During pregnancy and throughout labor and delivery, the pelvic floor/girdle muscles endure significant transformations. By ensuring that your pelvic muscles are in good health, you may reduce musculoskeletal pain and dysfunction, ease labor and delivery, and minimize postpartum complications. The American College of Obstetrics and Gynecology issued a statement in 2018 acknowledging that postpartum care in the United States requires improvement, suggesting the term “4th Trimester” should be utilized for the immediate postpartum period and that postpartum women need more care than what is currently being offered. All pregnant and postpartum women can benefit from pelvic floor physical therapy due to the crucial role these muscles play during delivery and how prevalent dysfunction is after birth. Pelvic floor physical therapy reduces the risk of pelvic organ prolapse, urinary, bowel, and sexual dysfunction, and pelvic pain. Like other diagnoses we treat, many of our patients tell us they wish they knew about us sooner.

During pregnancy and throughout labor and delivery, the pelvic floor/girdle muscles endure significant transformations. By ensuring that your pelvic muscles are in good health, you may reduce musculoskeletal pain and dysfunction, ease labor and delivery, and minimize postpartum complications. The American College of Obstetrics and Gynecology issued a statement in 2018 acknowledging that postpartum care in the United States requires improvement, suggesting the term “4th Trimester” should be utilized for the immediate postpartum period and that postpartum women need more care than what is currently being offered. All pregnant and postpartum women can benefit from pelvic floor physical therapy due to the crucial role these muscles play during delivery and how prevalent dysfunction is after birth. Pelvic floor physical therapy reduces the risk of pelvic organ prolapse, urinary, bowel, and sexual dysfunction, and pelvic pain. Like other diagnoses we treat, many of our patients tell us they wish they knew about us sooner.

The Facts

  • 71% of women are unaware that vaginal deliveries increase the risk of pelvic floor disorders
  • Up to 70% of women experience stress urinary incontinence in the postpartum period
  • 36% of women have persistent Diastasis Rectus Abdominis after delivery
  • 51% of women can not perform a kegel with verbal cuing alone, 25% of women perform the exercise in a manner that promotes further dysfunction
  • Up to 65% of women experience sexual dysfunction 18 months postpartum, regardless of the method of delivery
  • 21% of women who undergo vaginal deliveries have Levator Ani Avulsion
  • 29% of women undergoing vaginal deliveries have pubic bone fractures
  • 77% of postpartum women have low back pain that interferes with daily tasks
  • Vaginal deliveries are the number one risk for pelvic organ prolapse

The Facts

  • 71% of women are unaware that vaginal deliveries increase the risk of pelvic floor disorders
  • Up to 70% of women experience stress urinary incontinence in the postpartum period
  • 36% of women have persistent Diastasis Rectus Abdominis after delivery
  • 51% of women can not perform a kegel with verbal cuing alone, 25% of women perform the exercise in a manner that promotes further dysfunction
  • Up to 65% of women experience sexual dysfunction 18 months postpartum, regardless of the method of delivery
  • 21% of women who undergo vaginal deliveries have Levator Ani Avulsion
  • 29% of women undergoing vaginal deliveries have pubic bone fractures
  • 77% of postpartum women have low back pain that interferes with daily tasks
  • Vaginal deliveries are the number one risk for pelvic organ prolapse

Pelvic Floor Physical Therapy During Pregnancy

Our bodies undergo significant changes as the pregnancy progresses. Many women experience symptoms that pelvic floor physical therapy can address.

  • Constipation
  • Urinary urgency, frequency, and leaking
  • Pubic symphysis pain/separation
  • Sacro-iliac joint, hip, and back pain
  • Sciatic pain

Fortunately, some women tolerate pregnancy very well and experience no unwanted symptoms. For these women, pelvic floor physical therapy can help with the following:

  • Optimize pelvic floor motor control to aid in labor and delivery
  • Instruction in perineal massage to reduce perineal injuries
  • Improve pelvic floor and pelvic girdle neuromuscular function to reduce pain and dysfunction in the postpartum period
  • Education and support throughout the pregnancy and during the postpartum period

Pelvic Floor Physical Therapy During Pregnancy

Our bodies undergo significant changes as the pregnancy progresses. Many women experience symptoms that pelvic floor physical therapy can address.

  • Constipation
  • Urinary urgency, frequency, and leaking
  • Pubic symphysis pain/separation
  • Sacro-iliac joint, hip, and back pain
  • Sciatic pain

Fortunately, some women tolerate pregnancy very well and experience no unwanted symptoms. For these women, pelvic floor physical therapy can help with the following:

  • Optimize pelvic floor motor control to aid in labor and delivery
  • Instruction in perineal massage to reduce perineal injuries
  • Improve pelvic floor and pelvic girdle neuromuscular function to reduce pain and dysfunction in the postpartum period
  • Education and support throughout the pregnancy and during the postpartum period

Postpartum Pelvic Floor Physical Therapy

A pelvic floor physical therapy evaluation is something every new mom should participate in. Ideally, this evaluation would take place in the first year following delivery; however, the opportunity is never missed to see a pelvic floor physical therapist. Postpartum pelvic floor physical therapy can assist with:

  • Urinary retention, urgency, frequency, hesitancy, pain and incontinence (leaking)
  • Constipation, difficulty with bowel movement, fecal incontinence
  • Painful sex, diminshed or absent orgasm
  • Diastasis Rectus Abdominis
  • Restoring core function and strength: abdominals and pelvic floor
  • Pelvic floor and pelvic girdle, low back, and hip pain
  • Cesarean section and episiotomy scar tissue and pain
  • Pelvic organ prolapse prevention and/or treatment
  • Eliminate pain from perineal and/or levator ani trauma
  • Reduce pain from pelvic neuralgias

Postpartum Pelvic Floor Physical Therapy

A pelvic floor physical therapy evaluation is something every new mom should participate in. Ideally, this evaluation would take place in the first year following delivery; however, the opportunity is never missed to see a pelvic floor physical therapist. Postpartum pelvic floor physical therapy can assist with:

  • Urinary retention, urgency, frequency, hesitancy, pain and incontinence (leaking)
  • Constipation, difficulty with bowel movement, fecal incontinence
  • Painful sex, diminshed or absent orgasm
  • Diastasis Rectus Abdominis
  • Restoring core function and strength: abdominals and pelvic floor
  • Pelvic floor and pelvic girdle, low back, and hip pain
  • Cesarean section and episiotomy scar tissue and pain
  • Pelvic organ prolapse prevention and/or treatment
  • Eliminate pain from perineal and/or levator ani trauma
  • Reduce pain from pelvic neuralgias

Treatment:

How We Can Help You

Prenatal and postnatal pelvic floor physical therapy begin with scheduling an evaluation with your physical therapist. During your pelvic health evaluation, the physical therapist reviews your history, your current symptoms, functional difficulties, and discusses your birth plan if you are prepartum. If you are postpartum, how the delivery went will be discussed. Importantly, we understand the challenges of pregnancy and the postpartum period. During the physical examination, the physical therapist examines muscles, tissues, joints, nerves, and movement patterns. Once your physical therapist completes the examination they review your findings with you. The physical therapist creates an assessment and short and long-term goals for your treatment plan. Typically, the frequency of physical therapy treatment is one time per week, but this can vary greatly depending on the physical findings. You will receive an at-home exercise program to complement your in-person sessions, and your physical therapist will help coordinate your recovery with your Obstetrician and the other members of your treatment team. We are here to help you recover and live your best life!

Treatment:

How We Can Help You

3031 Telegraph Ave Ste 144, Berkeley, CA 94705

Phone:    (510) 922-9836
Fax:         (510) 922-1417
Hours:     Mon-Fri 8am – 5pm
Email:      info@pelvicpainrehab.com
Staff:        Maryssa Steffen,Karah Charette, Lisa Topete

Realizing the need for pelvic health services and the difficulty of crossing the Bay Bridge to San Francisco, Liz and Stephanie opened their second location in the East Bay in 2010. We are conveniently located minutes from highways 24, 80, 580 and 880 making us

easily accessible from anywhere in Berkeley and Oakland. We are a short walk from the Ashby BART station, or you can reach us via the MacArthur BART station and take the free Alta Bates Hospital Shuttle Bus to the Alta Bates Medical Campus which is one block from PHRC. There is also a AC Transit bus stop in front of our building as well as bus lines 6, 80, and 81 within a short walking distance to our office. There is hourly parking available in our building parking lot as well as metered street parking.

3031 Telegraph Ave Ste 144, Berkeley, CA 94705

Phone:    (510) 922-9836
Fax:         (510) 922-1417
Hours:    Mon-Fri 8am – 5pm
Email:     info@pelvicpainrehab.com
Staff:     Maryssa Steffen,Karah Charette, Lisa Topete

Realizing the need for pelvic health services and the difficulty of crossing the Bay Bridge to San Francisco, Liz and Stephanie opened their second location in the East Bay in 2010. We are conveniently located minutes from highways 24, 80, 580 and 880 making us

easily accessible from anywhere in Berkeley and Oakland. We are a short walk from the Ashby BART station, or you can reach us via the MacArthur BART station and take the free Alta Bates Hospital Shuttle Bus to the Alta Bates Medical Campus which is one block from PHRC. There is also a AC Transit bus stop in front of our building as well as bus lines 6, 80, and 81 within a short walking distance to our office. There is hourly parking available in our building parking lot as well as metered street parking.