Physical Therapy

We offer physical therapy services for patients with pelvic floor dysfunction. Our therapists use the latest techniques and evidence-based research to treat pelvic pain, sexual dysfunction, urinary incontinence and fecal incontinence.

Pelvic floor dysfunction treatment

Our pelvic floor therapists focus on two primary types of pelvic floor dysfunction:

Weakness of the pelvic floor muscles
Abnormal pelvic floor muscle tension

Physical therapy treatments often involve internal and external manual therapy, which is designed to decrease muscle and nerve dysfunction and restore patients to a functional, symptom and pain-free lifestyle. Our therapists work with you to determine which approach would be most effective for your condition.

Other treatments we offer include:

Manual therapy: Helps align your body to improve posture, release tense muscles and loosen restrictive scars to enable normal body movement and function.
Other physical therapy techniques: These can include muscle energy techniques, connective tissue mobilization, joint mobilization, strain/counterstrain, microcurrent, pelvic floor stretching and strengthening with or without biofeedback, and an individualized core exercise program.
Injections: When needed, our urogynecologists will augment physical therapy with trigger point injections, pudendal nerve blocks or Botox injections to the pelvic floor.
Strengthening or stretching: This may include yoga, Pilates, home activity or other hobby-related exercises.
Coordination training: Therapeutic activities to normalize coordination of your core muscles. This includes biofeedback, a computer-generated monitoring of your pelvic floor muscles to assist you with performing exercises better.
Patient education: Education is the most important component of the program and is a significant factor in your progress. We help you understand how and why your problem developed and provide you with information, diet and lifestyle advice to help you improve your condition and overall health, even while you are at home.

Conditions

A variety of conditions can benefit from physical therapy, including:

Pelvic pain syndromes, such as intersitial cystitis, vulvodynia, vulva vestibulitis and pudendal neuropathy
Pelvic floor muscle spasms (vaginismus)
Pain during or after intercourse (dyspareunia)
Post-operative surgical pain (episiotomy, C-section, hysterectomy), scar pain or abdominal adhesions
Low back pain

Tailbone pain or pain with sitting
Piriformis syndrome
Urinary incontinence (stress, urge or mixed)
Urgency and frequent urination
Urethral pain or burning
Fecal incontinence
Outlet constipation (non-relaxing puborectalis syndrome)
Painful bowel movements