Pelvic Floor Physical Therapy helps both male and female patients with Overactive Bladder, Pelvic Pain, Urinary Incontinence, and sexual health concerns resulting from dysfunctional pelvic floor muscles.
Physical Therapy helps strengthen the pelvic floor muscles to reduce pelvic pain, improve bladder control, bowel control, and sexual function. Building strength takes time, but committing to a physical therapy plan can greatly improve your quality of life.
Urology San Antonio’s physical therapists work with adults of all ages.
Often, physical therapists will work with female patients before and after pregnancy and after urogynecological surgeries such as a hysterectomy. Men with overactive bladder, incontinence, and sexual dysfunction following surgeries such as a prostatectomy can also benefit from pelvic floor physical therapy.
The symptoms of having weak pelvic floor muscles may include:
- Urinary and/or fecal leakage
- Difficulty with urination or bowel movements
- Sudden and strong urge to urinate
- Frequent urinary tract infections
- Feeling of “falling out” when standing
- Painful intercourse or inability to tolerate penetration
- Low back, buttock, pubic/groin or tailbone pain
- Chronic pelvic pain
- Problems with pinched nerves affecting pelvic region
- Pre and post-surgery pain or urinary/fecal incontinence
- Prenatal and postpartum muscle dysfunction
The initial evaluation will include a general medical history and a history related to the current symptoms. It will also include: postural assessment, hip, lumbar spine, and abdominal strength and flexibility, palpation for pain and muscle restrictions.
The pelvic floor muscles will be evaluated to determine muscle function/dysfunction via external and internal vaginal or rectal approach. Based on baseline findings and subjective complaints, the patient will be given specific exercises to practice at home along with detailed education on the treatment process and plan of care.
Therapeutic Options May Include
- Therapeutic exercise
- Neuromuscular re-education to include therapeutic taping, electrical stimulation, vaginal weights and dilators
- Postural awareness activities
- Relaxation and nervous system calming techniques such as diaphragmatic breathing
- Modalities such as biofeedback, low-level light laser, TENS
- Manual therapy to include trigger point release, scar and visceral mobilization, trigger point dry needling
- Behavioral training
- Dietary education
- Patient education and home programming
Is Pelvic Floor Physical Therapy covered by insurance?
Pelvic Floor Therapy is covered by many insurances, but patients may need to obtain a referral from their doctor.
What should I wear?
Comfortable clothing. Patients do not need to wear work out gear but they need to be comfortable and have some range of motion. Often patients bring a change of clothes when they have therapy before or after work.
What will I be doing for an hour?
Patients will be assessed, coached, and instructed using the therapeutic options listed above.
Could I Google physical therapy and just do this at home? Do I really need to see a therapist?
While example exercises can be found online, it will not be tailored to you. It is important that you receive an individualized evaluation and instruction to maximize care and ensure you are doing the best things for your body and particular condition. Physical Therapists can help you reach your goals faster and ensure you’re not wasting your time on exercises that won’t help you.
How many times will I need to be seen?
The plan of care will be determined after the evaluation. Patients are often seen once per week, every other week, once per month, etc. The Physical Therapist and patient will agree upon the plan on an individual basis.