Pelvic physical therapy provides a conservative, evidence-based approach to address these impairments. Care is individualized and may include:
- Pelvic floor muscle training (strengthening or relaxation)
- Neuromuscular re-education and coordination training
- Manual therapy for pelvic, abdominal, and hip structures
- Bladder and bowel habit retraining
- Breathing and pressure management strategies
- Functional movement and return-to-activity progression
The goal of care is to improve function, reduce symptoms, and restore efficient, coordinated movement.
Conditions Treated
Bladder Dysfunction:
- Stress urinary incontinence (including post-prostatectomy)
- Urge urinary incontinence
- Urinary urgency and frequency
- Overactive bladder
- Nocturia
- Incomplete bladder emptying
Bowel Dysfunction:
- Constipation
- Dyssynergic defecation
- Fecal incontinence
- Incomplete evacuation
Pelvic Pain Conditions:
- Chronic pelvic pain syndrome
- Perineal, testicular, or penile pain
- Pain with sitting
- Abdominal or groin pain
Sexual Health:
- Erectile dysfunction
- Pain with erection or ejaculation
- Pelvic floor muscle overactivity impacting sexual function
Pre- and Post-Surgical Care:
- Pre-operative pelvic floor training (e.g., prostate surgery)
- Post-prostatectomy rehabilitation
- Scar tissue and soft tissue mobility
- Return to functional activity and exercise