Talking about pelvic floor issues can be tough, but it’s important. “If you have bladder or bowel incontinence, frequent urination, or pain, it could be your pelvic floor,” says Breanna Edenborough, a physical therapist at SSM Health. “Any dysfunction here isn’t normal.”
Many people come to therapy unsure of what to expect. Edenborough, who specializes in pelvic rehabilitation, aims to make patients feel comfortable. She works with both men and women to diagnose and treat these issues.
The pelvic floor consists of three muscle layers. Each one has a distinct role: arousal, urination, or bowel control. These muscles support pelvic organs, help manage bladder and bowel release, and contribute to sexual health. They are crucial for overall well-being.
Most patients are referred to therapy when a specific issue arises, often by their primary care doctor or specialists like OBGYNs or urologists. Common causes include pregnancy, postpartum recovery, prolapse, and prostate surgery. Addressing these problems early can significantly reduce complications later in life, especially before menopause.
Your first visit is straightforward. Wear comfortable clothes and be ready to discuss your symptoms. You’ll fill out a detailed intake form covering arousal, urinary, and bowel functions in a private room.
If you feel comfortable, the therapist might perform a gentle internal exam, similar to a gynecological check-up, to understand your needs better. However, if you prefer not to have this exam, that’s perfectly fine too.
Based on your condition, the therapist will create a personalized treatment plan. If your pelvic floor muscles are weak, the focus will be on strength-building. If they are too tight, relaxation techniques like deep breathing and stretching will be emphasized. Common approaches include:
- Guided exercises that use light touch to help you engage the right muscles.
- Manual therapy, which involves hands-on techniques to relieve tension and improve function.
- Neuromuscular reeducation, aimed at retraining your brain for better muscle coordination.
By the end of your session, you’ll receive materials for continuing care at home and schedule your next appointment.
Typically, symptoms improve within eight to twelve weeks. Edenborough notes that there is a link between symptom severity and treatment success. As symptoms decrease, follow-up visits may become less frequent. However, if you experience pain due to tightness or previous trauma, treatment might take longer, possibly up to 18 weeks. Maintaining the progress often requires ongoing exercises at home.
Recent research shows that pelvic floor dysfunction affects a significant number of people, yet many remain unaware of treatment options. A survey by the Urology Care Foundation found that over 60% of individuals suffer from pelvic floor issues but don’t seek help, often due to embarrassment. It’s essential to understand that help is available and effective.
For more information, see SSM Health’s resources on pelvic health and find specialists in your area.
