgency control training and techniques to eliminate leakage.
  • Bowel health and bowel program training including proper defecation mechanics.
  • Sexual intimacy tools to enhance comfort and successful interactions.
  • Kinesiotaping for posture, pain reduction and abdominal separation (diastasis rectus).
  • Body mechanics and environmental modifications to improve positions with daily activities.
  • Written summary with instruction for your personalized wellness program. ​

FAQs

Do I need a referral from my physician?

North Carolina is a direct access state for physical therapy services therefore a physician’s referral is not required unless you are using Medicare insurance. We do communicate with your medical providers as needed to improve your care.

What will happen at the initial consultation?

A complete physical evaluation is completed based on your concerns. Often this includes examination of your movement, core and pelvic floor muscles as indicated. Treatment and begin the same day as the initial consultation.

How many sessions will I need?

Together we will develop your treatment plan based on your needs. The exact number of visits is unique to symptoms but on average our patients benefit from 6-8 treatment visits.

Contact Us

Contact Us Sidebar
Sending