Pelvic Floor Physical Therapy

Learn more about Pelvic Floor physical therapy with this Youtube video Q&A with our Pelvic Floor Therapist, Samantha Steele.

What is the pelvic floor?

The pelvic floor consists of muscles and connective tissue that are located at the bottom of your pelvis. The pelvic floor muscles are responsible for controlling urine and stool, supporting your organs, stabilizing your core, and they play a role in the sexual response.

How do I know I have a pelvic floor problem?

Any person can have pelvic floor problems regardless of age, gender, or whether or not they have had children. If you notice problems with peeing, pooping, or sex- you may have a pelvic floor problem! People with low back, hip, or tailbone pain may also have pelvic floor problems. If you have been struggling with symptoms in these areas- you may need a pelvic floor therapist.

See the list below for all of the conditions we treat at Physical Edge.

What is pelvic floor physical therapy?

Since the pelvic floor is made up of muscles, a physical therapist is the perfect healthcare provider to treat them. Physical therapists use principles of muscle coordination, strength, endurance, flexibility, and motor control to help with symptoms. A pelvic floor physical therapist does the same thing- just with the pelvic floor muscles! 

Pelvic floor therapists should undergo specialized training to work with this sensitive part of the body. Our pelvic floor physical therapist, Dr. Samantha Steele, has been through advanced residency training at one of only 12 programs in the United States. You can be confident that she has the skills to help with any pelvic floor problem you may have.

What problems can a pelvic floor physical therapist help with?

Women’s Pelvic Floor Problems:
*Painful sex
*Pelvic Pain (dyspareunia, vulvodynia, vaginismus, pudendal neuralgia)
*Urinary leakage
*Urinary urgency or frequency
*Fecal Leakage
*Constipation / hemorrhoids
*Sacroiliac joint or pubic bone pain
*Pelvic organ prolapse
*Endometriosis or menstrual discomfort
Men’s Pelvic Floor Problems:
*Post-prostatectomy incontinence
*Post-prostatectomy erectile dysfunction
*Pelvic pain
*Pain with sex
*Prostatitis
*Constipation
*Tailbone Pain
Pregnancy / Postpartum Concerns:
*Sacroiliac joint or pubic bone pain 
*Low back pain or hip pain
*Urine / Fecal leakage
*Constipation
*Pelvic organ prolapse
*Diastasis Recti
*Preparation for vaginal or cesarean birth or VBAC
*Recovery from vaginal or cesarean birth
*Return to exercise
*Return to intercourse
*Clogged milk ducts
*Treatment of episiotomy or c-section scars
Other Services:
*Gender affirming surgery preparation and post operative recovery
*Osteoporosis Care
*Biofeedback

Here are three views of the pelvic floor muscles. All the red areas you see are the pelvic floor muscles!

pelvis model, side view
(Looking straight on to the pelvis)
Pelvis model, top view
(Looking into the pelvis from the top) 
Pelvis model, bottom view
 (Bottom up view of the pelvis)

To find out if you have pelvic floor dysfunction, here’s a quick quiz:

  1. Do you leak urine (even just a little) or feces or accidentally passing gas while exercising, playing a sport, jumping, laughing, coughing, or sneezing?
  2. Do you need to hurry to the bathroom and/or do you worrying you may not get there in time?
  3. Do you take frequent trips to the bathroom (more than 8 times per day) that disrupt your activities throughout the day or your ability to sleep?
  4. Do you experience feelings of heaviness or pressure on the pelvic floor or in the vaginal area? Or do you have a history of pelvic organ prolapse?
  5. Do you experience pelvic, vaginal, or tailbone pain with sitting, walking, exercise, or with intercourse?
  6. Do you have feelings of constipation more than 2 times per month?
  7. Do you know you have an abdominal separation or diastasis recti? 

If you answered “yes” to any of the following questions, you would benefit from pelvic floor physical therapy (PT).

What can I expect at a pelvic floor physical therapy appointment?

We understand that pelvic floor physical therapy can be intimidating- thank you for trusting us to care for you! Your comfort is the most important thing to us. We strive to create a treatment plan that helps you feel comfortable and gives you the relief you’ve been looking for. 

All initial evaluations are 1 hour- this allows for plenty of time for your therapist to truly understand your problem and develop a plan with you.

During your first appointment, we will spend a lot of time discussing your symptoms, your lifestyle habits, and your goals for therapy. We then perform an evaluation of your posture, strength, and movement patterns.

Often, an internal vaginal or rectal exam is helpful in figuring out the source of your symptoms. This is performed with you undressed below the waist and fully draped with a sheet. HOWEVER- internal examination is always an optional part of your treatment. If you feel uncomfortable with internal examination your therapist will provide other ways of assessing your pelvic floor such as feeling the muscles over your clothing- or not touching you at all! 

Samantha is skilled at providing informative and comfortable evaluations with her clients.

What if I still have questions about whether pelvic floor physical therapy is right for me?

Schedule a free 15-minute phone consultation with Samantha to determine if pelvic floor PT is right for you. We can talk about your concerns and what treatments we can offer to help you meet your goals.

Schedule your free consultation by emailing physicaledge@gmail.com.

Come see our Pelvic Floor Specialist, Samantha Steele. Call 530-753-9011 to schedule an appointment today.