First, your physical therapist will ask you a series of questions related to your symptoms. We understand that the pelvic floor and associated symptoms with dysfunction are personal and we strive to provide a safe and comfortable environment in which you feel you can express your symptoms and concerns freely.
Your therapist will evaluate your movement, joints, and muscles surrounding the pelvis and core. If you are an appropriate candidate, your therapist may perform an internal examination of the pelvic floor muscles that are located inside the pelvis to adequately assess how the muscles work together and activate, their strength, ability to relax, and general ability to function appropriately. This part of the assessment is not always indicated and is only performed if you consent and agree it will be helpful.
Often the muscles may require manual therapy to release trigger points or general muscle tightness. Other times the muscles may be weak and under-active, and primarily require strengthening. After your assessment, your therapist will provide you with strategies to address any myofascial restrictions found, manage symptoms, and strengthen or relax the pelvic floor muscles.
