Pelvic Floor Physical Therapy

Pelvic Pain? Let us Help!

Are you suffering from pelvic pain? Painful intercourse? Urinary Incontinence ? You could benefit from pelvic floor therapy.

Pelvic floor therapy is a type of physical therapy that usually involves both external and internal therapy. A physical therapist is specially trained to strengthen and stretch the abdominal and pelvic muscles. It can be beneficial to those that suffer from general pelvic pain, incontinence (both urinary and fecal), interstitial cystitis, nerve pain, tailbone pain, and constipation.

It can be useful with prenatal patients and postnatal patients as well as the average woman. Pelvic floor therapy is different for each patient depending on the condition being treated. The first thing to do is to address your issues with your GYN. From there we will evaluate and treat you based on symptoms and exam findings. We may refer you to a physical therapist for an evaluation for pelvic floor therapy.

What does pelvic floor therapy involve? At your first appointment you will get an evaluation. They will look first, at the outside of your body, at your muscles, and at your skin. What do the structures look like, how are your muscles working, is there any visible swelling? Then they may do a neurological test to make sure there are no neurological deficits. Next, they will evaluate for muscle tenderness and tension. The next step sometimes involves an internal  exam. The difference between your

GYN and the physical therapist is they do not use a speculum. They feel, usually with one finger, to check for muscle tension, contraction, and muscle relaxation. This exam may be done vaginally, rectally, or both if needed. They are also able to assess the pudendal nerve, which is often a cause for pain. This internal exam often helps them to narrow down what specific muscles are involved.

Some pelvic floor therapists work with insurance and some are cash pay only. There are several in the area, and we would be happy to refer you to one.

First, call your GYN and let us help you. Don't be afraid to mention your concerns, pelvic pain, or incontinence issues. Yes, you may have just had a baby 2 months ago, but that does not mean you have to have pain with intercourse. Yes, you may have carried and birthed 4 children, but it does not mean you have to leak urine every time you sneeze! Let us help you! Call us today for an appointment.


Kearsten Howe-Ball PA-C

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