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What is a pelvic floor physical therapist?

This post was written by Viverant Physical Therapist, Bethany Hansen. If your doctor suggested you go see a pelvic floor physical therapist, would you know what to expect? What kind of diagnoses do they treat? What does an evaluation consist of? What is the ? 'pelvic floor ? Read on for the answers to these questions and more! The pelvic floor is composed of muscle fibers of the levator ani, the coccygeus, and associated connective tissue which span the area underneath the pelvis. A ? 'pelvic floor physical therapist is one who has received specialized training in the treatment and education of women 's and men 's pelvic health issues. The assessment and treatments are comprehensive examining primary and secondary drivers of dysfunction. We treat the musculoskeletal aspects of pelvic dysfunction tissue restriction, joint hyper/hypo mobility, over or under-recruitment, posture and alignment dysfunction, etc. As a patient, you receive one-on-one treatment with a female therapist in a private and comfortable setting, whether it is for preventive or restoration services. The most common diagnoses that we see are as follows:
  • Coccydynia (tailbone pain)
  • Incontinence (stress or urge)
  • Urinary urgency/frequency
  • Painful bladder syndrome/interstitial cystitis
  • Bowel dysfunction
  • Pelvic organ prolapse
  • Pelvic pain (peri or post-partum, pudendal neuropathy, sacroiliac joint pain, endometriosis, vulvodynia/vulvar vestibulitis, pubic symphysis dysfunction, chronic non-bacterial prostatitis, etc.)
  • Dyspareunia (pain w/intercourse)
After taking a comprehensive history, a thorough evaluation can include evaluating posture, range of motion, pelvic alignment, flexibility, strength, pelvic stability, joint mobility, tissue restriction, specific muscle recruitment, presence of a diastasis rectus abdominis (gap in your abdominals, your ? '6-pack , often found post-partum), and specific pelvic floor muscle assessment. Treatments include various forms of manual therapy, neuromuscular re-education, strength and stabilization exercises, relaxation training, and education, including behavior modifications, bladder/bowel/pelvic floor specific education, postural changes, discussion of prognosis and plan of care, and setting goals. If you or anyone you know is suffering from any of the above problems, contact one of our knowledgeable pelvic floor specialists today! *Bethany Hansen and Amy Boyden-Hoekstra are both Viverant Physical Therapists that specialize in Women 's and Men's Health.

Posted by vivadmin at 3/31/2014 9:38:00 PM
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