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Pelvic Health Physical Therapy

What is pelvic health physical therapy?

Pelvic health physical therapy is a minimally invasive first-line treatment for addressing issues and enhancing function in the abdominal and pelvic regions, including bowel and bladder concerns and sexual problems, as it relates to pelvic floor dysfunction.

What is the pelvic floor, and what do you mean by pelvic floor dysfunction?

The pelvic floor is a group of muscles at the bottom of the pelvis:

The pelvic floor forms a sling to hold your organs in place.	It requires good coordination to perform its various functions.
Contracting, or pulling the pelvic floor muscles up and in, is also called a Kegel.	The pelvic floor muscles support physical activity.
The pelvic floor supports your pelvis, spine and core during heavy lifting.	It controls urination.
The pelvic floor is essential for sexual activity.	The pelvic floor needs to be able to lengthen and relax while having a bowel movement.
The pelvic floor helps to prevent leakage of urine, stool and prevents gas to escape at inappropriate times.

Pelvic floor dysfunction is when the pelvic floor muscles are not working optimum. A broad number of conditions and complaints can be associated with pelvic floor dysfunction, such as the following:

Poor pelvic floor muscle coordination (dyssynergia)	A weak pelvic floor and core.
A tight pelvic floor.	A pelvic floor that has lost structural integrity, such as in organ prolapse.
Inability of the pelvic floor to relax when having a bowel movement or voiding.	Inability to isolate the pelvic floor muscles when needed.
Habitual straining.	Weak sphincters.
Scar tissue after giving birth or surgeries.	History of pelvic floor injuries from falling on your tailbone.
Nerve damage in your pelvic floor or anal area.	Altered integrity of pelvic blood flow.
Spasms of the pelvic floor muscles.	Habitual sitting and movement postures affecting the pelvic floor.

Who do you see for pelvic floor treatment at your clinic?

We offer the following services:

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Women's

Pelvic Health

You are important!

As is your pelvic floor health.

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Men's

Pelvic Health

Men's health is a priority in our clinic.

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Pediatric
Pelvic Health

Parents, you have done nothing wrong. Together, lets figure out the "why".

Teenage

Pelvic Health

You are not alone. We know talking about this stuff is not easy.

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Home

Visits

Consider the benefits of our concierge service

for women's pelvic health.

What kind of treatments should I expect when I come for pelvic floor physical therapy?

Our treatment is evidence-based, holistic, and after the initial evaluation, may include:

Internal treatments if appropriate	Biofeedback
Personalized pelvic floor exercises	Bowel and bladder training
Pain education and treatment	Visceral manipulation
Sexual wellness	Return to sport and activities
Functional retraining

What conditions do you typically treat?

We address any conditions affecting the abdomen or pelvic area. For more specific diagnoses we treat, please visit the targeted group pages listed above.

I think I need pelvic health therapy, but I am not sure. Can I call you?

Our therapist is available to answer any questions you may have. Feel free to give us a call.

The Cozean Pelvic Dysfunction Screening Tool can also be used as a quick screening tool to determine whether you may have pelvic floor dysfunction and whether you may benefit from pelvic floor physical therapy.

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If you checked three or more factors, please consider a PT consultation.	I sometimes have pelvic pain (in genitals, perineum, pubic or bladder area, or pain with urination) that exceeds a '3' on a 1-10 pain scale, with 10 being the worst pain imaginable.
I can remember falling onto my tailbone, lower back, or buttocks (even in childhood)	I sometimes experience one or more of the following urinary symptoms: * Accidental loss of urine. * Feeling unable to completely empty my bladder. * Having to void within a few minutes of a previous void. * Pain or burning with urination. * Difficulty starting or frequent stopping/starting of urine stream.
I often or occasionally have to get up to urinate two or more times a night.	I sometimes have a feeling of increased pelvic pressure or the sensation of my pelvis organs slipping down or falling out.
I have a history of pain in my lower back, hip, groin, or tailbone or have had sciatica.	I sometimes experience one or more of the following bowel symptoms: * Loss of bowel control * Feeling unable to completely empty my bowels * Straining or pain with a bowel movement * Difficulty initiating a bowel movement
I sometimes experience pain or discomfort with sexual activity or intercourse.	Sexual activity increases one or more of my other symptoms.
Prolonged sitting increases my symptoms.