PELVIC PHYSICAL THERAPY INFORMATION AND TREATMENTS

• Post Partum Incontinence*
• Urinary incontinence
• Fecal incontinence
• Pelvic organ prolapse
• Post Prostatectomy Incontinence *

Pelvic floor muscle spasm :

• PFM Relaxation*
• Vaginal and rectal penetration pain (Dyspareunia*)
• Levator ani syndrome*
• Vaginismus
   

Pelvic pain of all types:*

• Chronic Pelvic Pain*
• Sacroiliac
• Pubic symphysis
• Coccygodynia
• Hips, abdomen, low back, buttock
• Endometriosis, abdominal adhesions
• Interstitial cystitis
• Irritable bowel syndrome
• Fibromyalgia
• Vulvodynia - Vaginal Irritants*
• Prostatodynia

Pregnancy and post partum pelvic and low back pain

• Pain during Pregnancy*
• Post Partum Recovery*
• Musculoskeletal dysfunction related to pregnancy bed rest
   

• Pelvic floor muscle exercises (Kegel exercises*, What Can Physical Therapy do for Urinary Incontinence*)
• Neuromuscular re-education of the pelvic floor using EMG biofeedback
• Resources for Bladder Control*
• Vaginal weight training
• Vaginal dilators
• Soft tissue mobilization / myofascial release of scars and restricted tissue throughout the pelvis externally, vaginally and / or rectally
• Stretching and strengthening exercises (Flexibility*)
• Core strengthening of the trunk
• Patient education on exercises, posture and body mechanics, bladder training, self treatment and self care (Back Pain and Posture*, How to raise children without back pain*)
• TENS during labor
• Ultrasound, electrical stimulation and heat/cold as needed

LYMPHEDEMA INFORMATION AND TREATMENTS

• Wounds
• Post mastectomy lymphedema (Breast surgery and shoulder pain*)
• Lower leg and ankle swelling
• Primary lymphedema of the arms and legs

Lymphedema Precautions and Treatments:
 

• Multilayer compression bandaging
• Manual lymphatic drainage
• Patient education on swelling management and prevention*
• Lymphatic exercises
• Fitting and instruction in compression sleeves, stockings and night garments
• Gradient, sequential, pneumatic compression pump

The National Lymphedema Network provides education and guidance for lymphedema patients.