The pelvic floor is part of the deep trunk stabilizers that create a canister of stability, working to support internal organs, optimize respiratory function, stabilize the pelvis and spine, and assist in bowel/bladder and sexual function.  The pelvic floor needs a balance of strength and flexibility, as with any other muscle group in the body to perform these functions. 

One of the most commonly known dysfunctions is urinary incontinence.  While it is common, it is not normal even after multiple pregnancies or with aging (coughing and/or laughing) to leak urine.  It can be successfully treated with PT.  

Other common dx/symptoms include:

• pelvic floor prolapse
• endometriosis
• postpartum/prenatal related issues
• pain/pressure/heaviness in pelvis
• pain in hips, low back, groin/pubic symphysis
• perimenopause/post menopause
• Vulvodynia/vaginitis
• Dyspareunia (painful sex)
• Overactive bladder
• Interstitial cystitis
• Constipation/abdominal bloating
• Pudendal neuralgia

Sometimes the pelvic floor can be the missing link in chronic LBP and SI. 

More often these conditions are chronic, misdiagnosed, traumatizing, and obviously personal.  As with anything, the treatment style is patient-guided and is as hands-on or hands-off as you feel comfortable.  A lot of pelvic floor treatment is education.  Education on correct performance of Kegels, bladder diaries, habituation, posture, and breathing and doesn’t have to be incredibly intimidating.

Treatment:

• Assess for signs of pelvic organ prolapse, and in most cases, PT can help to improve related symptoms
• Perform soft tissue techniques (internal and external) to reduce feelings of heaviness, pain or discomfort in the pelvis
• Advise in stretching techniques to reduce tightness through the pelvic floor
• Assess for pelvic floor strength and areas of tightness, and dose exercises specifically to strengthen this muscle group
• Soft tissue mobilization and stretching can reduce pain associated with endometriosis

There are 2 Pelvic Health & Wellness Centers, in Lakewood & Colts Neck, each with private treatment rooms for pelvic floor patients. The evaluations and treatments are patient-led based on their level of comfort.