Pelvic Floor Dysfunction

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Most of us never think about our pelvic floor until there is a problem. Worst yet, most of us do not know who to turn to when the problem occurs. The pelvic floor is comprised of a sling of muscles and physical therapists are experts in muscle training. Moreover, all of our physical therapists are trained in pelvic rehab physical therapy!

Pelvic floor dysfunction generally falls into 2 categories: overactive pelvic floor and underactive pelvic floor. 

Physical Therapy treatment for pelvic floor dysfunction works to normalize muscle tone and pelvic organ function. This may include strengthening activities, stretching, relaxation training, coordination training, manual techniques, and posture training. Many times, pelvic floor rehab can improve outcomes of surgery and may even reduce the need for surgery and/or medication entirely.

Overactive Pelvic Floor Symptoms

Overactive pelvic floor may be reported with any of the following
symptoms, and physical therapy can help alleviate these symptoms:

• Painful intercourse
• Vulvar pain
• Painful urination
• Functional constipation
• Difficulty passing gas

Medical diagnosis for overactive pelvic floor include:

• Vulvodynia
• Interstitial Cystitis
• Endometriosis
• Vaginismus
• Chronic Prostatitis
• Levator Ani Syndrome
• Coccyx Pain
• Vestibulitis

Underactive Pelvic Floor Symptoms and Diagnoses

Underactive pelvic floor may be reported with any of the following symptoms, and physical therapy can help alleviate these symptoms:

• Pressure in the pelvic floor
• Urinary leakage
• Frequent urination
• Fecal incontinence
• Urinary urgency

Medical diagnosis for overactive pelvic floor include:

• Urinary incontinence
• Fecal Incontinence
• Urinary Frequency
• Urinary Urgency
• Cystocele
• Rectocele
• Pelvic Organ Prolapse