Physical Therapy
Our pelvic floor physical therapists are able to provide a skilled and thorough evaluation
Based on the findings during your evaluation, the physical therapist will design a treatment plan that addresses any dysfunction in a way that results in improved function and quality of life. Additionally, the physical therapists at PHWC recognize the intimate relationship between the pelvic floor, lumbar spine, pelvis, hips, respiratory function, and mental health. They will evaluate and treat or recommend other providers as needed in order to provide the most comprehensive and efficacious care for the patient.
What is the Pelvic Floor?
The pelvic floor consists of a group of muscles that exist inside of the bony pelvis. These muscles are generally considered to have 3 primary functions: supportive, sphincteric, and sexual.
- Supportive: The pelvic floor muscles and their associated connective tissue (fascia) work together with the deep abdominals, deep lower back muscles, and the diaphragm to support the weight of the pelvic organs and structures (bladder, vagina, rectum, cervix) and to resist increases in intra-abdominal pressure, which occur with coughing, changing positions, lifting, etc.
- Sphincteric: The pelvic floor muscles work to compress the urethra and contract at the anal opening to assist in maintaining continence of urine, feces, and gas. Depending on the situation, this occurs both intentionally and automatically.
- Sexual: The pelvic floor muscles and tissues experience a marked increase in blood flow during sexual arousal and the muscles contract throughout the sexual experience, particularly with orgasm. Further, the tissues that make up the perineum and vaginal wall are required to be flexible and to allow pain-free sex.
What to expect during your first visit
Your first visit will consist mostly of education relating to your symptoms. Your individual treatment plan will be determined during this time and will depend upon your specific needs. There is no specific attire that is required for this visit and your physical therapist will prescribe an individualized home exercise program that will be progressed throughout your course of treatment.