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Outpatient Rehabilitation

Physical Therapy for Pelvic Floor Rehabilitation

“I had thought that pelvic floor physical therapy was for women only, I was wrong.”— R.A., 2016

“There’s not a day that goes by, and I cannot imagine a day going by in the future that I don’t think about the leakage problem I had, and how well my condition has been corrected.” — Franklin B., 2015

Pelvic floor rehabilitation aims to improve the strength and function of the pelvic floor muscles. A group of muscles creates 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 Syndrome
  • 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
  • Sacroiliac Joint Dysfunction
  • Vaginismus
  • Vulvodynia

Special Care Services or Equipment

Biofeedback (surface EMG) 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 are any muscle weakness or coordination issues that need 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.

Dry Needling is a technique used in physical therapy to treat trigger points in muscles via the insertion of a fine, flexible, sterile needle. No medication is injected during this procedure. The purpose of dry needling is to release shortened bands of muscle in order to decrease pain and improve range of motion and function. You may experience a slight prick when the needle is inserted as well as pain and muscle twitching during the treatment. These are expected occurrences and are signs that the problematic area is being treated. It is not uncommon for bruising to occur around the needled sites and for mild pain to linger a day or two.

Dry needling is part of a comprehensive rehabilitation plan. It is important that you perform your home exercises and follow the advice of your Physical Therapist for optimal recovery.

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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

Outpatient Rehabilitation

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