How do I know if I need Pelvic Floor Physical Therapy?

Written By Shimeng Gao

Your pelvic floor is a 3-layered muscle group that supports your pelvic organs. It is often described as a hammock that holds your bladder, uterus, vagina, urethra, and rectum. Various life events like vaginal births, C-section procedures, and more can weaken the pelvic floor, requiring rehabilitation to restore strength and function.

1. What are the common pelvic floor dysfunction symptoms?

• Leaking urine when you run, jump, laugh, sneeze, or cough
• A feeling of pressure or heaviness in your pelvic area
• A bulge or feeling like something is slipping out of your vaginal canal
• Abs separation or doming during exercises
• Frequent urge to pee
• Constipation and bowel movement issues
• Difficulty emptying your bladder
• Sexual dysfunction including pain with intercourse
• Chronic lower back pain persisting after traditional therapy

2. What diagnosis do Pelvic Floor Physical Therapists Treat?

• Urinary Incontinence
• Pelvic Pain
• Diastasis Recti Abdominis (DRA)
• Endometriosis
• Low Back Pain
• Pelvic Organ Prolapse
• Postpartum PT
• Sacroiliac Joint Dysfunction
• Vaginismus
• Vulvodynia

3. Who are pelvic floor physical therapists?

Pelvic Floor PTs are medical professionals who specialize in muscles, joints, and nerves in the pelvic area. They perform internal and external assessments and provide personalized treatment plans for pelvic floor dysfunction.

4. What Treatment Methods do Pelvic Floor Physical Therapists Use?

Pelvic floor physical therapists use a range of techniques including manual therapy, Pilates-based exercises, nerve flossing, core stabilization, and biofeedback, tailored to each patient's needs.

5. What to Expect at Your First Pelvic Floor PT Treatment?

Expect a detailed consultation and, if necessary, a physical examination. The therapist will assess your body and pelvic muscles, with your comfort and consent prioritized at every step.

Originally published on Dr. Gao's blog