For
Referring Practitioners
This video was created to demonstrate 3 tests that can be useful in determining which patients with CPP would benefit from further examination and treatment by a specialized pelvic physical therapist for musculoskeletal dysfunction.
PDF Document Describing the 3 tests in the Video with References
REFERRAL PAD in Adobe PDF Format
“UR-CHOICE Pelvic Floor Disorders Risk Calculator” – taking into account many factors, this calculator provides guidance as to the risk of pelvic floor trauma during birth and enhances decisions patient and clinical decision making.
- Pelvic Physical Therapy
- Weakness of pelvic floor muscle – urinary / fecal incontinence, prolapse, male and female, elderly and pediatric
- Complete evaluation of PFM function and causes of symptoms
- Specific PFM strengthening with and without biofeedback (EMG, imaging ultrasound)
- Proper abdominal muscle contraction and training
- Body mechanics and posture
- Bladder, bowel training, fluid and food education
- Electrical stimulation for OAB
- Weakness of pelvic floor muscle – urinary / fecal incontinence, prolapse, male and female, elderly and pediatric
- Pelvic floor muscle tension myalgia – spasm & pain, levator ani, vaginismus, vulvodynia, dyspareunia, coccygodynia, IC, endometriosis
- Complete evaluation of primary & secondary musculoskeletal pelvic dysfunction
- Treatment of joint dysfunction – lumbar, SI, pubic, coccyx, hip
- Relaxation training for PFM with and without feedback (EMG)
- Exercise for trunk and leg muscles to stretch and strengthen
- Manual techniques to scars and tight tissues – pelvis, vagina, rectum – internal and external
- Vaginal dilators with and without biofeedback
- Pain reducing modalities – TENS, HP, CP, US
- Education on self management, relaxation, decrease stress response
- PFM Incoordination – Obstructed defecation, urinary retention
- Biofeedback – EMG, imaging ultrasound
- Pain reducing modalities
- Exercise to increase functional activity level
- Swelling management and lymphedema
- Manual lymphatic drainage
- Multilayer compression bandages
- Pneumatic, gradient, sequential pump
- Measurement and fitting of compression garments
- Patient education on self care
- Orthopedic, peripheral vascular, wounds and lymphedema
- Obsterical physical therapy
- Prenatal and postpartum musculoskeletal pain (sciatica, low back, pubic symphysis, neck, wrist – carpal tunnel syndrome)
- Therapeutic exercise to stretch tight muscles
- Manual stretching of specific muscle spasms
- Joint mobilization
- Heat packs
- Education on body mechanics, posture and self care
- Support binders and straps
- Mastitis
- Ultrasound
- Massage to open milk ducts
- Myofascial stretching of pectorals
- Education on nursing positions
- High risk OB (can help patients adhere to bed rest longer)
- Pain treatment as above
- Establish maintenance exercise program
- Prenatal and postpartum musculoskeletal pain (sciatica, low back, pubic symphysis, neck, wrist – carpal tunnel syndrome)