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Your First Pelvic Floor Physical Therapy Visit

Welcome to Trailhead Pelvic & Visceral Physical Therapy for your first pelvic floor therapy visit!
Plan for your evaluation to take 90 min.

Your story:

We understand how difficult it can be to visit a pelvic floor physical therapist for the first time. Some topics can be complex to discuss, but know that we are here to listen and support you through any conversation, no matter how sensitive. We prioritize taking our time during appointments so you can express yourself without feeling rushed.


Orthopedic evaluation: 

An orthopedic evaluation always goes along with a pelvic assessment. Your pelvis is part of a whole, and we would not provide you with good care if we just looked at your pelvis alone. Your therapist will also look at your posture, how you move, and how you breathe. She will evaluate your hip joints, spine, and the rest of your body because there may be a connection. She will ask about your sleep patterns, dietary habits, and daily routine. 

Pelvic evaluation: 

Understanding what is going on with your pelvic floor is the first step toward healing. People find that a pelvic floor evaluation can provide them with valuable insights.


Your consent and involvement with the pelvic evaluation:

Your therapist can provide external and internal pelvic evaluations and will involve you in the decision-making. Unless you prefer otherwise, the pelvic evaluation will typically be performed on the second visit when you may feel more at ease. Your therapist will use a medical anatomy model or pictures to explain the reasoning behind each assessment. We require full consent for these evaluations, and please know that your therapist can still provide you with good care should you prefer not to have these evaluations done or wait to have them done at a later appointment. During the external and internal pelvic evaluation, you will be fully covered/draped.


External evaluation: 

During the external evaluation, your therapist will address your concerns by evaluating your skin, pelvic nerves, blood flow, overall tissue symmetry, position of your tailbone, and strength of the pelvic floor muscles to determine how it may impact bowel, bladder, or sexual function. Your therapist will also assess other muscles connected to your pelvic floor, such as adductors, hip rotators, or abdominals. 

Internal evaluation:

An internal evaluation can add valuable additional information to the external evaluation. Your pelvic floor muscles are like any other muscle in your body. We want to determine if it is tight or weak, has scar tissue due to a history of giving birth, falls or overuse, or has inflammation in the tendons. We also want to assess for tender points and asymmetry between the left and right or front and back. We can evaluate if the nerves are causing pain and if you can coordinate your muscles correctly when you cough, squeeze, or bulge your pelvic floor. We can do an internal evaluation vaginally and/or rectally. 



At the end of the visit, your therapist will let you know what she found during the evaluation, and together, you will decide on goals and devise a treatment plan that works for you. 

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Tips for Success - Pelvic floor therapy

Our goal:​

  • We want your experience to be truly of value to you.

  • We want you to feel acknowledged, appreciated and listened to. 

  • We want you to get the answers you seek.

  • We want you to feel like you have a workable plan.

We ask that you:​

  • Collaborate with your physical therapist through this journey.

  • Relax and open up to us without fearing judgment.

  • Make the most of your time here because you were brave enough to come.

  • Have some fun.

Patient swinging kettlebell during therapy

How do we make your pelvic floor visit easier for you?

  • Consistency: You will have the same pelvic health therapist throughout your care plan.

  • Privacy: Our waiting room serves the whole building, so no one will know why you are there or whom you are seeing.

  • Emergency: Our office has a private restroom that can be used at any time. 

  • Pain: We use gentle techniques to treat your pain.  

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