In my last few posts, I discussed what the pelvic floor is, what dysfunction could look like, and how pelvic floor dysfunction is assessed. Today I’ll be discussing how pelvic floor dysfunction is treated. As mentioned in my last post, pelvic floor dysfunction could look like urinary leakage, fecal/gas leakage, constipation/diarrhea, vaginal/pelvic heaviness, bladder/urethral pain, pelvic pain, abdominal discomfort or weakness, lower back pain, and more.

After I’ve conducted a thorough assessment based on someone’s symptoms, I begin prescribing treatment based on my findings. Treatment is going to look very different and individual based on the person. Here’s a summary of some types of treatment often included:

Breathwork is a huge component of pelvic floor therapy. This is because breathing is correlated with our pelvic floor muscle movement. Not only can specific breathwork be very relaxing and calming for our bodies and minds, but it helps us improve our muscle coordination. I often discuss with patients how to connect their breath to pelvic floor muscle movement. Breathing mechanics also come into play when we discuss exercises, muscle activation, pressure management, pain management, pushing mechanics (if preparing for a vaginal delivery) and so much more.

Manual treatment may be indicated if I find that someone has muscular or other tissue restrictions that could be impeding their function and contributing to their symptoms. This could be external manual treatment, such as cupping for low back pain or stretching of hamstrings. Or it could look like internal manual treatment (either vaginally or rectally) if the patient is open to this form of treatment. This would be indicated if I thought someone’s pelvic floor muscle tightness could be causing their pain or dysfunction.

There are various forms of exercise that may be included in treatment. These include exercises that work on stretching, strengthening or endurance. Exercises are specifically chosen based on the individual and their needs. Strength and endurance exercises often transition to functional activities such as squatting, stair climbing, lifting or running. After discussing the treatment plan in the clinic, I put together a program that the patient can easily follow at home to help them move toward their goals.

A huge part of my treatment philosophy includes lots of education. There is just so much about pelvic floor health that we are not taught in school or by our regular providers. I love educating people on their own anatomy and physiology as well as what is considered “normal” when it comes to pelvic health.

Lastly, lifestyle and behavioral modifications often come up during treatment. For example, if someone is experiencing constipation, there are a lot of day to day changes or modifications that can be made to help their symptoms. These could include using a squatty potty, increasing water intake, increasing fiber intake, increasing physical activity or taking time to breathe properly on the toilet rather than straining and rushing to go as quickly as possible.

This is a very general summary of treatments I offer but I hope it gives you an idea of what to expect when seeking treatment with me, or another pelvic health specialist. If you are interested in learning more about how you may benefit from pelvic floor physical therapy, you are welcome to schedule a free virtual consultation with me or get on the mailing list to learn about upcoming prenatal & postnatal fitness classes. Feel free to email Mariam@TahaPT.com or reach out via Instagram (@TahaTrainingandPT).

By Dr. Mariam Taha, PT, DPT, CSCS

Mariam is a Doctor of Physical Therapy specializing in pelvic health and owner of Taha Training and Physical Therapy. Mariam received a Bachelor’s Degree in Exercise Physiology and Doctorate of Physical Therapy from the University of Massachusetts Lowell. She has done extensive continuing education coursework in pelvic health and has a Certificate of Achievement in Pelvic Health from the American Physical Therapy Association. She is also a strength and conditioning specialist. Mariam always strives to make physical therapy an enjoyable experience and is motivated by working with a variety of patients. She believes in helping everyone achieve a healthier lifestyle.

Taha Training and Physical Therapy offers pelvic floor physical therapy, personal training, and small group training. They specialize in pelvic floor therapy as well as labor and delivery preparation. Sessions are offered virtually and in-person at their Brookline location. Check out their website to schedule your free consultation to learn more! www.TahaPT.com

How is Pelvic Floor Dysfunction Treated?

How Is Pelvic Floor Dysfunction Assessed?