Overview of the Pelvic Floor
The pelvic floor is a group of muscles that form a sling in the bottom of the pelvis and support the organs in your lower abdomen including the bladder, urethra, uterus and vaginal wall in women, prostate in men, and the rectum. By contracting and relaxing these muscles, we are able to voluntarily control bowel and bladder functions . These muscles also play an important role in sexual function.
Because the pelvic floor is made up of skeletal muscles, it's subject to the same type of problems we experience in other muscles such as tension, trigger points, weakness, spasticity, adhesions, incoordination and laxity. These musculoskeletal dysfunctions can lead to leakage of urine or stool, pain during sex, constipation, frequency or urgency, urine retention, and generalized pelvic pain. OptimaLiving Therapy & Pelvic Health Center specializes in providing noninvasive, drug-free solutions for pelvic floor disorders.
Causes of Pelvic Pain & Dysfunction
- Birthing Injuries
- Repetitive strain, overuse or trauma
- Weight gain
- Hormone changes
- Nerve impingement
- Genetic predisposition
Conditions Caused by Pelvic Pain & Dysfunction
- Stress Incontinence
- Urgency & Frequency of urination
- Over Active Bladder Syndrome
- Voiding Dysfunction (difficulty initiating or emptying)
- Post-voiding dribble
- Post-prostatectomy dysfunction
- Bowel Incontinence or Accidental Bowel Leakage (ABL)
- Chronic Constipation or straining to pass stool
- Dyspareunia (painful intercourse)
- Postpartum/Postsurgical Pelvic Pain
- Generalized Pelvic Pain
- Levator Ani Syndrome
- Pelvic floor spasms or tightness
- Prolapse (Uterine, Rectocele, Cystocele)
Pelvic Floor Therapy
Pelvic Floor Therapy is a conservative, yet effective way to treat difficulties that arise due to impaired relaxation, coordination, strength, or injury of the pelvic floor muscles and the surrounding soft tissue, joints and organs. The initial evaluation includes a thorough review of your symptoms, postural assessment, lower extremity and core strength testing, and the use of surface electromyography (biofeedback) to evaluate the tone and coordination of your pelvic floor muscles. Treatment will include any or all of the following:
- Education about your diagnosis and body structures involved
- Muscle retraining using surface electromyography (biofeedback)
- Electrical stimulation to increase strength or decrease spasms
- Assessment and Retraining of bladder & bowel habits or routines
- Myofascial & Trigger point release
- Visceral and Connective tissue manipulation
- Instruction in self-myofascial and trigger point release
- Cold Laser and/or Electromagnetic therapy to reduce inflammation and increase circulation
- Vaginal Rejuvenation by Radiofrequency to restore tissue integrity
- Breathing & Relaxation techniques to reduce tension
- Mindfulness techniques to increase physiological awareness & control
- Core strengthening and Postural correction
- Nutrition counseling
- Home exercise program
Solutions for Pelvic Floor Pain & Dysfunction
At OptimaLiving Therapy & Pelvic Health Center, our occupational therapists have undergone extensive training in research based methods and modalities to alleviate pelvic floor dysfunction and help you regain control. Click on the links below to read more about our programs for pelvic floor related concerns.
Frequently Asked Questions (FAQ)
Will my insurance company cover Pelvic Floor Therapy?
Because pelvic floor therapy involves the development of coordination and strengthening, it is an occupational therapy service that is covered by most insurance companies. Some insurance companies require a doctors order but we can help you obtain a script by faxing your doctor a request after the initial evaluation. If you have a high deductible plan, HMO or don't have insurance at all, we have very reasonable prices and offer payment programs to ease your burden. We don't let finances get in the way of your healing.
What can I expect on my first visit?
On your first visit, we will conduct a thorough review of your symptoms, discuss remedies and provide you with tips and strategies you can begin to implement immediately. We will develop an individualized plan of care that outlines interventions and service recommendations tailored to meet your personal goals. Internal examinations are highly recommended but are not required for evaluation and our office ensures privacy and confidentiality.
What if I am unsure pelvic floor therapy can help me?
We understand the factors that stop people from getting the help they need - like being nervous, embarrassed, skeptical or just unsure of what options are available. In offering a complimentary consultation, we take away the mystery and remove any obstacles by simply letting people come and see for themselves. This gives you a chance to learn who we are, what we do and to understand how we propose to do it - so you are better positioned to make an educated and informed decision.