Pelvic Floor Physical Therapy

Riverside's therapists evaluate pelvic dysfunction by utilizing a holistic approach to assess the entire person and using our knowledge of all body systems to create treatment plans that include exercise, modalities, manual therapy, coordination training, education, behavior/lifestyle management, and working with other healthcare providers to create an individualized plan, tailored to your needs. Pelvic floor therapy can help address:

• Bowel or bladder leakage
• Bowel or bladder frequency
• Bowel or bladder urgency
• Urinary retention/incomplete emptying
• Constipation
• Irritable Bowel Syndrome
• Hemorrhoids 
• Symptoms of Menopause
• Interstitial Cystitis 
• Pelvic Pain or Trauma (including, but not limited to)
  
  • PCOS
  • Endometriosis
  • Adenomyosis
  • Pregnancy 
  • Post-partum
  • Prostatitis
  • Benign prostatic hyperplasia
  • Lichens sclerosis and/or planus
• Sexual dysfunction (including, but not limited to)
  • Erectile Dysfunction 
  • Decreased Sexual Desire and/or Sensation
  • Difficulty with Orgasm
  • Pain with Sexual Activity
• Hip or back pain that has not responded to “traditional” PT
  • See Cozean Pelvic Dysfunction Screening
• Pelvic Prolapse 
  • Cystocele
  • Enterocele
  • Rectocele
  • Uterine prolapse
  • Vaginal prolapse
• Postoperative care (prostatectomy, endometrial excision, hysterectomy, prolapse repair, post-colostomy, gender affirming care)

Anybody of any age. Our goal at Riverside is not only to assist you with pelvic dysfunction, but to prevent it. Whether you are preparing to become sexually active, having trouble with orgasm, struggling with tampon use, wetting the bed, leaking with workouts, scheduled for a prostatectomy, or wondering how to stay healthy during and following a pregnancy — we know this can be an intimidating process and are here to meet you where you are with the professionalism, respect, and quality of care you deserve.

 

The first visit (evaluation) will consist of an in-depth review of your health history in a private treatment room to allow you time to get comfortable with your therapist, decide if follow up visits are appropriate, and develop a treatment plan together. The evaluation usually includes an evaluation of the strength and flexibility of the muscles around the pelvis. Pelvic floor physical therapists have advanced training in examination techniques that involve touching the muscles of the pelvic floor from within the vagina or rectum. The therapist will discuss these evaluation techniques with you and together you can decide if these tests are necessary and relevant for your condition. Ensuring your privacy and comfort are our priority. 

Follow-up visits may include education, exercise, and/or manual therapy. Our patients generally follow up for a total of 2-10 visits over the span of weeks to months. But, no two patients are alike, and no two plans are the same. Care plans are a collaboration between providers and patients to meet goals that are relevant to you. 

Come dressed comfortably for your first visit, exercise clothes are great! If your doctor has prescribed you medication for pain, continue to take it as directed. It is ok to come in for visits if you are menstruating, or if you do not wish to do internal physical examinations or treatment. Depending on what you are coming in for, we may recommend bringing specific clothing for follow up visits. If you are having difficulty scheduling due to concerns related to child or other caretaker duties, please speak with your therapist.