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Pelvic Floor Rehabilitation Therapy

Pelvic conditions such as incontinence, constipation, or pain can have a significant impact on your life. Feelings and fear of discomfort limit physical and social activities and can have a negative impact on intimacy, work capacity, relationships as well as overall quality of life.

If you suffer from any of the conditions below, Pelvic Floor Rehabilitation may be your non-surgical treatment and cure.

Indications for Women

  • Urinary incontinence- stress, urge or both
  • Fecal incontinence
  • Pelvic dysfunction
  • Sexual dysfunction
  • Pelvic pain
  • Constipation
  • Pre pelvic floor surgery
  • Post-pregnancy pelvic floor strength

Indications for Men

  • Incontinence (bowel and bladder)
  • Post-surgical pelvic pain
  • Inability to urinate due to muscle spasm
  • Bladder pain/painful urination
  • General pelvic pain
  • Constipation due to pelvic muscle tightness
  • Post prostatectomy pain or incontinence
  • Pelvic floor myalgia (muscle pain) or muscle spasm
  • Pelvic pain due to prostatitis

About the Pelvic Floor

The pelvic floor is made up of several layers of muscles, tissues, and ligaments that support the bladder, urethra, uterus, vagina and rectum. The muscles in our pelvis play important roles in our body:

  • They support the pelvic organs, bladder and colon.
  • They stop and start the flow of urine and the passage of gas or stool by closing the sphincters.
  • They serve for sexual function.
  • They steady the hips, lumbar spine, sacrum, and pelvis during movement to reduce low back, hip and lower extremity pain.
  • They may provide a "filter system" for the lymphatic system which carries away toxins of the body, and protects against disease.

About Pelvic Floor Therapy and Rehabilitation

  • Treatment is non-invasive and painless.
  • It has a high success rate up to 100 percent of your goal.
  • It has no significant side effects.
  • It is affordable, compared to other alternatives.
  • It is covered by most insurance plans.

Individualized Plan of Care

Our individualized program applies various combinations of therapy resulting in a high success rate for treatment during 6-8, 1-hour sessions. Your initial visit will include a complete health history and discussion of your goals of therapy. Then taking your condition, health history, and pelvic floor muscle measurements, a plan of care will be individually developed for you. Your plan may include any of the following:

Rehabilitation through Biofeedback

Biofeedback is performed using sophisticated instrumentation to determine that the correct muscle is being contracted, and to show when a muscle is becoming fatigued. This information is used to design an exercise plan with specific muscle strengthening instructions, much like a personal trainer in a gym.

Pelvic Floor Stimulation

Muscle stimulation aids in muscle re-education and strengthening. In our program, stimulation is used to assist you in rehabilitating weak pelvic floor muscles for stress urinary incontinence or fecal incontinence. It is also used to calm involuntary bladder muscle contraction in the case of overactive bladder. Or, if you suffer chronic pelvic pain, electrical stimulation can be set to reduce muscle spasm and muscle guarding.

Bladder Retraining

Once strength is improved, the bladder can be "retrained" to hold a larger volume of urine so bathroom breaks are not needed so frequently.

Dietary Changes

Symptoms can sometimes be alleviated with simple dietary modifications. It is thought that some foods and beverages contribute to bladder leakage and/or irritation. It is reasonable to see if eliminating one or all of the bladder irritants is helpful. We review your diet and give your information on the most common foods that irritate the bladder.

Home Exercises and Follow Up Visits

You will be asked to participate in your therapy by performing exercises daily at home. Each week you will be sent home with a prescription of exercises (Kegels and Quick Flicks) based upon your individual testing. After your initial visit where the treatment plan is established, you will be asked to return to the office for evaluation and therapy visits every week for six to eight weeks. Visits usually last approximately 60 minutes. A positive change in your symptoms should be noticed in four visits if this therapy is going to be successful for you. This does not mean you are cured in three to four visits, but you should be noticing improvement by this point. 

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