PELVIC FLOOR
What is Pelvic Floor?
The “pelvic floor” is a group of muscles that provide support to the organs and control bowel and bladder function. Dysfunction, tension, or weakness of these muscles can result in a variety of problems including incontinence or pain.
Symptoms of dysfunction may include:
- Loss of urine or stool with coughing, sneezing, running, jumping
- Increased urge to urinate and/or increased frequency of urination
- Pain with sexual activity / pelvic examinations
- Feelings of the pelvic floor “falling out”
Bowel dysfunction (constipation, anal fissures, etc)
- Erectile dysfunction
- Tailbone pain, rectal/anal pain
ThriveAgain Physical Therapy & Wellness treats a wide variety of pelvic health issues for all genders and ages. Our physical therapists specialize in treating both penile/testicular and vulvovaginal pain, as well as bladder and bowel problems. We also provide support during pregnancy and post-partum periods. Our practice strives to create a safe and welcoming environment for patients of all races, backgrounds, religions, sexual orientations, and gender identities. We aim to be place of healing for survivors of trauma or abuse.
Our Comprehensive Pelvic Floor Evaluation
At ThriveAgain, our comprehensive evaluations last a full hour and 20 minutes. This gives us time to get a full history of what’s bothering you, complete a thorough evaluation, and begin treatment on the very first visit.
Our pelvic floor evaluations start with an assessment of your back and hips, as these frequently play a part in pelvic pain and incontinence. We then move on, when and if appropriate, to an external examination of your pelvic region, and an internal vaginal and/or rectal exam of the pelvic floor muscles. During the vaginal or rectal assessment, we assess strength, tension, trigger points, flexibility and coordination of the muscles.
We discuss everything that will happen ahead of time, and only move at the pace at which each individual patient is comfortable. Using a compassionate and trauma-informed approach, we are committed to making this process as comfortable as possible. We develop a treatment plan specifically for each individual, focused around your needs and goals. Treatment may include manual releases, biofeedback, electrical stimulation, strengthening exercises, stretching exercises, functional retraining and more.
Our integrated team includes a psychotherapist with expertise in this area who is available to processes any issues that may arise during the course of treatment.
Conditions We Treat
PAIN/SEXUAL FUNCTION
Pelvic Tension/Pain
Pain with Intercourse
Endometriosis
Vulvodynia, Vulvar Vestibulitis, Vaginismus
Prostatitis
Erectile Dysfunction
Testicular or Penile Pain
Pain with Ejaculation
Pudendal Neuralgia
Levator Ani Syndrome
Coccyx, Sacroiliac, Pubic Symphysis Pain
Abdominal and Scar pain
BLADDER HEALTH
Urinary Incontinence
Urinary Frequency and Urgency
Interstitial Cystitis and Bladder Pain
Pain/Difficulty with Urination
Prolapse
PRE & POST OPERATIVE
Gender Confirmation Surgeries
Prostatectomy
Laparoscopy/Abdominal Surgery
Vestibulectomy
Prolapse Repair
BOWEL HEALTH
Fecal Incontinence
Constipation
Anal Fissures
Prolapse
PEDIATRICS (age 3+)
Bladder/ Bowel Leaks
Bed Wetting
Constipation
Urinary frequency/urgency
Frequent UTIs
Abdominal Pain
PREGNANCY & POSTPARTUM
Diastasis Recti (split abs)
Prolapse
Urinary Incontinence
C-Section Scar Tissue
Sacroiliac and Pubic Symphysis Pain
Round Ligament Pain
Back, Hip and Other Pain
BYOB
Bring Your Own Baby! Babies are welcome at or clinic. We also welcome breastfeeding, diaper changes, and even a little bit of spit-up. If leaving your baby at home increases your anxiety or causes logistical challenges, please feel free to bring your little one with you to your appointment. You’re also welcome to bring another person with you to help take care of your child in our waiting room where you’ll be close by if in need.
Putting It All Together
At ThriveAgain Physical Therapy & Wellness, we are dedicated to helping you reach your goals.
In addition to providing comprehensive pelvic floor therapy, we consider the complex contributions of posture & movement patterns as they relate to your individual problem. Often, this will involve treatment of the hips, spine, pelvis, and contributing organs to help you get back to your life!
