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Pelvic Health

Pelvic  Pain

Pelvic pain can affect both men and women. The muscles in the pelvic floor form a type of sling at the bottom of the pelvis.  They are important to support your bladder, rectum, uterus, and other contents of the pelvis as well as offer sphincter control to help control leakage or urine, gas or stool.  Plus they have important sexual functions.  Like other areas of the body, the pelvic floor muscles may develop myofascial pain and you may experience pain during intercourse, insertion of a tampon or with pressure to the area.

Pelvic Pain Disorders Treated by Physical Therapy include:

  • Dysparunia (pain with intercourse)
  • Pain with erection
  • Vaginismus
  • Pudendal Neuralgia
  • Coccydynia (tailbone pain)
  • Pubic Symphysis Dysfunction
  • Sacroiliac Joint Dysfunction
  • Pelvic Fractures
  • Groin Strains
  • Hysterectomy/Abdominal surgery

Your evaluation will entail an extensive external muscle assessment and internal muscle assessment as well as a computerized EMG assessment.  Your intervention will be determined by your evaluation findings and will be individualized to you.  These interventions may include, heat, ultrasound, manual interventions, computerized EMG down training and/or re-education, EMG strengthening, relaxation techniques, quieting techniques.

Urinary and Fecal Incontinence

Men and women of all ages can experience an uncontrolled loss of urine or stool. Muscles in the pelvic floor can be weakened or damaged from the aging process, pregnancy (traumatic or not), pelvic floor surgeries, and back or sacral injuries.  Chronic constipation, chronic coughing, bladder irritants, and inappropriate lifting techniques can all contribute to incontinence.  Millions of Americans suffer from these problems and many do not seek help, either because they are too embarrassed or they consider it a normal part of aging. The good news is that many cases of incontinence can be helped or cured with some lifestyle changes, exercise and a better understanding of the problem and available solutions. Knowledge is powerful and Four Pines Physical Therapy can help you improve or get rid of your incontinence.

Types of Incontinence:

  • Stress Incontinence: involuntary loss of urine with exertion like coughing, sneezing, laughing, lifting, or getting up our of a chair
  • Urge Incontinence: involuntary loss of urine that is association with a strong urge to void even when your bladder is not truly full.  People who suffer from this type of incontinence often feel the urge to void many times during the day and/or night.
  • Frequency Incontinence: having to urinate frequently but with small volumes of urine.
  • Mixed Incontinence: a combination of stress, frequency and/or urge incontinence
  • Overflow Incontinence: the leakage of small amounts of urine day and night accompanied by the feeling that the bladder never really empties after voiding.
  • Fecal Incontinence: feces can be loss with exertion similar to stress urinary incontinence

After an in-depth evaluation of past medical history, dietary contributions, external and internal muscle assessments, computerized EMG assessment and review of a urinary/fecal log, you will be provided with an individualized program that may include:

  • Computerized EMG training for muscle re-education
  • Pelvic Floor Strengthening
  • Neuromuscular Stimulation to facilitate muscle contraction
  • Trigger point release and connective tissue release
  • Coordination exercises
  • Abdominal and pelvic stabilization exercises
  • Education of strategies to be performed at home