Pelvic Floor Dysfunction

There Can Be A Complex Link Between Spine Pain and Pelvic Floor Dysfunction

Pelvic floor dysfunction (PFD) can be sensitive by nature. At Spinal Dynamics, you will be treated with sensitivity, privacy and respect.  Our advanced physical therapy expertise will empower you and help improve the quality of your life.

  • Although physical therapy is commonly used to treat orthopedic, neurologic and other problems, it is not often explored as an option for addressing PFD.
  • You will benefit from our in-depth understanding of both the spine and pelvic floor as well as our experience in treating these disorders.
  • Pelvic floor and spine problems may be inter-related and require a comprehensive treatment approach
  • Our services often complement the most common treatment approaches (Kegel exercises, medications and activity modifications.)
  • We will communicate with your physician to facilitate a team approach.

Physical or occupational therapy for PFD?

Although occupational therapy is used succcessfully for many patients, physical therapists may offer an additional perspective based upon the complex link that can occur between the spine and pelvic floor.  Physical therapy also focuses on strength, flexibility and posture -- all of which can influence a successful outcome. 

What are some common symptoms of pelvic floor dysfunction?

  • Incontinence
  • Urgency
  • Increased frequency
  • Coccyodynia 
  • Pain in the abdomen, low back or pelvis
  • Painful pelvic exams
  • Difficulty with walking, sitting, or standing for a long period
  • Pain with sexual intercourse
  • Pain with bowel function
  • Chronic constipation or loose bowel
  • Pain related to pregnancy or post-partum
  • Symptoms following surgical procedures (abdominal or pelvic)

What Will My Treatment Program Include?

  • Massage and manual techniques for muscle relaxation
  • evaluation for myofascial trigger points with option for dry needling techniques
  • Joint mobilization and skeletal alignment of the pelvis and spine
  • Stretching and strengthening exercises for the spine and pelvic floor
  • Posture and position training for home and work
  • Screening for gait and other biomechanical issues that may be affecting PFD
  • Relaxation and breathing techniques
  • Guidance for diet and nutrition to improve bowel and bladder function
  • Optional supportive devices (such as sacroiliac belts) to help increase joint stability and reduce pain
  • Education for patients and loved ones to manage PFD at home

Pelvic Problem, Spinal Problem or Both?

Especially with lingering or recurring symptoms, pelvic floor and spine problems are more likely to be inter-related and, therefore, require a comprehensive treatment approach.

“My main symptoms are in my pelvis …” We will focus treatment to improve your primary pelvic floor symptoms. In addition, we will evaluate your spine for issues that may be influencing your pelvic floor. If we find spinal dysfunction, we will communicate with your physician and develop a plan to address your complete needs.

“I really don’t think I have pelvic problems. I just have back pain…” We will prioritize your treatment to address your spine.   During evaluation or treatment, if we unearth an underlying pelvic floor issue contributing to spinal symptoms, we will refine your treatment to address both spine and pelvic dysfunction.

“I have pain in both my pelvic area and my spine…” Some patients come to us with challenges related to both spine and pelvic floor. Our unique skills enable us to evaluate cause-and-effect relationships, addressing the interrelatedness of both.

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