Pelvic floor therapy is a specialized physical therapy focusing on the muscles, ligaments, and connective tissues that make up the pelvic floor. These muscles support essential bodily functions such as bladder control, bowel movements, and sexual activity. Pelvic floor dysfunction can cause pain, discomfort, and issues with these functions. If you’re facing any of these problems, seeking pelvic floor therapy at Ventura Orthopedics can be a game-changer.

Quick Overview:

  • What it is: Therapy to strengthen or relax pelvic muscles.
  • Why it matters: Improves bladder/bowel control, reduces pain, improves sexual function.
  • Where to get help: Ventura Orthopedics offers specialized care.

Pelvic floor dysfunction affects a significant portion of the population. According to The Royal College of Obstetricians and Gynaecologists, over 60% of women experience symptoms related to poor pelvic floor health. Despite its prevalence, many avoid discussing these issues due to embarrassment or a lack of awareness.

Ventura Orthopedics is committed to breaking this taboo and providing effective treatment options. By prioritizing pelvic health, patients can gain relief from pain, improve mobility, and regain their quality of life. Whether you are dealing with urinary incontinence, pelvic pain, or other symptoms, pelvic floor therapy offers a path to recovery.

Steps to improve pelvic floor health - pelvic floor therapy infographic pillar-4-steps

What is Pelvic Floor Therapy?

Pelvic floor therapy is a specialized form of physical therapy aimed at treating problems related to the pelvic floor muscles. These muscles play a critical role in supporting your urinary and reproductive systems, as well as controlling your bowels. If these muscles are weak or not functioning correctly, it can lead to a range of issues known as pelvic floor dysfunction.

Pelvic floor dysfunction can manifest in various ways, including:

  • Urinary issues: Frequent urination, leakage, or difficulty controlling your bladder.
  • Reproductive issues: Pain during sex for women, erectile dysfunction for men.
  • Bowel problems: Constipation or trouble controlling bowel movements.

 

The Role of Pelvic Floor Muscles

The pelvic floor muscles act as a support system for several vital organs. In women, these muscles help keep the bladder, uterus, and rectum in place. In men, they support the bladder, bowels, urethra, and rectum. When these muscles cannot relax or work together properly, it leads to dysfunction.

Causes of Pelvic Floor Dysfunction

Several factors can trigger pelvic floor dysfunction:
Pelvic surgery
Aging
Pregnancy
Being overweight
Overuse of pelvic muscles
Serious injuries to the pelvic area

Sometimes, the exact cause remains unknown, but the symptoms are clear and often debilitating.

How Pelvic Floor Therapy Helps

Pelvic floor therapy involves exercises and techniques designed to strengthen and relax these muscles. A physical therapist will assess your symptoms and create a personalized treatment plan. This plan may include both internal and external therapies, focusing on improving muscle coordination and strength.

The ultimate goal is to alleviate symptoms, allowing you to regain control over your bladder and bowels, reduce pain, and improve your quality of life. For many, this means being able to enjoy daily activities and sports without discomfort.

By addressing these issues with targeted therapy, patients often see significant improvements in their symptoms, leading to a better quality of life.

 

Benefits of Pelvic Floor Therapy

Pelvic floor therapy offers a range of benefits that can significantly improve your quality of life. Here are some of the key advantages:

Pain Relief

One of the primary benefits of pelvic floor therapy is pain relief. Many people suffer from chronic pelvic pain due to tight or weak pelvic floor muscles. Through specialized exercises and techniques, therapy can help relax these muscles, reducing pain. According to experts, many patients experience relief from pain related to pelvic floor dysfunction after starting therapy.

Improved Mobility

Pelvic floor therapy can also lead to improved mobility. When pelvic muscles are weak or dysfunctional, it can limit your ability to move freely and comfortably. Therapeutic exercises designed by physical therapists help restore mobility and strength. This means you can return to daily activities and sports with greater ease and less discomfort.

Bladder Control

Bladder control is another significant benefit. Pelvic floor dysfunction often leads to issues like urinary incontinence or frequent urination. Therapy helps strengthen the muscles that control the bladder, reducing leaks and the need for frequent bathroom trips. Research from the Mayo Clinic shows that over 50% of U.S. women suffer from bladder leaks, highlighting the importance of effective treatment options like pelvic floor therapy.

Bowel Control

Lastly, pelvic floor therapy can improve bowel control. Issues like constipation or difficulty controlling bowel movements are common symptoms of pelvic floor dysfunction. By strengthening and relaxing the appropriate muscles, therapy can help you regain control over your bowels, reducing discomfort and improving your overall digestive health.

These benefits collectively contribute to a better quality of life, allowing you to engage in daily activities without the limitations imposed by pelvic floor dysfunction.

Common Symptoms Indicating the Need for Pelvic Floor Therapy

Pelvic floor dysfunction can manifest in various ways, and recognizing the symptoms is crucial for seeking timely treatment. Here are some common signs that may indicate the need for pelvic floor therapy:

Urinary Leakage

Urinary leakage, or incontinence, is a frequent symptom. It can occur when you laugh, sneeze, or exercise. This is often due to weakened pelvic floor muscles that can’t adequately support the bladder.

Frequent Urination

Feeling the need to urinate often, even if your bladder isn’t full, can be a sign of pelvic floor issues. This urgency can disrupt daily life and sleep, impacting your overall well-being.

Bowel Issues

Constipation, straining during bowel movements, or leakage of stool can indicate pelvic floor dysfunction. These symptoms arise when the pelvic muscles are either too tight or too weak to function properly.

Pain During Sex

For those assigned female at birth, pain during intercourse (dyspareunia) is a common symptom. This can be due to muscle tightness or spasms in the pelvic floor. For those assigned male at birth, pelvic floor issues can lead to erectile dysfunction, making it difficult to get or maintain an erection.

Erectile Dysfunction

Problems with achieving or maintaining an erection can also be linked to pelvic floor dysfunction. Strengthening the pelvic floor muscles can improve blood flow and muscle control, aiding in better sexual health.

Recognizing these symptoms is the first step toward seeking help and improving your quality of life. Next, we’ll explore the techniques and exercises used in pelvic floor therapy.

Techniques and Exercises in Pelvic Floor Therapy

Pelvic floor therapy uses a variety of techniques and exercises to help strengthen and relax the pelvic muscles. Here are some common methods:

Trigger Point Therapy

Trigger point therapy involves applying pressure to specific spots, called trigger points, in the pelvic area. These points can be internal or external. The goal is to relieve pain and tension. Sometimes, anesthesia is injected to numb the area.

Kegels

Kegels are exercises where you contract and relax your pelvic floor muscles. They are often recommended for improving bladder control and reducing pain during sex. A physical therapist can guide you on how to do Kegels correctly.

Electrical Stimulation

Electrical stimulation uses mild electrical currents to reduce pelvic pain and muscle spasms. This can be done in the therapist’s office or at home with special equipment.

Biofeedback

Biofeedback uses sensors to monitor the activity of your pelvic floor muscles. The results are displayed on a computer screen, helping you understand how well you are performing your exercises. This technique helps track progress and make necessary adjustments.

Diaphragmatic Breathing

Diaphragmatic breathing focuses on deep, relaxed breaths to help connect your body and mind. This exercise is great for early postpartum recovery. It helps reduce stress and passively lengthen the pelvic floor.

  1. Lie on your back with your neck supported and knees propped.
  2. Place your hands on your belly.
  3. Inhale slowly through your nose, filling your lungs and expanding your belly.
  4. Exhale through your mouth and repeat 10 times, twice daily.

Plank

Planks are core-strengthening exercises that also benefit the pelvic floor. They help improve posture and stability.

  1. Get into a push-up position.
  2. Keep your body straight from head to heels.
  3. Hold the position while engaging your core and pelvic floor muscles.

Pilates

Pilates exercises focus on core strength, posture, and flexibility. They can help restore pelvic floor tone and stabilize the lumbar region. A therapist can guide you on specific Pilates exercises that are safe and effective for your condition.

These techniques and exercises are custom to meet individual needs and can significantly improve the function and strength of your pelvic floor muscles. Next, we’ll discuss how pelvic floor therapy is performed.

How Pelvic Floor Therapy is Performed

Assessment

Your first session in pelvic floor therapy starts with an assessment. The physical therapist (PT) will ask about your symptoms, medical history, and lifestyle. They will check your core muscles to see how strong they are and how well they coordinate with your pelvic floor muscles.

Internal Therapy

Internal therapy involves the PT gently inserting a gloved finger into the vagina or rectum to feel the pelvic floor muscles. This helps them identify tightness, weakness, or coordination issues.

External Therapy

External therapy includes exercises and techniques applied outside the body. This can involve massage, stretches, and using tools like dilators. These methods help relax and strengthen the pelvic floor muscles.

Personalized Plan

Based on the assessment, your PT will create a personalized plan for you. This will include exercises to do at home, lifestyle changes, and scheduled therapy sessions. The plan aims to relieve your symptoms and improve your daily life.

Core Muscles and Coordination

Your PT will also focus on your core muscles. Strong core muscles support your pelvic floor and improve overall function. You’ll learn exercises that improve coordination between your core and pelvic floor, making everyday activities easier.

By the end of your first session, you should have a clear idea of what to expect and what steps to take next. Your PT will explain the goals of your treatment and how long it might take to see improvements.

Frequently Asked Questions about Pelvic Floor Therapy

What do they do during pelvic floor therapy?

During pelvic floor therapy, your physical therapist (PT) uses a mix of exercises, stretches, manual therapy, biofeedback, and electrical stimulation to help you.

  • Exercises and Stretches: These help strengthen or relax your pelvic floor muscles. Common exercises include Kegels, which involve contracting and relaxing the muscles.
  • Manual Therapy: This involves the PT using their hands to massage and stretch the muscles and tissues.
  • Biofeedback: Devices measure how well your muscles contract and relax. This helps you see your progress in real-time.
  • Electrical Stimulation: Mild electrical currents help reduce pain and muscle spasms. This can be done in the office or at home with special equipment.

How do you tell if you need pelvic floor therapy?

You might need pelvic floor therapy if you experience:

  • Leakage: Unintentional loss of urine or stool.
  • Frequent Bathroom Trips: Needing to go more often than usual.
  • Pain During Sex: This can be a sign of pelvic muscle issues.
  • Social Limitations: Avoiding activities because of fear of leakage or pain.
  • Prostate Issues: Men with prostate problems may benefit from therapy.
  • Bladder Changes: Sudden changes in how your bladder works.

Can you do pelvic floor therapy yourself?

Yes, you can do some aspects of pelvic floor therapy at home, but it’s best to start with a PT. Here’s what you can do:

  • Self-Exercises: Learn the correct way to do Kegels and other exercises from your PT.
  • Bladder Emptying: Techniques to fully empty your bladder.
  • Muscle Tightening: Practice tightening and relaxing your pelvic muscles.
  • Repetitions: Consistency is key. Follow the PT’s plan for the best results.

Always check with your PT before starting any new exercises to ensure they are safe and effective for your specific condition.

Conclusion

At Ventura Orthopedics, we understand that pelvic floor therapy is not just about exercises—it’s about personalized care and a comprehensive treatment approach. Our team of licensed and board-certified professionals work closely with you to develop a plan custom to your specific needs.

By focusing on your unique situation, we aim to alleviate pain, improve mobility, and improve your overall quality of life. Whether you’re dealing with urinary leakage, frequent urination, or pain during sex, our goal is to help you regain control and feel more confident in your daily activities.

Pelvic floor therapy can make a significant difference in your life. With our expertise and dedication, we strive to provide the best care possible. Trust Ventura Orthopedics to guide you on your journey to improved pelvic health.

Ready to take the next step? Contact us today to schedule an appointment and start your path to recovery.