Inspire’s Pelvic Health Program

Most people are familiar with Physical Therapy for low back pain, knee pain, and shoulder problems. What most people don’t know is that Physical Therapists also treat a whole host of “hidden” dysfunctions such as urinary incontinence, pelvic organ prolapse, abdominal and pelvic pain, and post-natal care (to name a few). Those conditions, along with many more, are within the scope of the Pelvic Health Rehabilitation Specialist.

Pelvic Floor Dysfunction

The pelvic floor is the set of muscles that support the bladder and bowel, function in child bearing, stabilize posture in functional activity, and are integral to sexual activity. These muscles are located at the bottom of the pelvis, and interact directly with the muscles of the hip, low back, and abdominals. This muscle group is often overlooked, but to treat a person holistically, they must be included. Often, the root of a person’s low back pain may actually be in the pelvic floor. Our pelvic health specialist has extensive training with the Herman and Wallace Institute in treating both female and male pelvic floor dysfunction.

Conditions:

Below is a list of conditions that we frequently treat. This list is not exhaustive. If you have a diagnosis and want to know if we treat it, please call and we will be happy to discuss it with you.

  • Bowel and Bladder problems
  • Urinary incontinence
  • Voiding dysfunctions
  • Constipation
  • Fecal incontinence
  • Pelvic Pain
  • Adhesions or scar tissue
  • Abdominal and pelvic organ fascia dysfunction
  • Abdominal / hip / groin pain
  • Tailbone pain
  • Post-surgical pelvic pain
  • Cancer related dysfunction
  • Interstitial cystitis
  • Pelvic organ prolapse Endometriosis pain
  • Pain with intercourse
  • Pregnancy and post-natal
  • Diastasis Recti
  • Low back pain
  • Sciatica
  • Pubic pain
  • Sacroiliac Joint (SIJ) dysfunction
  • Thoracic pain

What can you expect in your first visit?

Initial Evaluation: A complete history of your symptoms, postural assessment, muscle testing, and external pelvic floor assessment (internal evaluation and manual treatment are typically completed during the second visit if determined to be appropriate).

Education: Empowering patients with knowledge to help themselves is our primary goal of treatment. This program will include exercise, body mechanics instruction, diet, and behavior strategies to manage symptoms at home once clinical treatment has concluded.

Muscle reeducation: This includes pelvic floor strength training and relaxation, postural correction and core training. Biofeedback is used to aid the exercise approach.

Manual Therapy: Correction of joint mechanics and soft tissue restrictions to pelvis, spine, and viscera will often help reduce muscle spasms, dysfunction, and pain.

Physical Agents: Biofeedback, electrical stimulation, real-time ultrasound, vaginal dilators may be included in your program.

Exercise: Pilates-based program for core strengthening, pelvic floor strengthening and stretching program.

Dry Needling: Sometimes trigger points are the source of pain. While internal dry needling is not something we utilize, it can be very effective in treating trigger points in musculature of the lumbar spine, hips, and even abdominals.

Fascia Release: When fascia is stuck, the whole body can be affected. Our pelvic health specialist uses a number of techniques to address adhesion/restriction in this subtle connective tissue. These techniques include: cupping, gua sha, vibration, and hands-on treatment.

Incontinence

One of the most common myths about the female body is that it’s normal to “pee a little” when you cough or sneeze. This is one of the types of urinary incontinence. Any dysfunction around urinating, whether it is difficulty stopping the urine from coming out, difficulty getting the flow started, or maybe just not getting to the toilet in time, is not considered normal. Our pelvic health PT can help make the change in musculature, functional behaviors, and even diet to reduce incidence along with the anxiety that can come with it.

Osteoporosis

All of our physical therapists can help provide the professional expertise and clinical care to help patients with low bone density reduce the risk of fracture. Through a combination of exercise modifications, use of progressive weight bearing, balance, and postural training, better outcomes are achieved.

The STOTT PILATES® program is an ideal way to make sure all of our clients are safe throughout their treatment, and confident to exercise on their own when they’re ready.

Pelvic Organ Prolapse

The diagnosis “prolapse” can be a scary one. The first thing to be aware of is that most women living with prolapse are completely without symptoms. If you have been given this diagnosis, a visit with a pelvic health PT can help to alleviate a lot of the associated anxiety. Depending on the degree of the prolapse, this can also be treated without surgery. Our PT can show you how to work on the support structures of the pelvic organs through strategic exercise. In combination with manual therapies to improve the ligamentous support of the pelvic organs, very good results can be achieved.

Visceral Dysfunction/Fascia Restriction

It should come as no surprise, that in a Pilates studio, movement is heavily emphasized for its therapeutic value. What may be less obvious though, is that sometimes, when it comes to the pelvic floor, movement may come down to the level of the organs, or even the layers of connective tissue (called fascia) between them. Often times, it is the restriction in one of these systems that may lead to dysfunction in the musculoskeletal body. Our pelvic floor PT is ready to gently restore movement to these abdominal and pelvic systems using very specific fascia and organ mobilization techniques.

Sexual Dysfunction

Without getting into too much detail, intercourse should be a pleasurable experience for all parties. Our Pelvic Health PT is ready to help address pelvic floor tension, trigger points, or underactive musculature, through a variety of interventions to make your whole life more comfortable,

SIJ Dysfunction and Coccyx pain

The Sacroiliac Joint (SIJ) is the connection between the pelvis and the lowest part of the spine (sacrum). It can often be the generator of dysfunction. Whether it moves too much, too little, or is out of symmetry, this can cause pain, in both the low back, and surrounding joints.

The Coccyx is the small, tail-like structure at the very bottom of the spine. Many of the muscles of the pelvic floor attach here. Similarly to the SIJ, the coccyx can be out of balance, and generate dysfunction. With Pelvic Health rehabilitation, balance can be restored, along with more functional, efficient movement.

Pre and Post Natal

A woman’s body goes through some very obvious, and some not-so-obvious changes during pregnancy. Managing these changes during pregnancy, and rehabilitating afterwards can help the mother to stay safe and comfortable. We can help both pregnant and post-partum mothers whether they just want to check in to make sure they are on track, or to find their new normal after the delivery. Although life will never be the same again, our Pelvic Health PT can help make sure that the changes are all positive!