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What Are Pelvic Floor Disorders?

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Labeled anatomical diagram of female pelvic muscles and structures.

About Pelvic Floor Disorders

Pelvic floor disorders occur when the complex system of muscles, ligaments, connective tissue, and nerves that help support and control the rectum, uterus, vagina, and bladder are damaged or do not function correctly. Damage to the pelvic floor can occur for any number of reasons including childbirth, repeated heavy lifting, chronic disease or surgery. The foundation of WomanWoRX is the Urogynecology Center of Minnesota – an advanced clinic for the diagnoses and treatment of a full range of pelvic floor disorders.

About Pelvic Floor Disorders

Dry and/or Painful Intercourse

Urinary incontinence

Loss of bladder or bowel control with leakage of urine or feces

Emptying disorders

Difficulty urinating or moving bowels

Pelvic pain

Discomfort to the lower back, pelvis or bladder and/or urethra

Prolapse

Descent of pelvic organs; a bulge and/or pressure; “dropped” uterus, bladder, vagina or rectum (Includes Cystocele, Enterocele, Rectocele, Uterine prolapse, Vaginal vault prolapse)

Overactive Bladder

Frequent need to void, bladder pressure, urgency, urge incontinence (difficulty holding back urine when having the urge to urinate)

Fistulas

Abnormal hole between the vagina and rectum (recto-vaginal), vagina and urethra (urethrovaginal), or vagina and the bladder (vesicovaginal)

Comprehensive Treatments for Pelvic Floor Disorders

Comprehensive Treatments for Pelvic Floor Disorders

Our Foundation

At our foundation practice, Minnesota Women’s Care, we always begin with the least invasive solution. When possible, we choose non-surgical options to help our patients find relief.

One of our most important treatment options is available at WomanWoRX. With a thoughtful combination of Pelvic Floor Physical Therapy, Chiropractic Care, and Exercise, many women can diminish symptoms of pelvic floor disorders and learn how to prevent them in the future.

If your condition requires a different non-surgical option, we’ll refer you to our pelvic floor specialists in the Urogynecology Center.

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Other Options

When the non-surgical approach isn’t the right choice, we will refer you to our Urogynecology Center for further diagnostics. Our team can determine what is causing your pelvic floor disorder and provide the most effective options for you.

When surgery is necessary, the Urogynecology Center uses the least invasive procedure to encourage rapid healing and minimized surgical pain. These procedures include:

The Advantages of Physical Therapy, Chiropractic Care, and Exercise

Physical therapy (PT) combined with exercise can have a significant impact on pelvic pain. The combination of targeted physical therapy interventions and exercise can help improve pelvic muscle function, reduce pain, and enhance overall quality of life.

Research supporting the effectiveness of PT combined with exercise for pelvic pain is growing. While individual studies may vary, several systematic reviews and meta-analyses have shown positive outcomes in terms of pain reduction, improved function, and quality of life for individuals with various forms of pelvic pain.

Here are some key points regarding the impact of PT combined with exercise on pelvic pain:

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Individualized Assessment and Treatment

Physical therapists who specialize in pelvic health can perform a comprehensive evaluation to identify the underlying causes and contributing factors of pelvic pain. This may include assessing muscle imbalances, joint mobility, nerve involvement, and pelvic floor function. Based on the assessment findings, the physical therapist can develop an individualized treatment plan to address the specific needs of the individual.

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Pelvic Floor Muscle Rehabilitation

Physical therapy for pelvic pain often involves pelvic floor muscle rehabilitation. This may include exercises to strengthen weak muscles, relax overactive muscles, and improve coordination and control of the pelvic floor. These exercises can be performed under the guidance of a physical therapist who can provide proper technique and progression.

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Manual Therapy Techniques

Physical therapists may use various manual therapy techniques to address musculoskeletal issues associated with pelvic pain. This can include techniques such as soft tissue mobilization, myofascial release, joint mobilization, and nerve mobilization. Manual therapy can help alleviate muscle tension, improve joint mobility, and reduce pain.

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Education and Self-Management Strategies

Physical therapists play a crucial role in educating individuals about their condition and providing self-management strategies. This may include guidance on posture, body mechanics, bladder and bowel habits, relaxation techniques, and lifestyle modifications to help manage and prevent pelvic pain episodes.

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Exercise Prescription

In addition to pelvic floor muscle exercises, physical therapists may prescribe specific exercises to address overall strength, flexibility, and stability. These exercises can target the core muscles, hips, and surrounding areas to improve posture, support the pelvis, and reduce strain on the pelvic region.

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Psychological Support

Pelvic pain can have a significant impact on an individual’s emotional well-being. Physical therapists who specialize in pelvic health can provide psychological support and help individuals develop coping strategies to manage the emotional aspects of pelvic pain.

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