Pelvic floor health physical therapists help women who have problems with sexual intercourse, urination, fertility, pregnancy preparedness, postpartum concerns, diastasis recti, and pelvic and/or tailbone pain. Depending on exam findings, treatment includes manual techniques, specific exercise prescription (a Kegel is not simply a Kegel!), and the use of electrical stimulation and/or biofeedback tools. Read below for more information or call us with your questions. We're not shy and we've seen it all. 
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This page focuses on the female pelvic floor. Please know: we are sensitive to the needs of those persons who don't identify as a woman/man, male/female. Life in Balance is an inclusive practice that treats all  pelvic floors. ​
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Stress Incontinence

Stress urinary incontinence (SUI) is the leakage of urine due to weakness in the pelvic floor musculature. Such leakage occurs in times of "stress," such as running, jumping, laughing, coughing, sneezing, or other activities that increase intra-abdominal pressure.

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Pelvic Pain

Pelvic pain can be due to conditions such as pelvic floor muscle imbalance, endometriosis, post-surgical abdominal adhesions, pudendal neuralgia, interstitial cystitis, postpartum adhesions and scarring, or nerve entrapments.
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Vaginismus, involuntary muscle spasms around the vaginal opening and dyspareunia, painful intercourse, are forms of pelvic pain that are also helped with physical therapy.  

Adhesions and Infertility

Adhesions are areas of thickening in connective tissue that form as a result of tissue damage caused by disease (such as pelvic inflammatory disease or endometriosis), trauma (fall on the tailbone or sexual abuse), and/or pelvic or abdominal surgery. Adhesions in the pelvis or abdomen can affect fertility by creating mechanical problems. The result may include limited mobility of the reproductive organs within the pelvic cavity, decreased blood flow to the ovaries, and/or pain. 

​Urge Incontinence

Urge incontinence (UI) is the sudden and often frequent need to urinate due to involuntary bladder spasms or contractions, regardless of the amount of urine in the bladder. Individuals may feel a strong urge to use the bathroom, but have difficulty getting there in time. They may also notice that once in the bathroom not much urine is voided. 

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Organ Prolapse

Prolapse occurs when the supportive tissue for the bladder, rectum, uterus or urethra, becomes weak. The result is that the organ will descend into the vaginal cavity. The subsequent pressure of the organ in the pelvic cavity will often feel like something is "falling out." Other symptoms may include urinary or fecal incontinence, pelvic pain, and/or low back pain. In cases where the pelvic floor is weak, simply strengthening can help to reduce the symptoms. If the supporting tissue is significantly damaged, a device called a pessary, can help improve internal support.

​Tailbone (Coccyx) Pain

Coccygodynia, tailbone pain, results from injury after a recent or past fall and/or tightness of the pelvic floor muscles, as the coccyx is an attachment site for some of these muscles. 

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• Do you leak urine with laughing, coughing, sneezing, or exercise?

• Do you have moments when you really, really, need to use the restroom, but are unable to get there in time?
• Do you have pelvic pain?
• Do you have pain with intercourse?
• Are you unable to have a pelvic exam?
• Do you have tailbone pain or difficulty sitting?
• Are you having difficulty getting pregnant?
• Do you have a "falling out feeling" with standing or other movements?

​         If you've answered yes to any of these,
​                           call us. We can help.

​Pregnancy and Postpartum

The body undergoes many changes during and after pregnancy. Some of these changes include weakness in the pelvic floor and abdominal muscles, pelvic mal-alignment, postural problems, and unhealthy movement patterns developed both during pregnancy and during care of the newborn. Less common but also possible are diastasis recti, which is a separation of the abdominals caused by stretching of the rectus abdominis, and stress incontinence as mentioned previously. 
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​Low Back Pain

Unresolved low back pain may have a component of pelvic floor muscle dysfunction, as these muscles form a sling or hammock across the bottom of the pelvis and support the bladder, vagina, and rectum. Tightness or imbalance in these muscles can contribute to low back pain. Physical therapy is most effective in treating this by combining manual therapy, exercise, and modalities. 

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ADDITIONAL RESOURCES

Books

• Restoring the Pelvic Floor
• Heal Pelvic Pain
• A Headache in the Pelvis
• The New Menopause
• Estrogen Matters

Tools

• ​Pelvic Wand
• Slippery Stuff
• ​Pregnancy Support Belt