ResilientRx: Modern Physical Therapy
Pelvic Floor Pain and Dysfunction
Receive 1:1 care by a Doctor of Physical Therapy and get back to the activities you love!
ResilientRx: Modern Physical Therapy
Pelvic Floor Pain and Dysfunction
Receive 1:1 care by a Doctor of Physical Therapy and get back to the activities you love!
Do you pee every time you cough, sneeze or run? Is sex painful or not as enjoyable? If so, the Doctors of Physical Therapy at ResilientRx can help you get you back to feeling like yourself again! Pelvic floor physical therapy helps address all of the symptoms you are experiencing and gets you back to enjoying activities and your family.
of vagina owners in the U.S.
are affected with one or more pelvic floor disorders.
Of vagina owners
will experience pain during sex at some point in their lifetime.
of vagina owners in the u.s.
have endometriosis.
What is Pelvic Floor Physical Therapy?
Pelvic floor physical therapy is designed to help people with vaginas safely return or continue to exercise during pregnancy, postpartum and through out perimenopause and menopause. Pelvic floor PT can also be for people who who have not had children and are experiencing pelvic floor symptoms such a urinary urgencies, pain with sex, impaired orgasms and pelvic pain.
Our approach to pelvic floor physical therapy goes beyond simply assessing only the pelvic floor. We assess your overall mobility and movement patterns to determine why the pelvic floor symptoms are occurring. Looking at the pelvic floor alone does not ensure long-term results because it is only one piece of the puzzle.
We want to help you learn how to move, exercise and understand your body so you can feel better long-term. Think of it as an investment in your overall health. Your health is priceless.
Treatments can be performed internally (intra-vaginally) and/or externally to reduce pain/dysfunction and address the root cause of your symptoms.
Your physical therapist will walk you through every step of the assessment and will ensure you feel comfortable during each treatment session.
Diagnoses That We Treat…
Diastasis Recti
Diastasis Recti
What Is It?
This is the separation of the middle (linea alba) of the rectus abdominis (aka the “six” pack muscle).
As you can see in the picture, this can occur in different areas of the abdomen.
This is common during pregnancy and can continue to occur after giving birth.
Many people complain that they:
- Still “look pregnant”
- Feel like they cannot engage their abdominals
- Notice bulging with using their abdominals
Urinary Incontinence
What Is It?
This is accidental leakage or increased urgency to urinate often. Many people believe they simply need to accept it because they were pregnant- this is not true!
This can be successfully treated in pelvic floor physical therapy.
Many people complain that they:
- Pee with they sneeze or cough
- Fear they will leak when running or jumping
- Fear not being around a restroom because of an urgency to pee often
Urinary Incontinence
Prolapse
Prolapse
What Is It?
This is when the pelvic organs start to “fall down” into the vagina. The image shows the different types of pelvic organ prolapse.
Many people complain that they:
- Feel heaviness in the bladder, back or around the vaginal opening or anus
- Feel like they are wearing a tampon
- Notice bulging around the vagina or anus
- Experience double voiding, aka peeing a few minutes after you already have
Pain with Sex
What Is It?
Pain with sex is unfortunately a common dysfunction of the pelvic floor. However, we have helped many return to having pain free sex.
Many people complain that they:
- Cannot tolerate any vaginal penetration
- Have pain with deep penetration and initial penetration
- Have pain or discomfort in certain sexual positions
Pain with Sex
Endometriosis
Endometriosis
What Is It?
Endometriosis is a disease that occurs when tissue similar to the lining of the uterus (endometrium) grows outside of the uterus and causes inflammation and pain.
Endometrium outside of the uterus typically attaches to, or in-between, the pelvic organs/structures such as the bladder, intestines, ovaries, rectum, etc.
Many people complain that they have:
- Painful periods
- Pelvic/abdominal/back pain
- Heavy bleeding
- Infertility
- Pain with sex
- Painful ovulation
- Digestive issues
- Constant fatigue
- Painful urination/bowel movements
Postpartum Challenges
Did you know that postpartum is anytime beyond birth, including menopause? Just because you had a child years ago, it isn’t too late to get your symptoms checked out.
- Are you unsure how to return to exercise after having a child?
- Are you leaking when you jump?
- Does it feel like you can’t engage your butt or abdominal muscles?
- Do you feel like you can’t control your body as well?
These are common questions that occur postpartum. Just because you are cleared at 6-8 weeks doesn’t mean you can safely return to your normal exercise routine. It is important that you can take time to invest in your new body to learn how to safely return to running, lifting, jumping, strength training and more!
Postpartum
Menopause
Perimenopause and Menopause
What Is It?
Entering into perimenopause and/or menopause is life changing and can be distressing if you cannot find answers for help. Perimenopause can start around the age of 38 (or earlier usually due to a medical treatment such as chemotherapy or a hysterectomy) Pelvic floor physical therapy can directly help pelvic floor symptoms that may be a result of transitioning into menopause.
- Do you feel dismissed by other health care practitioners that your symptoms are “due to age”?
- Are you not enjoying sex as much because of low libido, vaginal dryness or impaired orgasms?
- Do you feel heaviness in your pelvis as if you have a tampon in?
- Are you experiencing recurrent vaginal infections such as yeast infections, or UTIs?
- Are you experiencing increase urge to pee all the time?
These symptoms are REAL and should be treated this way. We are sorry for anyone who has invalidated your feelings about your body.
These symptoms can be due to the hormonal changes you are experiencing as you transition to a new phase of life. We can help you navigate these changes through our extensive referral next work while addressing your pelvic floor symptoms.
Cancer Recovery
What is it?
It is pelvic floor or orthopedic dysfunctions caused by surgeries, radiation, chemotherapy etc.
Many people complain about:
- Heaviness in the pelvis
- Pelvic pain
- Pain with sex
- Vaginal dryness/pain
- Accidental leakage (bowel or bladder)
- Muscle tightness post radiation
- muscle weakness from repeated treatments
CANCER RECOVERY
FAQ
What postpartum or pelvic floor conditions do you treat?
- Urinary incontinence (urgency or impaired bladder control)
- Pain with sex
- Prolapse
- Vulvar pain
- Pregnancy and Postpartum care, including returning to exercise
- Diastasis Recti
- Pelvic, hip, SI joint and low back pain that has not resolved with orthopedic physical therapy or other conservative treatments
I am on my period, can I still come for an appointment?
Yes! We can complete all activities externally if you are not feeling well enough for an internal assessment.
How many visits will I need?
Each diagnosis is different. It depends on the diagnosis, how long it has been occuring for and symptom intensity. We will make recommendations on how often to attend after your initial evaluation, but we work with your budget and time to make the best possible plan to fit your needs.
Because we are 1:1 you the full time, most people only need to come anywhere from 4-6 visits.
What is an internal assessment?
An internal assessment is when your physical therapist assesses the 3 layers of the pelvic floor through the vagina or rectum. We also assess strength and coordination as well. However, if you are uncomfortable with this, we can complete everything externally.