Physical therapists undergo advanced post-graduate education in pelvic floor anatomy and physiology to help meet the pelvic health needs of patients. Considering the field of physical therapy as a whole, pelvic floor physical therapy is a more recent, but quickly emerging field and we are excited to be part of it. While we have advanced training in pelvic health we are first and foremost physical therapists that take the entire body and mind into consideration.

We can help people recover from symptoms that stem from impairments in the musculoskeletal, nervous, reproductive, urologic, and gastrointestinal systems. Pelvic health symptoms generally fall into a few categories: bladder, bowel, and sexual dysfunction and pelvic pain. The symptoms may develop for many different reasons, including injury, trauma, surgery, medication-induced, pregnancy, and menopause, to just name a few. We recommend checking out the rest of our website for more specific information on the symptoms listed below. 

Symptoms

Bladder Symptoms

  • Urinary urgency, frequency, hesitancy and pain in the absence of infection
  • Weak urinary stream
  • Leaking urine (incontinence)
  • Urethra and bladder pain
  • Pain before, during or after urination
  • Nocturia (nighttime urination)
  • Pediatric bed wetting (nocturnal enuresis)

Bowel Symptoms

  • Straining to evacuate stool
  • Adult and pediatric constipation
  • Need for excessive toilet paper
  • Fecal and/or gas leakage and incontinence
  • Hemorrhoids and fissures
  • Pain before, during or after bowel movements
  • Anal/rectal pain, burning or itching

*Cisgender Male Sexual Symptoms

  • Erectile dysfunction: poor quality, inability to achieve erection, inability to maintain erection, premature ejaculation
  • Decreased force or inability to ejaculate
  • Climacturia (incontinence with orgasm)
  • Post ejaculaory pain: tip and/or shaft of penis, perineum, scrotum
  • Discoloration in penis/scrotum/perineum

*Cisgender Female Sexual Symptoms

  • Inability or decreased ability to lubricate
  • Pain upon vaginal penetration, with deep penetration only, and/or continuous pain with penetration
  • Clitoral pain, hypersensitivity to touch
  • Pain and/or burning after sexual contact
  • Inability to orgasm, diminished orgasm
  • Urinary incontinence during sexual activity
  • Climacturia (incontinence with orgasm)

*Cisgender Male Pelvic Pain Symptoms

  • Burning, itching, aching, or other types of pain in the penis, scrotum, testicles, perineal and/or anal area
  • Pain with sitting, certain types of exercises, and certain types of clothing
  • Post ejaculatory pain in the penis, scrotum and/or perineum
  • Gastrointestinal distress, bloating, and/or constipation
  • Symptoms can be provoked, such as in response to ejaculation or exercise, or unprovoked and spontaneous
  • Symptoms may be intermittent or constant

*Cisgender Female Pelvic Pain Symptoms

  • Burning, itching, aching or other types of pain in the vulva, vagina, perineal, and/or anal area
  • Pain with intercourse, hypersensitivity when wearing pants and/or underwear, and pain with sitting
  • Exercise may provoke or exacerbate symptoms
  • Abdominal bloating, gastrointestinal distress, and constipation
  • Symptoms can be provoked, meaning with penetrative intercourse or tampon insertion, or unprovoked and spontaneous
  • Symptoms can be intermittent or constant

Transgender Pelvic Health Symptoms

  • Pain from surgical scars
  • Pain with vaginal penetration
  • Inability to achieve vaginal penetration
  • Difficulty or inability to achieve orgasm
  • Urinary dysfunction including urgency, frequency, hesitancy, incontinence and spraying
  • Pelvic and low back pain

Symptoms

Bladder Symptoms

  • Urinary urgency, frequency, hesitancy and pain in the absence of infection
  • Weak urinary stream
  • Leaking urine (incontinence)
  • Urethra and bladder pain
  • Pain before, during or after urination
  • Nocturia (nighttime urination)
  • Pediatric bed wetting (nocturnal enuresis)

*Cisgender Male Sexual Symptoms

  • Erectile dysfunction: poor quality, inability to achieve erection, inability to maintain erection, premature ejaculation
  • Decreased force or inability to ejaculate
  • Climacturia (incontinence with orgasm)
  • Post ejaculaory pain: tip and/or shaft of penis, perineum, scrotum
  • Discoloration in penis/scrotum/perineum

*Cisgender Male Pelvic Pain Symptoms

  • Burning, itching, aching, or other types of pain in the penis, scrotum, testicles, perineal and/or anal area
  • Pain with sitting, certain types of exercises, and certain types of clothing
  • Post ejaculatory pain in the penis, scrotum and/or perineum
  • Gastrointestinal distress, bloating, and/or constipation
  • Symptoms can be provoked, such as in response to ejaculation or exercise, or unprovoked and spontaneous
  • Symptoms may be intermittent or constant

Bowel Symptoms

  • Straining to evacuate stool
  • Adult and pediatric constipation
  • Need for excessive toilet paper
  • Fecal and/or gas leakage and incontinence
  • Hemorrhoids and fissures
  • Pain before, during or after bowel movements
  • Anal/rectal pain, burning or itching

*Cisgender Female Sexual Symptoms

  • Inability or decreased ability to lubricate
  • Pain upon vaginal penetration, with deep penetration only, and/or continuous pain with penetration
  • Clitoral pain, hypersensitivity to touch
  • Pain and/or burning after sexual contact
  • Inability to orgasm, diminished orgasm
  • Urinary incontinence during sexual activity
  • Climacturia (incontinence with orgasm)

*Cisgender Female Pelvic Pain Symptoms

  • Burning, itching, aching or other types of pain in the vulva, vagina, perineal, and/or anal area
  • Pain with intercourse, hypersensitivity when wearing pants and/or underwear, and pain with sitting
  • Exercise may provoke or exacerbate symptoms
  • Abdominal bloating, gastrointestinal distress, and constipation
  • Symptoms can be provoked, meaning with penetrative intercourse or tampon insertion, or unprovoked and spontaneous
  • Symptoms can be intermittent or constant

Transgender Pelvic Health Symptoms

  • Pain from surgical scars
  • Pain with vaginal penetration
  • Inability to achieve vaginal penetration
  • Difficulty or inability to achieve orgasm
  • Urinary dysfunction including urgency, frequency, hesitancy, incontinence and spraying
  • Pelvic and low back pain

Treatment:

How We Can Help You

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If you suffer from any of these symptoms, getting a pelvic health physical therapy evaluation is the right step towards recovery. During the evaluation, the physical therapist reviews your history and symptoms with you, what you have been diagnosed with in the past, the treatments you have undergone and how effective or not effective these treatments have been. Importantly, we understand what you have been going through and that most people are frustrated by the time they get to see us. During the physical examination the physical therapist examines muscles, tissues, joints, nerves, and movement patterns. Once the examination is complete your therapist reviews your findings with you. The physical therapist creates an assessment which explains how you developed your symptoms and creates short and long-term goals for your treatment plan. Typically, the frequency of physical therapy treatment is one to two times per week for roughly 12 weeks. You are given a home exercise program to compliment your in-person sessions, and your physical therapist will help to coordinate your recovery with the other members of your treatment team. We are here to help you recover and live your best life! 

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Treatment:

How We Can Help You