We recommend a referral from a gynecologist, however it is not necessary nor required for a physical therapy evaluation. We are always happy to refer you to one of several physicians we work with and who may specialize in the area in which you seek help.
Pelvic and abdominal health is a rapidly growing subspecialty of physical therapy. Many Physical Therapists may treat the pelvis but do not have specific training to perform an internal examination. Some Physical Therapists practice a pelvic-centric approach which does not examine the influence of the whole body on the pelvic floor. Our team feels it is necessary to look at the pelvis in the context of the whole person and we approach our patients in this manner. In addition [...]
My current physical therapist has referred me for an assessment of the pelvic floor. Do I have to come in?
You never have to do anything you don't want to. However, your physical therapist has referred you to see if the pelvic floor is a factor in your pain and functional limitations. Our pelvic health physical therapists are trained to evaluate the whole body and determine what, if any, role the pelvic floor muscles may play. Not following through may prolong your physical therapy and increase your frustration with slow/ lack of progress.
Sexual trauma can cause psychological as well as physical distress. If you feel uncomfortable attending physical therapy, we recommend that you speak with your mental health provider. If you are not currently seeing a counselor, we strongly suggest that you begin to do so in conjunction with physical therapy therapy for past sexual trauma.
We treat men as well. The pelvic floor muscles do not differ between men and women even though the anatomy is slightly different. Some conditions common in men include pelvic pain, urinary urgency/frequency, constipation, tailbone pain, rectal pain, pudenda! neuralgia. Men also benefit from pelvic floor muscle retraining post testicular cancer or prostatectomy.
YES! There are always things to work on in physical therapy that do not involve intra-vaginal work. This is especially helpful if your main complaint is menstrual cramps, or your symptoms increase during your period. There are no contraindications to intra-vaginal treatment however, it depends on your level of comfort.
You can expect a combination of interventions, ranging from manual therapy to muscle re-education, behavioral training, strengthening and functional training. We attempt to match the treatment plans to meet your individual needs, so not everyone does the same exercises or comes at the same frequency. Many treatments involve the spine, extremities, abdomen and pelvis. We are trained in specialized skills including trigger point dry needling, Pilates-based exercise and Redcord Neurac.
Yes! Physical Therapists who specialize in pelvic health are trained to examine the pelvis from the inside out. This is important because the pelvic floor muscles and deep hip rotators can only be palpated internally and often pelvic and hip pain is associated with myofascial dysfunction in these muscles. We can also properly assess muscle activation, strength and endurance as well as muscle relaxation through internal palpation.
Our pelvic floor therapists take a whole-body approach to treating the pelvis. This includes a full examination, including an intra-vaginal and/or intra-rectal examination of musculoskeletal structures.
We recommend waiting 4-6 weeks after childbirth before scheduling a post-partum evaluation. There are always situations that require referral sooner or later. We require clearance from your Ob/Gyn before starting or resuming an exercise program.