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Pelvic Health Therapy

The muscles of the pelvic floor form the true core of our being. These hidden muscles are often the cause of pain, instability and dysfunction. Men and women who experience pelvic floor dysfunction often embark on long and arduous journeys in order to find their path to healing. Specialized physical therapy has proven to play an integral role in healing the pelvic floor and surrounding structures.

Common Conditions:

  • Pelvic Pain / Pelvic Floor Dysfunction
  • Chronic Pelvic Pain Syndrome
  • Vaginismus / Vulvodynia / Vestibulodynia
  • Chronic Constipation
  • Anism / Rectal Pain / Levator Ani Syndrome
  • Overactive Bladder / Painful Bladder Syndrome /Interstitial Cystitis
  • Urinary Urgency / Frequency  
  • Urinary Incontinence Stress Incontinence
  • Fecal Incontinence
  • Pre- and Post-Operative Prostatectomy Therapy
  • Prostatitis/Chronic Pelvic Pain Syndrome
  • Prolapse / Organ Descent
  • Coccyx Pain / Coccydynia
  • Pain with Sexual Activity
  • Pelvic Pain Associated with Endometriosis and Uterine Fibroids
  • Scar Pain / Pelvic Pain following Hysterectomy, Myomectomy, Endometrial Excision
  • Pain with Menstruation
  • Pelvic Pain Associated with Hip Injury, Hamstring Injury, Groin Injury

Treatment for Pelvic Floor Dysfunction

  • Soft tissue massage, myofascial release and trigger point release techniques are performed internally and/or externally to release muscle tension and restore muscle flexibility.
  • Biofeedback can be used to enhance awareness and muscle control in order to build strength or release tension in the pelvic floor muscles
  • Visceral manipulation involves the release of fascia surrounding the pelvic organs (bladder, uterus, intestines) to allow the organs to properly expand, contract and function in a pain-free rhythm.
  • Targeted exercises help to retrain the muscles of the pelvic floor, core and hips in order to return the client to pain-free activities.
  • Bladder behavioral reeducation: to normalize symptoms such as frequency, urgency and nocturia.
  • Mind-body techniques: therapeutic postures, breathing, and exercises/stretches based on Yoga, Pilates and the Hypopressive method to address core instability, pelvic pressure, muscle tension, improve circulation or rest.

What to Expect

Your first visit will include a thorough history of your present symptoms and previous medical experience. The Therapists at Shift will listen closely to your experience and work with you to devise a framework for your care. Following the history, an evaluation will be performed in order to focus on the root causes of your symptoms.

We will perform a full assessment of your posture, focusing on the alignment of your pelvis and the range of motion of the lumbar spine and the hip joints. We will test the tone, strength and coordination of external muscles that may have influence in your pelvic floor, such as abdominal, thoracic and hip muscles. In order to assess the muscles of the pelvic floor, you will be able to choose between an internal or external evaluation. Although the muscles are most directly assessed via an internal (intravaginal or intrarectal) evaluation, the muscles can also be assessed using external palpation or external biofeedback. The choice of evaluation method is always yours and your physical therapist will work with you to develop an effective evaluation and treatment plan.

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