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What is Women's Pelvic Floor Physical Therapy and Could I Benefit?

Updated: May 10, 2022

The pelvic floor refers to the muscles that support your reproductive and urinary tract. These muscles attach to your pelvis and to your tailbone and sacrum. In addition to providing support, they also help you control bladder and bowel function. When these muscles aren’t working properly, you may experience pain and other symptoms that interfere with daily functions, urinary continence, and sexual function. Pelvic Floor Physical therapy can help ease pain and associated symptoms, strengthen weak muscles, relax spasmed or tight muscles, and get you back to normal functioning.

What is Pelvic Floor Physical Therapy?

Pelvic floor physical therapy is a treatment to help address pain, weakness, and dysfunction in the pelvic floor muscles. The type of therapy prescribed will depend on the symptoms you’re experiencing. For example, some symptoms will require relaxing and lengthening of the muscles, while others may require strengthening the muscles.

Pelvic floor PT typically involves both external and internal evaluation and treatment, and your Physical Therapist will evaluate the three main layers of the pelvic floor for weakness, strength, tightness, spasm, or pain. You may also be checked for prolapse of the uterus, bladder, or rectum, to see if this may be causing any of your symptoms. Your therapist may also check you for separation of the abdominal wall (diastasis recti) and/or your breathing patterns, as the breath is connected to the function of the pelvic floor.

Some symptoms that can be improved with Pelvic floor Physical therapy include

  • Urinary incontinence, reliance on incontinence pads

  • Urinary frequency

  • Urinary urgency

  • Urination overnight

  • Painful urination

  • Difficulty stopping or starting urinating

  • Difficulty fully emptying the bladder

  • Bowel problems

  • Constipation

  • Straining or experiencing pain during bowel movements

  • Unexplained pain

  • Pelvic pain

  • Pain in the back or hip, unresolved with traditional methods

  • Pain in the genital area

  • Rectal pain

  • Pain during intercourse

  • Pain when inserting or removing a tampon

  • Prolapse of the uterus, bladder, or rectum, or suspected prolapse

  • Interstitial cystitis (IC) diagnosis

If you have any of these symptoms, Pelvic floor Physical therapy might be right for you. We understand that this can be a sensitive issue for many, and some women feel very uncomfortable sharing their symptoms and experiences. Rest assured that these issues are very common, though they are NOT "normal" and you do NOT have to live with them. Many women learn to live with these issues because they don't know that there is something that can be done to help. Even many OB/GYN's are not fully aware of all that can be accomplished with Pelvic Floor PT.

If you have any questions or concerns about this subject, feel free to email us at or to schedule a free, private consultation either over the phone or in-person, you may register here: and make sure to specify that you would like to speak to one of our Pelvic Floor Doctors.

In good health,

Dr. Ashley Bertorelli, PT and Founder of The Green Room Physical Therapy

Clifton Park & Troy

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