Women’s Pelvic Health

As part of a medical team, physical therapists specialized in pelvic health can assist in improving and potentially eliminating the following conditions:

Pelvic Pain

Discomfort that occurs in the lowest part of the torso, the area below the abdomen and between the hip bones

Dyspareunia

Painful and difficult intercourse

Urinary incontinence

Umbrella term to describe issues with regulating urination. These include stress incontinence, urge incontinence, and functional incontinence

Vulvodynia

Chronic vulvar pain without an identifiable cause

Pudendal Neuralgia

Pain in the genital or anal- rectal region that causes pain along the distribution of the pudendal nerve. Can cause a high amount of discomfort with sitting.

Pubic symphysis dysfunction

Pain in the pubic symphysis (joint in front of pelvis) due to instability or injury to the ligaments. Can commonly occur during pregnancy or postpartum.

Cystocele

When the bladder herniates into the vagina. Symptoms include feeling pressure in the pelvis and vagina, discomfort when straining, and feeling that the bladder hasn’t fully emptied after urinating.

Chronic constipation

difficult, infrequent, or perceived incomplete evacuation of bowel movements
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Enterocele

The peritoneal sac containing a portion of the small bowel extends into the rectovaginal space between the posterior surface of the vagina and the anterior surface of the rectum

Fecal incontinence

Loss of stools beyond one’s control
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Fecal urgency

Sudden need to have a bowel movement with difficulty holding in stool before getting to a bathroom to void
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Recurrent UTI

Once a urinary tract infection is cleared, pelvic floor muscle dysfunction may still remain mimicking symptoms of a urinary tract infection.

Ehlers Danlos Syndrome

Ehlers-Danlos syndrome is a group of inherited disorders that affect your connective tissues primarily your skin, joints and blood vessel walls.

Ehlers Danlos Syndrome

Ehlers-Danlos syndrome is a group of inherited disorders that affect your connective tissues primarily your skin, joints and blood vessel walls.

Hip Dysplasia

Congenital abnormal hip anatomical variations that result in reduced containment of the femoral head within the socket.

SI Joint Dysfunction 

Pain within the area of the sacrum and sacroiliac joints at the base of the spine.

Women's Pelvic Health

Stress Incontinence

Leaking of urine during activities such as coughing, sneezing, laughing, or exercising

Urge incontinence

Having an abnormal increased urge to urinate that can cause increased urinary frequency. Sometimes leakage of urine will occur before you make it to the bathroom.

Vaginismus

Painful spasmodic contraction of the vagina in response to physical contact or pressure. Commonly occurs during sexual intercourse

Diastisis recti

Separation of the abdominals, the rectus abdominus

Pelvic organ prolapse

General umbrella term that describes when a pelvic organ-such as your bladder drops (prolapses) from its normal place in your lower belly and pushes against the walls of your vagina

Rectocele

When the end of the large intestine (rectum) pushes through the back wall of the vagina. Symptoms include a soft bulge of tissue in the vagina that may or may not protrude through the vaginal opening. It may also cause difficulty with having a bowel movement.
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Dyssynergic defecation

When attempting a bowel movement, the rectal pelvic floor muscles contract instead of lengthen appropriately.
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Endometriosis

painful disorder in which tissue that normally lines the inside of your uterus — the endometrium — grows outside your uterus

Levator ani syndrome

Episodic rectal pain caused by spasm of the levator ani muscle.
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Lichen sclerosus

A chronic condition that causes thin, white patches of skin, usually in the genital area.

Interstitial Cystitis

a condition that causes discomfort or pain in the bladder and a need to urinate frequently and urgently.

Vulvar Vestibulitis

a subset of vulvodynia that is characterized by severe pain during attempted vaginal entry (intercourse or tampons insertion), tenderness to pressure localized to the vulvar vestibule and redness of the vulvar vestibule

Hip Labral Tear

Tear in the ring of cartilage along your hip joint rim known as the labrum

Physical therapy as part of the medical team can assist with healing and regaining function post the following pelvic surgeries or procedures:

C section

TVT procedure

 TOT procedure

Anterior wall repair

Botox injections to pelvic floor muscles

Hysterectomy

Endometriosis excision

Hernia Repair

Vestibulectomy

Trigger point injections to pelvic floor muscles

Oophrectomy

Rectocele repair

Bowel resection

Hemorrhoidectomy

Pudendal Nerve Release