Pelvic Physical Therapy

What is Pelvic Physical Therapy?

Pelvic Physical Therapy (also known as Pelvic Floor Physical Therapy, Pelvic  Health Physical Therapy) is performed by a specifically trained, licensed Physical Therapist. It focuses on the pelvic floor and the surrounding areas such as the abdomen, hips, and low back as they relate to the floor.

What is the pelvic floor?

The pelvic floor consists of 3 layers of skeletal muscle that supports internal organs, provides urinary and fecal continence, aides in sexual function, and is included in the “core” postural muscle group. The pelvic floor’s bowl shaped structure is attached from the pubic bones to the coccyx (tailbone) and on the sides of the bottom of the pelvis as well.

What does the treatment consist of?

Treatment first begins with taking an extensive history of the issues at hand and then a thorough evaluation of the floor and the surrounding areas if needed (low back, abdomen, hips, etc.). Assessing and treating the floor is done by internal palpation through either the vagina or rectum. This is done to directly access the muscles of the floor and is extremely effective as the therapist is able to evaluate and treat the muscles solely through the vaginal or rectal wall. We recognize how personal this may be for patients and ensure that every step is explained and consent is constantly obtained as we proceed. In our facility, trauma informed care is mandatory and we respect each patient’s individual evolving needs and boundaries.

Pregnancy and Postpartum

This amazing specialty also encompasses pregnancy and postpartum and all of the changes that come with this period of transition. Orthopaedic concerns (back pain, hip pain, groin pain etc.) do not have to be the norm. Pelvic floor dysfunction is common both pre and postpartum and should be addressed with hands on treatment and education to prepare for birth and recover from your birth. Establishing care with a Pelvic PT even if “nothing is wrong” is an important step in your pregnancy to learn how to prepare for not only birth but also the Fourth Trimester. Did you just have a baby and don’t have anyone to babysit? You are more than welcome to bring them to your appointment(s)!

Common Conditions Addressed by Pelvic PT

Urinary and/or fecal incontinence, painful sex, generalized pelvic pain, painful scarring, endometriosis, interstitial cystitis (IC), pelvic organ prolapse, diastasis recti, C-section incision dysfunction and pain, constipation, pain and/or scarring following gender affirming surgery and procedures, and much more. Please feel free to call and find out more.

Sierra Orthopaedic Pelvic Physical Therapists