Should You See a Specialist for Your Pelvic Floor Issues?
Should You See a Specialist for Your Pelvic Floor Issues?

Should You See a Specialist for Your Pelvic Floor Issues?

Natalie Berry


Natalie Berry

Why You Should See a Pelvic Floor Physical Therapist

Here are the primary issues pelvic floor physical therapists are trained to treat:

  1. Urinary Incontinence – Inability to control leakage due to pelvic floor dysfunction or nerve damage.
  2. Pelvic Organ Prolapse – Pelvic organs like the uterus, bladder or rectum bulging into the vagina from loss of pelvic support.
  3. Painful Sex/Dyspareunia – Pain during intercourse due to tight pelvic floor muscles, vaginal dryness
  4. Coccydynia – Pain in the tailbone region often caused by pelvic floor muscle tightness.
  5. Pubic Symphysis Dysfunction – Pain where pelvic bones meet due to instability and imbalance.
  6. Vulvodynia – Chronic burning, stinging, irritation of the vulva with no clear cause.
  7. Pudendal Neuralgia – Pelvic pain from pudendal nerve damage or entrapment.
  8. Postpartum Recovery

If you’re experiencing pelvic pain, urinary or fecal incontinence, pelvic organ prolapse, or pain during sexual activity (among many other issues), you may benefit from seeing a pelvic floor physical therapist. As specialists with advanced training in treating dysfunction of the pelvic floor muscles, tissues and nerves, they offer critical advantages over general practitioners.

Pelvic floor PTs possess in-depth knowledge of the intricate muscles, fascia, ligaments and neural networks comprising the pelvic floor complex. This includes important muscles like the levator ani, coccygeus, and pubococcygeus. They understand how dysfunction of any component can lead to symptoms. Generalists lack this specialized anatomical familiarity. You want somebody skilled with dry needling and cupping at the very least.

Advanced Examination Skills

Pelvic floor PTs are experts at performing sensitive digital pelvic exams, transvaginal ultrasound, anorectal manometry, pudendal nerve testing, and other assessments that general practitioners are unable to conduct. This allows them to pinpoint the exact source of pelvic dysfunction. Proper diagnosis is crucial for appropriate treatment.

Specialization in Pelvic Treatments

Pelvic floor PTs have mastery in skill sets like internal manual therapy techniques, neuromuscular re-education, biofeedback, electrical stimulation, exercise prescription, and lifestyle counseling specifically for addressing pelvic issues. Generalists are often unable to provide these specialized interventions.

Pelvic floor PTs don’t just treat a single symptom. They evaluate the pelvic region as a whole, identifying all factors contributing to dysfunction.

Pelvic floor issues can feel embarrassing or private. Pelvic floor PTs provide care in a comfortable environment sensitive to these concerns. Their experience allows them to put patients at ease.

Pelvic floor PTs work seamlessly with other specialists like gynecologists to provide well-rounded, multidisciplinary care when needed. This level of collaboration ensures all treatment bases are covered.

Don’t delay in seeking help. Pelvic floor PTs have the knowledge, skills and compassion to help you address pelvic dysfunction at the root cause so you can start feeling like yourself again. 

Natalie Berry


Natalie Berry
Passionate about transforming lives through physical therapy.

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