Back in Motion Physical Therapy has moved treatment of pelvic health conditions to our sister practice, Physical Therapy Your Way and Advanced Specialty Care. For further information, please go to www.physicaltherapyyourway.net or call (571) 312- 6966.
At Physical Therapy Your Way, we have highly trained specialists who treat the following pelvic health conditions of women, men, transsexual and children.
Women’s Pelvic Health
Pain:
Pain in the lower abdomen, groin, perineum, vagina, vulva, anus, or tailbone, including:
- Anismus: Anal muscle spasm.
- Chronic Pelvic Pain Syndrome
- Coccydynia: Tailbone pain. Often it’s worse while sitting.
- Dyspareunia: Pain with intercourse.
- Endometriosis: Overgrowth of tissue like that in the lining of the uterus in places other than the uterus. While physical therapy does not treat the condition itself, it helps to decrease the pain associated with it.
- Interstitial Cystitis/ Painful Bladder Syndrome: Bladder pain that temporarily improves after urination and can therefore lead to frequent urination that interferes with work, exercise, and social life.
- Levator Ani Syndrome / Non-Relaxing Pelvic Floor: Tight muscles that perpetuate pain.
- Post-Surgical Pain
- Proctalgia Fugax: Anal pain.
- Pudendal Neuralgia: Numbness or pain along the area that would touch a bicycle seat.
- Vaginismus: Spasm of the muscles around the vagina with any attempt at vaginal penetration
- Vestibulodynia: Pain in the vaginal vestibule, the area that contains the openings to the vagina and urethra.
- Vulvadynia: Pain in the external genitalia. This could include the labia or vaginal lips, the clitoris, or the mons pubis (the area covered with pubic hair).
Bladder Conditions
- Urinary incontinence: Accidental leakage of urine.
- Functional Incontinence
- Mixed Incontinence
- Stress Incontinence
- Urge Incontinence
- Urinary frequency / Frequent Micturition: The need to urinate more than 7 times in 24 hours. Some people with this condition urinate several times per hour, which interferes with work, exercise, and social life.
- Interstitial Cystitis or Painful Bladder Syndrome: Bladder pain that temporarily improves after urination and can cause frequent urination that interferes with work, exercise, and social life.
- Difficulty urinating completely, difficulty initiating urination, painful urination.
Bowel Conditions
- Anal Fissure: A small tear in the anus. While physical therapy does not treat the tear itself, it helps to decrease the pain associated with the tear as it heals or any pain that lingers after the fissure has healed.
- Chronic Constipation
- Dyssynergic Defecation: Incoordination of the pelvic floor muscles that may lead to constipation and hemorrhoids.
- Fecal Incontinence: Accidental leakage of stool. This could be a small smear in the underwear or a large bowel movement. This may occur more frequently in women who have have grade 3-4 tears during vaginal delivery.
Sexual Function
- Climacturia: Accidental urination during sexual climax.
- Dyspareunia: Pain with vaginal penetration.
- Persistent Genital Arousal Disorder.
- Vaginismus: Involuntary muscle spasm during attempted vaginal penetration.
- Decreased strength of orgasm: This may occur after the pelvic floor muscles have undergone a prolonged stretch or have weakened, such as after a long vaginal delivery.
Pre-Natal and Postpartum
- Pre-natal and postpartum check up to identify and treat any issues with pelvic floor muscle motor control, back pain, sacroiliac joint pain, abdominal separation / diastasis recti, pushing mechanics, lifting and carrying baby and baby gear, exercise, perineal massage, perineal tearing or scars, c-section scars, urinary or fecal urgency or incontinence, return to normal sexual function.
- Pre- and Post-Surgical Care: For any lower abdominal, urinary, ano-rectal, or genital surgery, or radiation. This includes surgery for endometriosis, uterine fibroids, hysterectomy, c-section, bowel resection, ostomy, fistula repair, hernia, and many others.
Men’s Pelvic Health
Pain:
Pain in the lower abdomen, groin, perineum, testicles, penis, anus, or tailbone, including:
- Anismus: Anal muscle spasm.
- Chronic Prostatitis / Chronic Pelvic Pain Syndrome: Chronic pain in the scrotum, penis, testicles, or perineum.
- Coccydynia: Tailbone pain.
- Ejaculation Pain
- Interstitial Cystitis/ Painful Bladder Syndrome: Bladder pain that temporarily improves after urination and can cause frequent urination that interferes with work, exercise, and social life.
- Levator Ani Syndrome, Non-Relaxing Pelvic Floor: Tight pelvic floor muscles that perpetuate pain.
- Peyronie’s Disease: A penis that is curved when erect due to connective tissue tightness. This occurs more frequently after prostatectomy.
- Post-Surgical Pain: For any lower abdominal, urinary, ano-rectal, or genital surgery, or radiation. This includes surgeries for enlarged prostate and prostatectomy.
- Proctalgia Fugax: Anorectal pain.
- Pudendal Neuralgia: Numbness or pain along the area that would touch a bicycle seat.
- Scrotalgia: Scrotum pain.
- Testagalgia: Testicular pain.
Bladder Conditions
- Urinary incontinence: Accidental leakage of urine.
- Functional Incontinence
- Mixed Incontinence
- Stress Incontinence
- Urge Incontinence
- Urinary frequency / Frequent Micturition: The need to urinate more than 7 times in 24 hours. Some people with this condition urinate several times per hour, which interferes with work, exercise, and social life.
- Interstitial Cystitis or Painful Bladder Syndrome: Bladder pain that temporarily improves after urination and can cause frequent urination that interferes with work, exercise, and social life.
- Difficulty urinating completely, difficulty initiating urination, painful urination.
Bowel Conditions
- Anal Fissure: A small tear in the anus. While physical therapy does not treat the tear itself, it helps to decrease the pain associated with the tear as it heals or any pain that lingers after the fissure has healed.
- Chronic Constipation
- Dyssynergic Defecation: Incoordination of the pelvic floor muscles that may lead to constipation and hemorrhoids.
- Fecal Incontinence: Accidental leakage of stool. This could be a small smear in the underwear or a large bowel movement.
Sexual Function
- Climacturia: Accidental leakage of urine during sexual climax.
- Pain with arousal, erection, or ejaculation.
- Erectile Dysfunction: Pelvic floor muscle tightness or weakness may contribute to difficulty attaining or maintaining an erection.
- Persistent Genital Arousal Disorder: Feeling aroused even when you do not want to be. This condition can be distressing and interfere with work, recreation, and relationships.
- Hard Flaccid Syndrome: A condition in which the penis remains semi-erect, even when there is no sexual arousal.
Pre- and Post-Surgical Care:
For any lower abdominal, urinary, ano-rectal, or genital surgery, or radiation. This includes surgeries for enlarged prostate and for prostatectomy.
Transexual Pelvic Health
- Treatment for any of the conditions listed for male or female pelvic health.
- Pre- and Post-Surgical care for top or bottom surgery.
- Instruction in binding techniques.
- Instruction in dilation techniques.
- Exercise programs for strength, mobility, cardiovascular wellness, and to achieve desired body composition.
Pediatric Pelvic Health
- Bedwetting
- Constipation
- Urinary accidents
- Poop accidents / Encopresis
- Pre- and Post-Surgical care for urogenital surgeries including those for fistulas, anorectal malformations, and Malone Antegrade Continence Enema (MACE).
- Experience treating children who are on the Autism Spectrum and those with sensory processing disorders.
For further information, please go to www.physicaltherapyyourway.net or call (571) 312- 6966 . There are good treatments for most pelvic health conditions. Call us. We’re here to help!
