Women’s Pelvic Floor Physical Therapy

Women’s Pelvic Floor Physical Therapy

Pelvic floor physical therapy is a specialized form of physical therapy that focuses on the muscles, joints, and connective tissues of the pelvis. These muscles play an important role in bladder and bowel control, core stability, sexual health, pregnancy, and postpartum recovery. When the pelvic floor is not functioning properly, it can lead to pain, weakness, pressure, or difficulty with everyday activities.

Pelvic floor therapy is designed to help women restore strength, coordination, and mobility so they can move, exercise, and live comfortably again.

What is the pelvic floor?

The pelvic floor is a group of muscles that sit at the bottom of your pelvis like a supportive sling. These muscles work together with your core, hips, and diaphragm to support your organs and control bladder, bowel, and sexual function.

Pelvic floor problems can occur due to:

• Pregnancy and childbirth
• Hormonal changes
• Injury or surgery
• Heavy lifting or high-impact exercise
• Chronic tension or stress
• Postural and core weakness
• Aging

These issues are very common, but they are not something you have to live with.

Common conditions we treat

Pelvic floor physical therapy can help with:

Bladder and bowel symptoms

• Urinary leakage with coughing, sneezing, running, or jumping
• Urgency or frequent urination
• Difficulty emptying bladder or bowels
• Constipation
• Pain with bowel movements

Pelvic pain

• Pain with sitting
• Pain with intercourse
• Tailbone pain
• Hip or SI joint pain related to pelvic floor dysfunction
• Abdominal or lower back pain connected to core weakness

Pregnancy-related symptoms

• Pelvic girdle pain
• Pubic bone pain
• SI joint pain
• Low back pain during pregnancy
• Pressure or heaviness in the pelvis

Postpartum recovery

• Core weakness / abdominal separation (diastasis recti)
• Urinary leakage after delivery
• Pain after C-section or tearing
• Return to exercise safely
• Scar tissue restrictions

Pelvic organ prolapse symptoms

• Feeling of heaviness or pressure
• Bulging sensation
• Difficulty with exercise due to pelvic symptoms

What treatment may include

Pelvic floor therapy is much more than Kegels. Treatment may include:

• Manual therapy for hips, back, and pelvis
• Soft tissue work for tight or painful muscles
• Pelvic floor muscle training (strength OR relaxation)
• Core and breathing retraining
• Posture and movement correction
• Exercise progression for return to workouts
• Pregnancy and birth preparation
• Postpartum recovery guidance
• Education to help you understand your body