Women's Health/Pelvic Floor Rehab

AgePrevelance of Pelvic Floor Dysfunction in Women
20-391 in 10 (9.7%)
40-591 in 4 (26.7%)
60-791 in 3 (36.8%)
80 and Older1 in 2 (49.75)
** (Jean M. Lawrence, ScD, MPH et al. Prevalence and Co-Occurrence of Pelvic Floor Disorders in Community-Dwelling Women. The American College of Obstetricians and Gynecologists. Volume 111. No. 3. March 2008)

Pelvic Floor Conditions that PT Can Improve:

  • Urinary Incontinence - stress, urge, mixed
  • Diastasis Recti
  • Prenatal and Post-partum Periods
  • Pelvic Organ Prolapse
  • Chronic Pelvic and Perineal Pain
  • Pelvic Muscle Weakness/Incoordination/Imbalance
  • Overactive Bladder
  • Pudendal Neuralgia

The following signs and symptoms may indicate pelvic floor weakness or dysfunction:

  • Urinary incontinence (ex. leakage with sneezing, coughing, laughing, or lifting)
  • Urinary frequency, urgency, or pain during urination
  • Pain with sexual activity, use of tampons, or during the gynecological exam
  • Pain or numbness in the pelvic region with exercise or recreational activities
  • "Heaviness" in the pelvic region or feeling of "sitting on something hard" (ex. golf ball)
  • Tenderness/trigger points in the abdominal, low back, or buttock musculature
  • Pain in the hip, buttock, tailbone, pubic bone, or pelvis

Physical Therapy can...

  • Provide pelvic girdle screening, soft tissue assessment, visual inspection of the tissue, and internal assessment of the pelvic floor muscles
  • Educate on how to use the muscles of the pelvic floor, diaphragm, and deep abdominals correctly for activities such as postural correction, getting up from a chair, squatting to pick up a child or object from the floor, exercise, and more.
  • Teach exercises to stretch, strengthen, and retrain the affected muscles to maximize proper function
  • Teach appropriate pelvic floor muscle exercises and provide an individualized home exercise program.
  • Implement other treatment strategies such as biofeedback and/or electrical stimulation
  • Educate about issues directly related to women as they move through different stages of life, from their childbearing years to post-menopause
  • Lead to overall improved function and quality of life