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Pelvic Floor Physical Therapy

What is the pelvic floor?

The pelvic floor refers to the muscles that support your reproductive, colorectal, and urinary tracts,- including your bladder, uterus (female), prostate (male), and rectum. These muscles attach to your pelvic bones and wrap around the urethra and rectum to provide support. In addition to providing support, they also help you control your bladder and bowel function

When these muscles aren’t working as they should, they can cause pain and other symptoms that interfere with daily functioning. Physical therapy can help ease pain and associated symptoms, getting you back to normal functioning.

What is pelvic floor physical therapy?

Pelvic floor physical therapy is a treatment to help address dysfunction in the pelvic floor muscles. The type of therapy prescribed will depend upon the symptoms you’re experiencing. Some will require relaxing and lengthening of the muscles, while others may require strengthening the muscles.

Some conditions that can be improved with pelvic floor physical therapy are:

  • Urinary problems
    • Urinary leakage 
    • Urinary frequency
    • Urinary urgency
    • Painful urination
    • Interstitial cystitis (IC) 
    • Difficulty stopping or starting urinating
    • Difficulty fully emptying the bladder
  • Sexual dysfunction
  • Pelvic organ prolapse
  • Bowel problems
    • Fecal leakage  
    • Fecal urgency
    • Straining, constipation or painful bowel movements
  • Pelvic pain  
    • Pain in the genital and/or rectum
    • Lower abdominal pain
    • Pain during pregnancy or postpartum
  • Postoperative care
  • Pediatric incontinence or constipation  
If you have any of these conditions, pelvic floor physical therapy might be right for you. 

Learn about our pelvic health programs

Who can I talk to about pelvic floor dysfunction and pelvic floor therapy?

At Beaumont, our urogynecologists, urologists, colorectal specialists, and physical therapists work together to provide those with pelvic floor dysfunction with expert care in an understanding, comfortable environment. They are knowledgeable, experienced specialists who stay up to date on the latest treatment options for pelvic floor disorders. Beaumont’s pelvic floor rehabilitation program is designed to meet each individual’s needs after an evaluation by one of our trained licensed physical therapists.

What should I expect for my treatment?

Evaluation is individualized and specific to each patient’s condition and concerns. When you have your appointment, your pelvic floor physical therapist will explain in detail the assessment and treatment options to get your input and consent. Your therapist will also spend time educating you on the anatomy, the condition, how the assessment will proceed, the treatment intervention and will answer all of your questions. Most treatment for pelvic floor dysfunction is hands on, which may include internal and/or external therapy. 
Physical therapy techniques may include but are not limited to:

  • Manual therapy
  • Vaginal or rectal trigger point releases* 
  • Strengthening exercises such as Kegels
*Therapists are sensitive to the needs of every individual and will not perform vaginal/rectal physical therapy unless given consent.