Pelvic floor therapy addresses issues like pain, weakness, and dysfunction in the pelvic muscles. When these muscles work properly, they ensure good blood flow to the tissues, which helps with movement and mobility. The main goal of this therapy is to enhance movement, mobility, and overall function. For those experiencing pain or discomfort, therapists aim to identify and address muscle trigger points and tight tissues that might be causing the problem.
For many years, medical professionals have recognized pelvic floor therapy as an effective, non-invasive way to improve symptoms of pelvic floor dysfunction. Some clinics use various non-surgical, painless treatments to help retrain the pelvic floor muscles. These methods can improve bladder and bowel control, as well as sexual function. Strengthening and relaxing these muscles not only enhances organ function but also reduces pain and discomfort.
During therapy sessions, therapists teach exercises to stabilize and strengthen core muscles, including the pelvic floor, abdominal, back muscles, and diaphragm. The therapy also involves retraining and strengthening the pelvic floor muscles. Therapists identify overly tight muscles and teach exercises to stretch them, improving coordination and mobility. They also guide patients through postural exercises, relaxation techniques, and breathing exercises like diaphragmatic breathing, all of which can significantly improve symptoms and overall well-being.
The specific therapy approach depends on the patient’s symptoms. Sometimes, muscles need to be relaxed and lengthened, while other times, they need strengthening. Therapists also work with patients on behavioral changes to relieve symptoms and improve quality of life.
For both men and women, the pelvic floor consists of muscle layers that support the bladder, bowel, and reproductive organs. These muscles control bladder and bowel functions and play a role in sexual function and pleasure. In pregnant women, they support the fetus and relax during childbirth.
Pelvic floor muscles contract and relax to manage bowel and bladder functions. Dysfunction occurs when these muscles contract too strongly or weakly, leading to symptoms like incontinence, constipation, painful intercourse, and pain in the lower back, pelvic, genital, or rectal areas. Trauma from surgery, childbirth, medical procedures, or past physical trauma can also cause dysfunction.
Pelvic floor therapy can be personal, and patients might feel anxious about it. However, therapists are compassionate and well-trained to handle these conditions professionally. They take time to answer questions and explain each step to ease any fears.
In the first appointment, the therapist conducts a thorough assessment to create an effective treatment plan. The aim is to restore muscle movement and mobility and reduce pain. The therapist evaluates posture, strength, flexibility, and breathing patterns to identify contributing factors. Patients should share detailed information about their symptoms to help with diagnosis. Comfortable clothing is recommended for the first visit, as movement assessments may be required. Patients are encouraged to ask questions and provide feedback throughout the sessions.
The initial assessment may include standing, walking, and sitting to identify posture or joint issues affecting the pelvic muscles. Therapists also check if any bones or muscles in the lower back, hips, buttocks, or thighs are stressing the pelvic muscles. A physical examination, sometimes including an internal exam, may be conducted. Therapists are trained to handle pelvic floor dysfunction and understand patient discomfort, proceeding slowly and explaining each step to reduce anxiety. Patients can request pauses and are encouraged to ask questions during the examination.
