Pelvic Physical Therapy

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Regain Control Over Your Life With Pelvic Pain Relief

Physical Therapy Specialists Find Solutions for Pelvic Pain to Improve Your Quality of Life

  • Remedy Pain

  • Restore Function

  • Empower with Education

  • Receive Compassionate Care

Schedule a FREE Discovery Visit or Phone Consultation.

Pelvic pain impacts around 15% of women and a slightly smaller percentage of men in the U.S.1 Are you suffering from pelvic pain and unsure how to find relief? Is your pain limiting your daily activities or causing you to depend on pain medication?

Find the help you need at Physical Therapy Specialists. We provide customized treatment plans to address the source of your pelvic pain for lasting relief.

Pelvic Pain Therapy Treatments

As specialists in pelvic floor conditions, like pelvic pain, we are here to help with effective treatment options. Each patient receives a customized treatment plan based on your specific condition.

We ask you to complete a detailed patient information package so we can learn about you, your story and your health history. We take the time to listen to you! And, you will receive a physical examination of any current musculoskeletal problems.

After our detailed analysis, we work with you to find the best treatment solution to match your lifestyle and treatment goals.

Common treatment options include:

  • Biofeedback for normalization of muscle function
  • Rehabilitative ultrasound to allow for visualization of proper muscle function
  • Connective tissue mobilization
  • Neural mobilization
  • Trigger point release
  • Trigger point dry needling
  • Pelvic floor soft tissue mobilization
  • Stretching and strengthening exercises to improve posture
  • Home exercise program
  • Patient education and training
Pelvic Pain Therapy for Women
Pelvic therapy female

Women of any age can experience pelvic pain. We tailor our treatment protocols to the specific needs of women’s bodies. Women experience pelvic pain differently than men. We prioritize your comfort and healing. We manage each patient as an individual and ensure you feel seen and heard throughout the process.

Pelvic Pain Therapy for Men
Pelvic therapy male

Men frequently hesitate to seek the help they need to resolve pelvic pain. You are welcome here! We provide a safe and respectful environment for your healing. Our treatment plans address the specific needs of your body and condition. Be confident that our highly-trained professionals are invested in your care by finding and resolving the root causes of your pain.

Symptoms of Pelvic Pain

Pelvic pain includes a wide range of symptoms from mild to extreme. Regardless of the level of pain you experience, you shouldn’t ignore your pain.

  • Pain with bowel movements
  • Constipation

  • Urinary retention or hesitancy

  • Urinary frequency or urgency, including burning
  • Pain with sitting or tailbone pain
  • Pain, pressure or burning around the rectum or anus

  • Clitoral pain or sensitivity

  • Penile pain or sensitivity
  • Pain before, during or after orgasm
  • Low back or sacroiliac joint pain
  • Pain with pregnancy
  • Pelvic organ prolapses, including cystocele – bladder prolapse, rectocele – rectal prolapse, and uterine prolapse
  • Pain with intercourse

Causes of Pelvic Pain

Pelvic pain occurs from a variety of causes. Our treatment begins with a detailed evaluation to discover the cause behind your pain. We don’t want to simply mask your pain, we want to assist in healing.

  • Pudendal neuralgia
  • Levator ani syndrome
  • Dyspareunia
  • Vaginismus
  • Anismus
  • Interstitial cystitis or painful bladder syndrome
  • Chronic pelvic pain
  • Urethral syndrome
  • Vulvodynia
  • Vulvar vestibulitis
  • Urinary frequency or urgency, including burning
  • Urinary and/or fecal frequency
  • Urgency or pelvic muscle dysfunction
  • Scars from trauma experienced in surgery or childbirth

Pelvic Pain FAQs

Each person experiences pain differently. Yet, with pelvic pain patients often complain of an aching, burning, stabbing or sharp pain. Pelvic pain generally occurs in the lower abdomen, low-back, tailbone, vagina, rectum, back of the leg or hip regions.

Physical therapy offers an alternative to pain medications. Overuse of prescription pain medications can lead to addiction and other side effects. We partner with you to reach your goals and find lasting healing.

The pelvic floor muscles attach to the bottom of the pelvis to create a “floor” for our internal organs. They support these organs and help stop the flow of urine and the passage of gas. They also assist in normal sexual function and support the pelvic low back region.

The pelvic floor muscles may respond to pain by tightening which causes increased muscle tension and further aggravates pelvic pain. The muscles can become shortened over time and restrict mobility. This can also cause hip and back pain!

Anyone experiencing pelvic pain may benefit from physical therapy. Both men and women with weakness or tightness in pelvic floor muscles find relief with our effective treatment plans.

Physical therapy uses exercises and other techniques to relax and normalize the function of the pelvic floor and address the root causes of pelvic pain. Physical therapy is a great alternative to surgery and pain medications.

FAQs About Pelvic Pain and Urinary Incontinence

Stress/Urge and Mixed Incontinence usually can be treated in 6-8 visits lasting 45-60 minutes each.

Your first 2-4 visits will be weekly, and then you will be given exercises to do at home on your own and return every 2-3 weeks for progressions to your home exercise program.

If you are experiencing pelvic pain, you will likely require more visits depending on the severity of the pain and how long you’ve experienced the pain. These visits are weekly.

Evaluation of the pelvic floor muscles is done via an internal vaginal (female) or rectal (male). Not all patients receive an internal exam, it is done based on your condition and consent. This exam is performed to assess the strength, muscle symmetry and tone, trigger points and specific ability of your pelvic floor muscles to contract and relax. Just like in a neck injury, the muscles need to be treated to promote relaxation and re-gain normal strength. If at any time this causes discomfort for you, please let us know so we can discuss your feelings and perhaps find alternatives for treatment.

Biofeedback, also called Surface Electromyography (SEMG), is a learning technique that utilizes specialized equipment to assist a person in gaining control of their natural body functions. It involves the monitoring of a life process (bio) and the return of that information to the patient and therapist in a meaningful form (feedback).

Biofeedback training uses sensitive equipment that enables you to see or hear how your muscles are responding to your instructions. Becoming aware of these responses is the first step in learning to control them. By combining this information with special exercises, you can learn to relax tense muscles or strengthen weak muscles.

Your health care provider may recommended biofeedback evaluation and treatment for the muscles of your pelvic floor. These muscles are responsible to assist in bladder and bowel control. Anyone interested in learning how to relax tense muscles, strengthen weak ones, or to control and coordinate use of muscles may benefit from biofeedback.

For the evaluation you will use either an internal sensor, placed into the vagina or rectum, or external stick-on sensors placed around the rectal opening. These sensors are used to monitor the muscle activity of your pelvic floor. This enables you and your therapist to see and evaluate resting muscle activity as well as evaluate your muscle strength and endurance. The results of your evaluation will help your therapist design a specific treatment plan for your needs.

Your exercise program will depend upon the results of your evaluation. Almost everyone is asked to carry out a home exercise program utilizing the skills and exercises they learn in the clinic. Occasionally people need special home biofeedback equipment to help them monitor their exercise program. If this is necessary for you, the equipment can be either rented or purchased.

Insurance plans that do not require you to go to an “in network” provider will reimburse you according to the plan you have purchased. If you have a Preferred Provider network (PPO) you will be reimbursed according to your plans’ “out of network” benefit. You most likely will have to satisfy your deductible first.

Discover the Healing Power of Physical Therapy

Pelvic pain is personal and requires compassionate care. Relieve your pain and restore your quality of life. At Physical Therapy Specialists, we offer specialized pelvic pain treatment at our Centennial clinic.

Schedule a FREE Discovery Visit or Phone Consultation.
Sources
  1. U.S. Department of Health and Human Services, “How Many Women Have Pelvic Pain?”
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