A thorough examination of the musculoskeletal system will determine what pelvic floor dysfunction treatments are the most appropriate for each individual patient.  Not all treatments are used on each patient, as not everyone’s symptoms are the same, nor are their impairments.  At Zion Physical Therapy, we explain everything that is going to be done during the treatment session and ask your permission before we begin.

Pelvic floor dysfunction treatments include but are not limited to:

  • Biofeedback:  A hand-held machine is used with a small internal vaginal or rectal sensor to determine how active your muscles are at rest.  This number should be low as your muscles should not be working at rest! It also gives us an objective measurement of how strong your pelvic floor muscles are and what the endurance of the muscles are like.  This information helps greatly in determining the most appropriate exercises and home exercise program given for each patient.
  • Kegels (isolation and functional training):  Most patients come in thinking they know how to “kegel”.  We make sure you are using the correct muscles and not substituting with other muscle groups.  We also can determine the strength and endurance of your kegel and create a personalized home exercise program based on this information
  • Pelvic floor strengthening
  • Core strengthening
  • Bladder diaries
  • Pelvic floor stretching
  • Relaxation techniques
  • Bladder retraining:  When dysfunctional habits occur, ie going to the bathroom >1 time per night or going to the bathroom greater than 5-7 times per day, we teach strategies to minimized these dysfunctional habits.
  • Bladder mobilization:  Minimized and/or eliminates restrictions and adhesions between the bladder tissue and the surrounding tissue to ensure proper ability for the bladder to expand and contract.
  • Diaphragmatic breathing
  • Visceral mobilization:  Minimizes and/or eliminates restrictions and adhesions between the viscera (organs).
  • Abdominal massage:  Used to increase colonic mobility and motility with patients who have constipation or abdominal pain
  • Dilator therapy:  Graduated dilators may be used for patients who have pain with intercourse.
  • Posture education
  • External and/or internal manual therapy: Performed to release restrictions of pelvic floor muscles, hip, abdominal, low back muscles & internal visceral organs
  • Trigger point release
  • Patient education:  Our goal is to make sure you fully understand the anatomy and physiology of your specific condition and can walk away from physical therapy confident in your ability to manage your symptoms independently.

We coordinate and consult with referring practitioners such as your gastroenterologist, urologist, gynecologist, dietician, nutritionist, and/or orthopedist to ensure a multi-disciplinary approach to the most efficient and beneficial care.