Chronic pelvic pain is a complex and multifactorial health problem affecting approximately 1 in 7 women. Often, those experiencing symptoms of chronic pelvic pain will also experience associated problems, such as bladder/bowel dysfunction, sexual dysfunction, and depression/anxiety that could negatively impact the quality of life and self-image. Physical therapy may help!
We understand the intimacy of these issues. Our physical therapists have advanced, specialized training in the management and treatment of symptoms and dysfunction associated with chronic pelvic pain conditions. We are devoted to providing one-to-one care with individualized treatment programs in a peaceful and supportive environment.
Types of pelvic pain treated (but not limited to):
- Vulvar vestibulitis
- Levator ani syndrome
- Pudendal neuralgia
- Interstitial cystitis (painful bladder syndrome)
How can physical therapy help?
The goal of physical therapy is to normalize pelvic floor and surrounding lumbopelvic muscle tone/activity, motor control, and coordination. Focus is on improving neuromuscular awareness to promote optimal muscle length and function. Appropriate functional strengthening to assist in pelvic girdle stability is incorporated once neuromuscular awareness/coordination and optimal muscle length are present. Education regarding proper bladder/bowel habits, postural needs, and ergonomics are also addressed to aid rehabilitative outcomes. Our Women’s Health physical therapists seek to provide the optimal treatment to address individual concerns or needs.
Treatment options vary by condition and may include:
- Internal and external soft tissue mobilization, myofascial and trigger point release, connective tissue manipulation and visceral mobilization
- Neuromuscular re-education using electromyographic and tactile biofeedback for downtraining the pelvic floor musculature
- Completion of total body awareness activities and calming of heightened Autonomic Nervous System
- Instruction regarding normal voiding and defecation mechanics
- Behavioral training, bladder/bowel education, postural training, and self-management techniques
- Treatment of related lumbosacral, hip, SI joint, coccyx, and pelvic girdle conditions
- Home dilator instruction
- Electrical stimulation, TENS, ultrasound, heat/cold therapy
- Comprehensive home exercise program instruction