Pelvic Floor

The pelvic floor health center was designed to help women and men suffering from any of the following issues:

  • Incontinence (urinary or fecal)
  • Constipation
  • Pelvic pain or dysfunction (including vaginal, urethral, perineal, rectal, scrotal, perineal or abdominal pain)
  • Pregnancy-related problems
  • Post-surgical pain or dysfunction
  • Erectile dysfunction
  • Prolapse

Your rehabilitation program begins with a thorough evaluation designed to identify the muscles, soft tissue, joint or nerves that are contributing to your pain and dysfunction. The findings from the evaluation will allow the physical therapist to develop an individualized rehabilitation program to address the deficits and help you meet your rehabilitation goals.

Incontinence

Incontinence is a condition in which there is an involuntary loss of urine or fecal matter. There are two primary types of urinary incontinence: urge and stress incontinence. Urge incontinence usually occurs due to dietary irritants and/or dehydration, poor bladder habits, and usually has triggers such as cold, running water, key in the door. Stress incontinence is involuntary loss of urine with physical exertion (cough, laugh, sneeze, run, jump, lift) and is related to muscle weakness and can occur with organ prolapse. Fecal incontinence is an involuntary loss of stool from the anal opening. Fecal incontinence may be the result of poor dietary habits, muscle dysfunction or nerve involvement.

Constipation

Constipation is having two or more specific alterations of defecation occurring more than 25% of the time and for at least 3 months duration:

  • Fewer than 3 bowel movements per week
  • Hard or lumpy stools
  • Straining to start or during a bowel movement
  • Sensation of incomplete emptying
  • Sense of anal/rectal obstruction
  • Use of manual maneuvers to assist defecation

Constipation is often attributed to lifestyle or poor dietary habits, ignoring the urge to go, traveling, medications, pregnancy, or aging.

Pelvic Pain

Pelvic pain is pain that occurs anywhere in the pelvic region, including: abdomen, vaginal, perineal, scrotum, penis, testicles, and/or rectum. Symptoms may include pain with any of the following: urination and/or defecation, intercourse, prolonged sitting or standing, prostate or gynecological examination. Pain may be caused by injury or pudendal nerve damage, trauma, benign prostate hyperplasia, Prostatitis, organ prolapse, constipation, menopause, pregnancy, childbirth, episiotomy, pelvic floor muscle tear or laceration, infection/ inflammation, any abdominal surgery, frequent/recurrent urinary tract infections, weakness or tightness of the low back, abdominal or pelvic floor muscles.

Symptoms may include one or any combination of the following:

  • Pain or difficulty with urination and/or defecation
  • Pain with intercourse
  • Pain with prolonged sitting or standing
  • Pain with prostate or gynecological examination
  • Organ prolapse (rectal or vaginal)
  • Pelvic pressure or heaviness
  • Lack of sexual orgasm
  • Frequent urinary tract infections
  • Vulvar or clitoral burning or numbness
  • Pain in the low back, tailbone, thigh, lower abdomen or sexual organs
  • Pain with tampon insertion or removal

Specific Pregnancy Related Issues

Obstetric low back pain and/or pelvic pain are common complaints during and following pregnancy. As the pregnancy progresses, your center of gravity and posture change to accommodate the growing fetus and to adapt to hormonal changes which cause ligaments to become more “relaxed”. Due to the high incidence, this condition may seem “normal” to both patient and medical practitioner. Unfortunately, pain during pregnancy is a sign of an underlying condition and needs to be addressed.

Symptoms may include one or any combination of the following:

  • Generalized pain anywhere along the spine or across the low back
  • Pain along one or both sides of the sacrum and possibly into the buttocks
  • Numbness and tingling sensation down the leg
  • Pain in the groin, pubic symphysis area or down the leg
  • Difficulty straightening up after bending over
  • Incontinence, pre and post-partum

Post-Surgical Pain or Dysfunction

Following surgical interventions such as mastectomy, hysterectomy, prostatectomy, prolapse repairs, cesarean section or other abdominal surgery, there can be scar tissue restrictions, pain and weaknesses that may need to be addressed.

Erectile Dysfunction

Erectile dysfunction is a condition that can occur due to muscle, blood vessel, hormone or nerve abnormalities / dysfunction and may also be related to stress and/or depression.

Prolapse

Pelvic organ prolapse is defined as the descent of one or more of the following: anterior vaginal wall, posterior vaginal wall, apex of vagina (cervix/uterus), vaginal vault (cuff) after hysterectomy. Symptoms vary depending on the type of prolapse.

The following are symptoms associated with general prolapse:

  • Stress incontinence
  • Urinary frequency during day and at night
  • Urgency and urge incontinence (urinary and/or fecal)
  • Poor or prolonged urinary stream
  • Feeling of incomplete emptying
  • Incontinence of flatus, liquid or solid stool
  • Feeling of rectal protrusion after defecation
  • Inability to have intercourse
  • Pain with intercourse
  • Incontinence during sexual activity
  • Feeling of pressure or heaviness in the vagina or abdomen
  • Pain in vagina or perineum
  • Sensation or awareness of protrusion from vagina
  • Blood stained or purulent discharge
  • Low back pain, which is eased with lying down

Why Call?
You can feel better now without drugs and surgery. Relief will be fast, painless, and long lasting. No one else can offer what we can.

We have a program for you. Don’t put it off any longer. The more you wait the more serious your problem may become. Don’t let your problem progress to the point of no return. Contact us today!


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