What Is Pelvic Floor Physical Therapy?
Pelvic floor physical therapy is specialized rehabilitation for the muscles, connective tissue, and nerves of the pelvic floor. A trained therapist evaluates your pelvic floor function and develops a personalized program to address weakness, tension, coordination problems, or pain. It’s one of the most effective and underutilized treatments in urogynecology.
What It Treats
- Urinary incontinence (stress, urge, and mixed)
- Pelvic organ prolapse symptoms
- Overactive bladder
- Fecal incontinence
- Pelvic pain
- Postpartum recovery
- Pre- and post-surgical optimization
What to Expect
First visit (about 60 minutes):
- Discussion of your symptoms, history, and goals
- External and internal assessment of pelvic floor muscles
- Education about your anatomy and how it relates to symptoms
- Initial exercise prescription
Follow-up sessions (30-60 minutes):
- Progress assessment
- Advanced exercises and techniques
- Biofeedback training
- Behavioral strategies for bladder and bowel management
Pelvic floor physical therapy is my first recommendation for almost every pelvic floor condition. The evidence supporting it is strong, the risks are essentially zero, and the results are often remarkable. I wish more women knew about it.
I encourage patients to look for a therapist who specializes in pelvic floor rehabilitation — not all physical therapists have this training. The difference in expertise makes a significant difference in outcomes.
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