Pelvic floor physical therapy is a specialized type of physical therapy that focuses on the muscles, ligaments, and tissues that support the pelvic organs. This includes the bladder, uterus, prostate, and rectum. The pelvic floor muscles play a critical role in bowel and bladder control, sexual function, and core stability. When these muscles become weakened or dysfunctional, it can lead to a range of symptoms that affect a person's quality of life.
So, who should go to pelvic floor physical therapy?
Pelvic floor physical therapy is recommended for individuals who are experiencing symptoms related to pelvic floor dysfunction. This can include people of all ages and genders, but my focus will be on pregnant or postpartum women, those experiencing urinary or stool incontinence, constipation, and pelvic pain.
Symptoms of pelvic floor dysfunction
The symptoms of pelvic floor dysfunction can vary depending on the individual and the severity of the condition. Some of the most common symptoms include:
- Urinary incontinence - This is the involuntary leakage of urine, which can occur at rest, at night, or during physical activity, such as sneezing, coughing, or exercising.
- Nocturia - This is frequent urination at nighttime, rather than being able to get a good night's sleep - it’s interrupted by having to get up and urinate throughout the night.
- Pelvic pain - This can include pain in the lower back, hips, or groin. It can also include pain during sexual intercourse, tampon insertion, or bowel movements.
- Painful periods - If you have been diagnosed with endometriosis, PCOS, or have just had extremely painful periods throughout your life, you may experience relief from physical therapy.
- Bowel incontinence - This is the involuntary leakage of stool, which can occur at rest or during physical activity, such as coughing or exercising.
- Uncontrollable gas - This is the inability to hold back gas or passing gas during inappropriate times without awareness.
- Constipation - This is difficulty passing stool, which can lead to infrequent bowel movements, bloating, and abdominal pain.
- Prolapse - This is when the pelvic organs (bladder, uterus, rectum) descend or "fall" into the vaginal canal.
- Pregnant moms - In order to prepare yourself for the birthing process and decrease your risk of tearing or pain throughout your pregnancy.
- Postpartum - If you had a c-section or a vaginal birth, you may be experiencing some pain or residual side effects. If you’ve been breastfeeding, your shoulders and neck may be in more pain than before.
- Painful bladder syndrome - This is a chronic condition characterized by bladder pain, urgency, and frequency.
Pelvic floor physical therapy can be a highly effective treatment option for individuals who are experiencing symptoms related to pelvic floor dysfunction. If you are experiencing any of the symptoms discussed in this post, it is important to speak with your healthcare provider to determine if pelvic floor physical therapy is right for you. With the help of a skilled physical therapist, you can regain control of your pelvic floor muscles and improve your quality of life.
