Pelvic Health

Pelvic health

If you have a pelvic floor disorder, the Pelvic Health and Wellness Program at Advance Physical Therapy & Wellness will help you Love Your Life! Pelvic floor disorders cause uncomfortable symptoms, such as urine leakage and constipation and or pain, and can lead to embarrassing and disabling limitations in daily life. Some people are so embarrassed by these issues that they don’t seek help. Many don’t know that pelvic physical therapy treatments for pelvic floor disorders are highly effective and supported by very strong research (evidence based). It involves no medication or surgery. Enjoying a pain free life with good bladder and bowel control, physical activity, laughter, and sexual health requires healthy pelvic floor muscles. At Advance Physical Therapy & Wellness, we believe that having a healthy pelvic floor will help you to Love Your Life.

What are pelvic floor disorders?

Pelvic floor disorders are a group of conditions, listed below, that affect the pelvic floor. The pelvic floor is made up of skin, muscles, ligaments, connective tissue, nerves, blood vessels, and organs in the pelvis. The pelvic floor supports the body, stabilizes the pelvic girdle and spine, and supports the bladder, rectum, and pelvic organs. Pelvic floor disorders are common and affect both men and women of all ages. Physical therapy treatment of pelvic floor disorders is highly specialized, and is provided only by physical therapists and physical therapist assistants who have completed advanced post-graduate education and training.

Bladder Control Problems

Affects 35% of all women, 50% of women over the age of 65 , 25% of all men

Urinary incontinence- unintentional urine leakage of any amount, at any time
Urinary urgency – experiencing a sudden strong urge to urinate that is difficult to defer
Urinary frequency- urinating more than 8 times in 24 hours
Nocturia- waking more than one time during sleep by the need to urinate
Difficulty emptying the bladder – incomplete bladder emptying, slow stream
Pelvic organ prolapse- “dropped bladder” or cystocele, uterine prolapse

Bowel Control Problems

Constipation / obstructed defecation- difficulty emptying the bowels, incomplete bowel emptying, need to strain
Fecal incontinence- unintentional leakage or smearing of any amount of stool at any time
Fecal urgency- difficulty or inability to defer the urge to have a bowel movement
Pelvic organ prolapse- rectocele

Pelvic Pain Problems

Pelvic pain
Bladder pain- painful urination, pain after urination, interstitial cystitis
Pain with bowel movements
Abdominal pain
Painful abdominal scars- abdominal nerve entrapments, trigger points
Painful / limited vaginal penetration in women – dyspareunia, difficulty with gynecological exams, post radiation narrowing of the vaginal canal
Sexual Pain – pain during arousal, during or after intercourse, or after climax
Postpartum perineal pain- pain from perineal injuryor episiotomy sustained during vaginal delivery
Coccydynia- tailbone pain
Vulvar pain conditions – vulvodynia, vestibulodynia
Post-surgical rehabilitation after hysterectomy or reconstruction
Prostatitis
Post-prostatectomy
Post-radiation rehabilitation

Pregnancy Related Problems

Affect 50-70% of women in pregnancy, 30% -50% postpartum

Pelvic girdle and back pain during pregnancy and postpartum
Diastasis Rectus Abdominis- pregnancy related separation of the abdominal wall
Sacroiliac joint pain
Coccyx pain- tailbone pain
Pubic symphysis dysfunction
Cesarean section recovery – complications from C-section
Perineal injuries- episiotomy, perineal tears
Painful intercourse after vaginal delivery
Postpartum perineal pain
Pelvic Floor muscle weakness: incontinence issues during and after delivery

Pelvic Health

Pelvic health

What are pelvic floor disorders?

Bladder Control Problems

Bowel Control Problems

Pelvic Pain Problems

Pregnancy Related Problems

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