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Physical  Therapy, Occupational  Therapy, Speech-Language Pathology

Physical Therapy for Pelvic Floor Rehabilitation

“Pany helped me understand how to retrain my muscles to make my new bladder work. She was a godsend.”
- Richard.

Pelvic floor rehabilitation aims to improve the strength and function of the pelvic floor muscles. A group of muscles create the pelvic floor by extending from the pubic bone to the tailbone. These muscles help support the bladder and rectum, help control urine and stool, and maintain sexual function.

With your physician's referral you will be assessed and examined by a licensed physical therapist with additional training in treating pelvic floor disorders. All our treatments are done in a private treatment room. During your first visit you will be examined by a pelvic floor physical therapist externally and possibly internally to assess your condition. The session may also include patient education to address urinary/bowel dysfunction and pain, as well as provide insight into the role of pelvic rehab and your plan of care.

Common Diagnoses seen by the Pelvic Floor Disorders team

  • Anismus
  • Constipation
  • Diastasis Recti
  • Dyspareunia
  • Incontinence
    • Fecal
    • Mixed
    • Stress
    • Urinary
  • Levator Ani Syndrom
  • Painful Episiotomy
  • Pelvic Organ Prolapse
  • Post Hysterectomy
  • Post-Prostatectomy Incontinence
  • Pregnancy-related Musculoskeletal Disorders
  • Pre/Post Bladder Suspensions
  • Pre/Post Pelvic Organ Prolapse Repair
  • Pubic Symphasis
  • Sacro-iliac Joint Dysfunction
  • Vaginismus
  • Vulvodynia

Special Care Services or Equipment

Please click on the links below to expand or collapse.

Biofeedback (surface EMG)

Biofeedback is a neuromuscular re-education tool we can use to tell if certain processes in our bodies are working correctly. It is a painless process that uses a computer and a video monitor to display bodily functions that we usually are not aware of. Special external or internal sensors measure the muscle activity by visual and sound graphs. This feedback helps both the therapist and the patient understand if there is any muscle weakness or coordination issues that needs to be addressed.
Your physical therapist will use this information to modify or change abnormal responses to more normal patterns.
Biofeedback along with a home exercise program has been shown to help greatly with different diagnoses such as fecal/urinary incontinence, constipation, pelvic pain and general conditions of core and pelvic floor disorders. However, the results vary from person to person.

Real Time Ultrasound

Real-time Ultrasound is used to look at how different layers of muscles contract and relax. It is also used to assess muscle activation when compared to the other side of the body. Real time ultrasound can help to restore normal muscle function by giving immediate visual feedback.
Some of the conditions that could benefit from physical therapy with Real Time Ultrasound:

  • Low back pain
  • Pregnancy related back pain
  • Hip and groin pain
  • Pelvic floor disorders
  • Shoulder girdle dysfunctions

The Pelvic Floor Rehabilitation team

  • Nancy Branberg, PT
  • Courtney Foley, PT, DPT
  • Kristen Grandstaff PT, DPT
  • Julie Janes, PT, DPT
  • Pany Nazari, Senior PT, BCB-PMD
  • Lauren Shaub, PT, DPT, CSCS
  • Vaishali Sikotra, MPT

CLICK HERE to meet the Pelvic Floor Disorders team of the Outpatient Rehabilitation Department at Virginia Hospital Center.

Outpatient Rehabilitation


1701 N. George Mason Drive | Arlington, VA 22205-3698 | tel 703.558.5000
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