Pelvic Floor PT

Pelvic Floor Physical Therapy: Patient Information

What Is Pelvic Floor Physical Therapy?

Pelvic floor physical therapy (PFPT) is a specialized form of physical therapy that focuses on the muscles, ligaments, and connective tissues of the pelvic floor. These muscles support the bladder, bowel, and reproductive organs, and play a key role in core stability, bladder and bowel control, and sexual function.

Female Pelvic Anatomy Adapted from Alila Medical Media/shutterstock.com

Male Pelvic Anatomy Adapted from Alila Medical Media/shutterstock.com

Conditions Treated

PFPT may be recommended for:

• Urinary incontinence (leaking urine)

• Fecal incontinence

• Pelvic organ prolapse

• Pelvic pain (vaginal, rectal, tailbone, or lower abdominal)

• Pain with intercourse (dyspareunia)

• Postpartum recovery

• Constipation or difficulty with bowel movements

• Endometriosis-related pain

• Post-surgical pelvic rehabilitation

What to Expect During Your Visits

1. Initial Evaluation

   • Detailed history of symptoms, lifestyle, medical background

   • Postural, movement, and muscle assessment

   • External and (if appropriate) internal pelvic floor muscle examination

   • Discussion of goals and treatment plan

2. Treatment Sessions May Include:

   • Pelvic floor muscle training (Kegels or relaxation)

   • Biofeedback or electrical stimulation

   • Manual therapy (internal or external)

   • Education on bladder and bowel habits

   • Postural and breathing techniques

   • Home exercise program

FAQs

Is pelvic floor therapy only for women?
No. People of all genders can benefit from pelvic floor therapy. It is also commonly used in men for issues like post-prostatectomy recovery or chronic pelvic pain.

Will it be painful?
Therapists aim to work within your comfort level. Some techniques may cause temporary discomfort, but the goal is to reduce pain and improve function over time.

How long will I need therapy?
This varies. Some people see improvements within a few weeks, while others need ongoing care. Most people attend therapy for 6–12 sessions depending on the severity and type of issue.

Is it covered by insurance?
Pelvic floor PT is often covered under physical therapy benefits, but coverage varies by plan. It’s best to check with your provider.

Tips for Success

• Be consistent with home exercises

• Track symptoms and progress in a journal or app

• Don’t be afraid to ask questions or express concerns

• Stay hydrated and maintain regular bowel habits

• Follow your therapist’s guidance between visits

More information can be found at Saco Bay Physical Therapy, who offers Pelvic Floor PT at many of their offices.