Physical Therapy for Pelvic Floor Rehabilitation
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
- Diastasis Recti
- 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
Special Care Services or Equipment
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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 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.
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
- Courtney Foley, PT, DPT
- Kristen Grandstaff PT, DPT
- Julie Janes, PT, DPT
- Pany Nazari, Senior PT, DPT, BCB-PMD
- Lauren Shaub, Senior PT, DPT, CSCS
- Vaishali Sikotra, MPT
- LisaMarie Tran, PT, DPT
CLICK HERE to meet the Pelvic Floor Disorders team of the Outpatient Rehabilitation Department at Virginia Hospital Center.