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  • Writer's pictureSierra Crockford

What Can Pelvic Floor Physical Therapy Help With

What can pelvic floor physical therapy (PT) help with? Pelvic floor physical therapy is a specialized form of treatment designed to address a multitude of conditions related to the pelvic floor - a group of muscles, ligaments, and tissues in the pelvis and lower abdomen. PT aids in the resolution of Urinary and Fecal Incontinence, conditions characterized by the involuntary leakage of urine or stool. Pelvic Organ Prolapse, a condition where organs like the bladder or uterus descend, can also be managed with this kind of physical therapy. Individuals with Pelvic Pain syndromes relating to sexual intercourse, bowel movements, or prolonged sitting can find significant relief from this treatment. Additionally, Prenatal and Postpartum conditions, such as alleviating back or hip pain during pregnancy or recovery after childbirth, are also addressed by pelvic floor physical therapy. This therapy is also beneficial for men dealing with issues like Post-prostatectomy Incontinence, Erectile Dysfunction, and Chronic Prostatitis.

Women jumping into air
No leaks... full of leaps

Proper diagnosis and assessment are the cornerstones of effective pelvic floor physical therapy. These preliminary steps are essential for identifying the specific issues at play and formulating a personalized treatment plan. A comprehensive evaluation will often include a thorough medical history review and may involve a physical examination to assess pelvic muscle strength and endurance (See What to Expect at your Initial Evaluation for Your Pelvic Floor Physical Therapy Visit ( By tailoring the treatment to the patient's unique needs, therapists can ensure optimal results and improve the patient's quality of life. Therefore, it's crucial that individuals seeking pelvic floor physical therapy choose a qualified professional who emphasizes comprehensive diagnosis and assessment. If you want to know more about my qualifications and education, follow the link. Sierra Crockford PT, DPT, Cert DN - Pelvic Rehab

Man doing pushups on trail
No pain... In control

Pelvic floor physical therapy employs a variety of treatment techniques tailored to the specific needs of the patient. The method you have probably heard of is Pelvic Muscle Exercises or Kegels, which focus on strengthening the pelvic muscles to support the organs better (hint: you're not doing 10 of them at every red light you hit). Biofeedback is another technique used often to improve awareness of pelvic muscle function. It involves using special sensors to monitor the pelvic floor muscles as the patient attempts to contract and relax them, giving real time feedback about strength, endurance, and coordination.

Electrical Stimulation can also be used to reduce symptoms of discomfort or pain, and to help patients understand how to control their pelvic floor muscles. Manual Therapy, where the therapist uses hands-on mobilization and stretches to relieve muscle tension in the pelvis, can aid in reducing pain, awareness of muscle length, and improving function.

Finally, Education and Lifestyle Changes are integral to therapy. A therapist may provide information about diet and fluid management, or about better postures for sitting, standing, and lifting. The ultimate goal of these techniques is to alleviate the symptoms, improve quality of life, and empower patients with the knowledge to manage their conditions.

Ongoing patient education and lifestyle changes hold significant importance in the success of therapy. This is because the therapy itself is not a one-time solution, but rather a step towards initiating long-term changes that contribute to overall wellbeing. By educating patients about their conditions, therapists empower them to take control over their health outside of the therapy sessions. Patients gain a deeper understanding of how their daily habits, such as diet, fluid intake, posture, and physical activity, can directly affect their condition. This knowledge enables them to make informed lifestyle changes, which can not only alleviate symptoms but also prevent recurrence. The combination of targeted therapy and lifestyle modifications can lead to more sustainable and effective outcomes.

Seeking professional guidance before embarking on pelvic floor physical therapy is crucial for several reasons. Firstly, a trained therapist can accurately assess the specific issues, ensuring the right treatments are applied for maximum effectiveness. Secondly, they can monitor progress and adjust treatment plans accordingly to ensure patients are not causing further harm or delaying recovery. Finally, a therapist can provide personalized advice and guidance on implementing necessary lifestyle changes. Their expertise offers the reassurance of safe and appropriate treatment, paving the way for sustainable health improvement. Just like you can take your car to the auto shop for a tune up, having a specialized professional can speed up your recovery and get you back on the road!


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