Pelvic Health

As part of our whole body approach to healing, we offer pelvic health services to address issues that affect bladder, bowel and sexual function.  The pelvis is the center of the body, therefore any alignment or structural issues present in the pelvis affect not only the pelvic floor muscles and abdominal organs, but they can also cause symptoms that arise in the hips, back, neck and even the arms and legs.

Many people suffer from pelvic floor dysfunction and related symptoms that may go on for years because of misdiagnosis and in appropriate treatments.  Fortunately, more doctors are aware of pelvic floor dysfunction and are referring their patients to physical therapy sooner.  Because these issues are so personal, many patients with pelvic floor dysfunction may also benefit from psychological services and support groups.  There are many great resources available now.  If you have chronic pain or problems with bladder, bowel or sexual function, try physical therapy.  Physical therapists can be part of your team of specialists that helps you return to complete physical health!

Treatments include:

  • Manual Therapy (hands on techniques that include myofascial release, trigger point release, craniosacral therapy, joint mobilization, visceral manipulation)
  • Therapeutic Exercise (for relaxing tight, painful areas and strengthening weak areas)
  • Correction of Posture/Alignment
  • Body Mechanics and Ergonomic Education
  • Education on Self-Management and Home Programs

Common Conditions that we treat with Pelvic Physical Therapy

Bladder Problems

Urinary Frequency/Urgency
Urinary Incontinence
Urinary Retention
Pain with Urination
Interstitial Cystitis
Nocturia (night time urge to urinate)

Bowel Problems

Bowel urgency
Bowel frequency
Bowel incontinence
Constipation or incomplete bowel emptying
Irritable Bowel Syndrome (IBS)
Rectal pain
Hemorrhoids
Gas 

Sexual Problems

Pain with intercourse (Dyspareunia)
Pain with OB/GYN exams
Testicular pain
Erectile dysfunction
Premature ejaculation
Pain with ejaculation
Prostatitis
Difficulty reaching orgasm
Low libido

Musculoskeletal Problems

Neck Pain
Back Pain
Hip Pain
Groin Pain
Tailbone Pain (Coccydynia)
Sacroiliac joint pain
Sciatica
Postnatal pain or weakness
Lymphedema

Conditions Associated with Pelvic Pain

Levator Ani Syndrome
Vulvodynia
Vaginismus
Vulvar Vestibulitis
Pudendal Neuralgia
Endometriosis
Lichens Planus
Lichens Sclerosis
Pelvic Inflammatory Disease (PID)
Anal/Rectal Fissure
Urethral Syndrome
Prostatitis
Prostatodynia
Interstitial Cystitis
Proctalgia Fugax
Childbirth (Cesarean section, perineal tears, episiotomy)
Surgical scarring (abdominal, colorectal, spinal)