What is Pelvic Health Physical Therapy?

What is Pelvic Health Physical Therapy?

It’s a new year and Elizabeth Rogers Pilates & Physical Therapy has a new program that is now up and running. We thought it would only be appropriate to kick off our new blog introducing the new pelvic health physical therapy program!

The pelvic floor muscles are increasingly gaining time in the spotlight, most commonly thought of in reference to the famous (or infamous?) ‘Kegel’ strengthening exercise. In all reality, the pelvic floor is like Grand Central Station for our body. It includes a complex group of muscles, nerves, tendons, ligaments, and fascia. In both males and females, the pelvic floor works in conjunction with core muscles and the abdominal diaphragm to assist with the 5 S’s: sexual functioning, support (of pelvic organs and posture), sphincter control (maintains bowel/bladder continence), sump pump (lymphatics and blood flow), and stability (for lumbar spine, hips, and pelvis).

So what is pelvic health physical therapy? Pelvic health PT is a non-surgical approach for both men and women aimed at resolving impairments that arise from dysfunctions within the pelvic floor. Example impairments include but are not limited to unresolved low back/hip pain, poor core functioning, urinary urgency/incontinence (including overactive and/or painful bladder), fecal incontinence, constipation, pain with sexual intercourse, pelvic organ prolapse, and pelvic girdle pain. When patients present with these concerns, a pelvic health PT will perform a comprehensive assessment of the pelvic floor via specific internal palpation. If this sounds strange, think of it this way: you would never have your shoulder treated by a physical therapist without having them test and palpate the muscles of the shoulder first. Through internal palpation, the PT discerns whether pelvic floor muscles are overactive or underactive as well as whether they are coordinated with other muscle groups. A pelvic health PT also considers the orthopedic components that may be contributing to the individual’s symptoms (examples: overall alignment, gluteal/core strength, joint range of motion, and general balance abilities).

Upon examination, patients receive an integrative treatment approach that emphasizes current sources of dysfunction but also aims to prevent further concerns down the road (after all, prevention is the best medicine!). Treatment options typically include bowel/bladder behavioral modifications, manual therapy and soft tissue work, modalities, therapeutic exercise, patient education, neuromuscular re-training, and various types of biofeedback. These treatment options help with strength deficits, muscular coordination issues, tight muscles, tender points, sensitive nerves, and myofascial restrictions. Just like any muscle group in the body, pelvic floor muscles function the best when they share the work but also continue performing the action(s) they were designed to do in a pain free manner.

If you are wondering if any of this pertains to you or if you are experiencing any related symptoms, peek at the screening tool below. It can help you discern if you might be a candidate for pelvic health physical therapy. If you have any concerns, let us know! Kelsea Cannon, the new pelvic health specialist is ready and willing to help. Call Elizabeth Rogers Pilates & Physical Therapy to schedule today!

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Covid-19 Notice

06/09/2020 Covid-19 Notice:

Our clinics are open for in-clinic physical therapy visits, telemedicine physical therapy visits and virtual Pilates sessions. This allows us to comply as much as possible with the phased reopening of WA State, while also meeting our obligation as essential infrastructure workers. For in clinic treatment, the PT will wear a mask and patient needs to wear a mask of their own, social distancing is observed throughout the clinic and rigorous cleaning guidelines will be followed. At times during your treatment, it may not be possible for your PT to observe social distancing, such as during certain manual therapy techniques. The need for in-clinic treatment vs. telehealth treatment will be a joint determination between you and your PT. You may review our Covid-19 Exposure Control, Mitigation and Recovery Plan for the details of how we provide safe in-person care.

We are grateful for and support all of our clients who have been able to march and protest in support of Black Lives Matter. In order to continue to provide the safest clinic experience possible for our clients and providers, we are asking that any client who has participated in a march or protest do one of the following: 1.) Switch to telehealth visits for 14 days. 2.) Get tested for Covid-19 and provide us with negative results. Note that Seattle's mayor has cleared the way for those who march to get tested without symptoms and encourages participants to get tested. 3.) Wait 14 days after marching/protesting to return to the clinic. Thank you for understanding that this policy is in place to allow us to meet our responsibility to all clients, which is to do no harm.

We remain passionate about helping you improve and maintain the function of your movement system so that you can do the activities you love. We invite you to follow/Like our  Facebook page, where I am offering complimentary weekly Pilates mat class on Fridays at 7am. All are welcome to participate in these classes or view them anytime on our Facebook page.

Please contact me directly with any questions or concerns. Be in touch with your PT to schedule your physical therapy visit. We are available via clinic phone (206-535-7356) and email (elizabeth@elizabethrogerspt.com). We will update you here and our Facebook page as things change.

Thank you for your support of this small, locally-owned physical therapy private practice!

Elizabeth Rogers, PT

Owner, Elizabeth Rogers Pilates & Physical Therapy, PLLC