Biofeedback Technology for Pelvic Floor
Biofeedback is a powerful tool in the treatment of common pelvic floor disorder. It is a painless process that uses special sensors and a computer monitor to display information about muscle activity. This information or "feedback" is used to gain physiological awareness and control over pelvic floor muscle function. With biofeedback, an individual can learn to use muscles in isolation, relax or contract at will and coordinate muscle activity for specific functions. Biofeedback is a well researched, widely used technology in the treatment of bowel and bladder dysfunction and many types of pelvic floor pain.
Biofeedback is done in an office setting with a licensed therapist who is specially trained in this type of therapy. During the session you will be sitting in a comfortable chair or reclined on a massage table in your regular clothes. Two sensors are used. One is placed on the abdomen and another small sensor is placed internally or externally in or around the rectum or vagina. These sensors are designed to measure the electrical activity of the muscles that control bowel and bladder functions. As you tighten or relax the muscles, changes are seen on the computer monitor. Visualizing this information will aid the therapist to identify factors that are contributing to your symptoms and will help you identify and learn to coordinate proper muscle contraction and relaxation.
A session usually lasts 20-30 minutes. During the initial session we will review your intake documentation and perform a lifestyle assessment. Following biofeedback sessions, you be given instructions for your home exercise program. Compliance with home instructions and active participation is very important to your success.
Common Uses of Biofeedback
- Stress Urinary Incontinence
- Urge Incontinence
- Over Active Bladder
- Fecal Incontinence
- Accidental Bowel Leakage (ABL)
- Chronic Constipation
- Painful Intercourse
- Preparation for Childbirth
- Recovery from Delivery
- Perineal pain or trauma
- Post Voiding Dribble
- Recovery from Prostatectomy
- Sexual Dysfunction
- Urinary Retention
- Giggle Incontinence
Frequently Asked Questions.
Do I have to get undressed?
Biofeedback is administered with your clothes on. Most often, patients are able to insert their own sensor prior to the session. If perianal sensors are preferred, the therapist (or parents of children) will need to assist in placement.
Is it painful?
Biofeedback is a painless procedure. The only "discomfort" may come from initial insertion of the probe or when sitting with the probe inserted.
Is biofeedback covered by my insurance plan?
Biofeedback as a stand-alone service is generally not covered by insurance companies but using biofeedback during a therapy session is permissible and covered. Insurance companies will NOT pay for the sensor, however. Therefore, if patients elect to use this technology to enhance their pelvic floor therapy, they will have to purchase a sensor out-of-pocket. We charge a one time fee of $75 and this includes a reusable sensor and all the necessary sensor pads for subsequent sessions.
Do I need a doctor's order?
Arizona is a "right to access" state meaning patients may access health care at their choosing without a doctor's order. Some insurance companies do require a prescription from a physician or preauthorization. We can make this request on your behalf at your first appointment. We most often share copies of evaluations, progress notes and discharge summaries so they are fully informed of the care you are receiving and can use this information to confer with you at any future appointments.