Pelvic/Women's Health and Physical Therapy

Many people do not know that there are ways to treat pelvic health issues or conditions with physical therapy, and that these conditions can occur in both men and women. We are talking about incontinence, pelvic organ prolapse, pelvic pain and prenatal physical therapy. Tara Sanford, DPT specializes in working with patients who have pelvic issues to get them back to a healthy state. We describe some pelvic health conditions below:

Stress Urinary Incontinence
The pelvic floor is like a hammock that connects from the pubic bone to the coccygeus and interdigitates with the Transverse Abdominus and Adductors. This group of muscles serves to contract the sphincters that control the passage of urine, feces, and gas as well s offer support for the organs of the pelvic region. If these muscles get stretched in childbirth, atrophy from disuse, weaken as we age or are actively or passively insufficient from pelvic obliquities, weakness can occur.

Urge Urinary Incontinence
This pelvic floor dysfunction can occur with neurological damage(CVA and MS for example) and can lead to a disconnect of the nerves guiding the micturition process.

Pelvic Organ Prolapse
With excessive bearing down like in childbirth or chronic constipation, patients can have prolapse of the pelvic organs. Pelvic Pain (Pain at the coccyx, interstitial cystitis, tension myalgia, vaginismus, etc.) Pelvic pain can be a complex problem stemming from many different physical, psychological and emotional issues.

Pudendal Nerve Entrapment
The Pudendal Nerve takes a convoluted route through he pelvis and can have several areas of entrapment. If the nerve becomes entrapped it can lead to several specific symptoms like pain specific to the pelvic region, pain that is aggravated by sitting and is relieved by a Pudendal nerve block.

Prenatal Physical Therapy
The female body goes through many different hormonal and physiological changes in pregnancy that can lead to a myriad of alignment issues and lob back, coccyx and pubic bone issues. Physical therapist that are educated in the changes can offer treatment that is safe for the pregnant body and can offer some pain relief and education that can help a patient get through their pregnancy more comfortably. There are also courses that offer information on positioning education for delivery and bed rest patients.