Pelvic Health Conditions

 

Pelvic Pain (male/female)

  • Chronic Pelvic Pain - Can be related to a known chronic disorder like endometriosis, or can have an unidentified cause

  • Painful Sex/Dsypareunia - Pain with initial penetration, deep penetration, orgasm  

  • Vulvodynia/Vestibulodynia - Pain in the external genitalia, and/or at the vaginal entrance

  • Dysmenorrhea - Periods should  NOT be painful!  Painful periods are often a sign that there is too much tension in your body. This can be restriction of mobility in the abdomen/pelvis/hips and/or in the pelvic organs themselves such as the uterus, bladder, and rectum.  This can be related to a known disorder like endometriosis but it is well accepted now that even patients with endometriosis can benefit greatly from pelvic floor rehabilitation that addresses this full-body factors.

  • Vaginismus - The inability to tolerate penetration at all (vaginismus) is one of the reasons why pelvic floor therapy exists.  There is a strong muscular component to most women who have this disorder and therefore there is so much help and room for improvement in the vast majority of cases with pelvic floor therapy!

  • Pudendal Nerve Pain - Pain, numbness or tingling in the pelvic floor.  You can also have the feeling that there is a foreign object stuck in your bottom. Rehabilitation that considers the whole body (including the pelvic floor, pelvis, and abdomen) is very effective in the vast majority of cases. 

  • Coccyx/Tailbone Pain - Coccyx pain is pain in the tailbone area.  It can feel like pain or sometimes even the feeling that there is a hole in your pelvic floor.  This particular pain is often caused by the tailbone getting “stuck” in the wrong position and it takes a special skill set to help the bone return to its pain-free home.  Coccyx function is especially common after vaginal childbirth due the the baby’s head passing through that pelvic outlet

  • Low Back Pain, Hip, Groin Pain - There can be orthopedic injury during birth due to the prolonged positions sometimes required.  Pain and dysfunction in the hips and pubic bone can start during pregnancy and not be immediately relieved when one is no longer pregnant.  Core weakness and relative inactivity in the early postpartum weeks can lead to new-onset back pain.  Occasionally, somebody will also have pain at their epidural site

  • Sciatica - Nerve pain down the leg, often from compression from the muscles in the back of the hip and pelvis. Opening up the back of the hips, correcting inefficiencies in the system and strengthening weak components of the body is the key to success. 


Bladder / Bowel Health 

  • Urinary Incontinence

  • Bladder Prolapse/Cystocele

  • Urethrocele

  • Incomplete Bladder Emptying 

  • Chronic Urinary Tract Infections

  • Urinary Urgency/Frequency 

  • Difficulty Initiating Urine Stream

  • Overactive Bladder Syndrome

  • Interstitial Cystitis/Painful Bladder 

  • Constipation