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Pelvic Floor Therapy

General pelvic floor therapy

The pelvic floor consists of many muscles that provide support as well as assist in the function of the bowel and bladder. As a result of weakness and dysfunction in these muscles, there can be increased pain and other symptoms that interfere with daily functional activities.

Pelvic physical therapy is an evidence-based, non-surgical approach to address a variety of pelvic floor disorders. Our licensed physical therapists have advanced training in the evaluation and treatment of pelvic floor impairments. We offer individualized and professional care in a compassionate environment to address a variety of pelvic floor disorders including but not limited to: bladder control problems, pre- and post-partum conditions, chronic pelvic pain, painful intercourse, and post-operative pelvic floor dysfunction.

After a referral from a medical provider, a thorough pelvic floor evaluation will be completed by our qualified physical therapists. Once the evaluation has been completed, a plan of care will be established, and treatment will be initiated. Treatment sessions are typically 1-2 times per week and last for approximately 45 minutes in duration. Pelvic floor physical therapy is covered by most insurance with a valid and appropriate ICD-10 code from a healthcare provider such as: physicians, certified nurse practitioners, physician’s assistants, or midwives.

What could treatment sessions in pelvic physical therapy include?

  • Biofeedback
  • Bladder retraining
  • Electrical stimulation
  • Education on:
    • Anatomy and mechanics of the pelvic floor
    • Diet, fluid intake, and bladder irritants
    • Bowel and bladder habits affecting daily function
  • Exercise focused on:
    • Improving strength and/or relaxation of the pelvic musculature to improve function and mobility
    • Improving strength and function of the core (Pilates based)
  • Individualized, patient specific home exercises
  • Manual therapy for soft tissue and joint structures related to the pelvis
  • Relaxation and breathing techniques
  • Scar mobilization

Postpartum pelvic health

The muscles and structures of the pelvic floor undergo significant changes during pregnancy and delivery. These pelvic floor structures support internal pelvic organs and assists in supporting the lower back and pelvis. The first six weeks following childbirth is considered the postpartum period. In order to optimize the long-term health of women during the postpartum period, The American College of Obstetricians and Gynecologists recommends that postpartum care be an ongoing process. Pelvic floor physical therapy can be a critical part of postpartum care following childbirth. Approximately 6 weeks following delivery and with physician approval, treatment of the pelvic floor may begin.

Pelvic floor physical therapy assists individuals to coordinate the muscles in the pelvic area that are used for functional daily activities. At Mary Rutan, our licensed physical therapists have advanced training in the evaluation and treatment of pelvic floor dysfunction. We offer individualized evaluation and treatment in a professional and compassionate environment to address the various issues that may arise during pregnancy, in the postpartum period, and thorough out in the healing process. Once the evaluation is completed, a plan of care will be established, and treatment will be initiated.

Common difficulties experienced following childbirth which can be treated with pelvic floor therapy:

  • Back and pelvic pain
  • Bladder and bowel control problems (incontinence)
  • Scar tissue healing (cesarean birth or episiotomy)
  • Partial or complete separation of the abdominals at the midline of your stomach (Diastasis Recti)
  • Dropping of pelvic organs (prolapse)
  • Sexual dysfunction (such as pain with intercourse)

Our specialists in pelvic floor therapy:

Angie McAuley, PT

Melissa Sinay, PT, DPT

What our patients say:

"I didn't really know what to expect when I began pelvic floor therapy, but Angie has taught me a lot about my body and how proper breathing techniques and engaging my core makes this therapy much more effective. We worked on these techniques during my sessions and also laughed a lot too! She definitely makes therapy more fun and interesting!"

~ Renee Kavanagh