Pelvic floor physical therapy addresses dysfunctions affecting the muscles and tissues supporting the bladder, uterus, and bowels. Despite affecting up to one-third of adults, pelvic floor issues often go untreated due to embarrassment or the mistaken belief that symptoms are expected consequences of ageing or childbirth. It is essential to recognise when specialised care is needed so minor issues do not develop into chronic conditions that impact one’s quality of life. Beyond Basics Physical Therapy in Midtown offers targeted evaluation and treatment for pelvic floor disorders through non-invasive techniques focused on muscle function, coordination, and strength. These specialized therapists have additional training beyond general physical therapy to address the unique complexities of the pelvic region.
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Common signs you need help
- Leaking urine when coughing, laughing, or exercising (stress incontinence)
- Frequent and urgent bathroom trips, sometimes not making it in time
- Constipation or difficulty emptying the bowels completely
- Feeling pressure or heaviness in the pelvic region
- Pain during intercourse that persists
- Lower back pain that doesn’t resolve with standard treatments
- Difficulty starting or maintaining urine flow
- Unexplained pain in the tailbone, hips, or pelvic region
Before and after pregnancy
Pregnancy and childbirth place tremendous strain on the pelvic floor, making proactive care particularly valuable during this life stage. Many women benefit from pelvic floor therapy both during pregnancy and in the postpartum period. During pregnancy, a therapist can help prepare these muscles for delivery and minimize potential trauma. Following childbirth, whether vaginal or cesarean, pelvic floor assessment helps identify issues before they become problematic. Contrary to popular belief, leaking, pain, or pelvic pressure are not normal conditions to endure after having children. Early intervention typically leads to faster and more complete recovery of function and comfort. Even years after childbirth, therapy can address lingering issues that many women mistakenly accept as permanent consequences of motherhood.
Pain signals to address
Persistent pain in the pelvic region serves as a clear indicator that evaluation may be needed. This includes pain during daily activities, exercise, or intimate moments. Conditions like vaginismus, vulvodynia, prostatitis, and pudendal neuralgia often respond well to specialized physical therapy interventions when medical causes have been ruled out. Pelvic floor dysfunction can manifest as seemingly unrelated pain patterns, including hip discomfort, tailbone pain, or even abdominal discomfort. These pain signals often indicate muscle tension, trigger points, or coordination issues that skilled pelvic therapists can identify and treat. When standard medical treatments fail to resolve persistent pain in these regions, pelvic floor therapy offers an often-overlooked solution worth exploring.
Beyond kegel exercises
Effective pelvic floor therapy involves much more than the simple contraction exercises most people associate with pelvic health. Treatment typically includes manual therapy techniques to release trigger points and tension, biofeedback to improve awareness and control, and personalised exercise programs that address strengthening and relaxation. For many patients, properly relaxing these muscles is just as important as strengthening them. Chronic tension can cause pain and dysfunction similar to weakness. Therapists teach breathing techniques, mindfulness strategies, and specific releases that complement traditional strengthening approaches. An integrated treatment approach is recommended for pelvic floor issues, which often involve both physical and neurological components requiring an integrated treatment approach.
