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How Do You Know You Need Pelvic Floor Physical Therapy?

How Do You Know You Need Pelvic Floor Physical Therapy?


6 minute read

If you're feeling pain around your pelvic region, struggle with everyday tasks, or have problems when you need to go to the loo, you’ll likely benefit from pelvic floor physical therapy. 

If you’re not, well, these are only a few of the signs suggesting you need this therapy. But there are still a couple of other things you should know. So let's take a closer look at pelvic floor physical therapy and the signs that you would benefit from it.

What's Pelvic Floor Physical Therapy?

Pelvic floor physical therapy is a type of physical therapy that focuses on your ligaments, tissues, and pelvic floor muscles. Its goal is to increase your strength and mobility while decreasing your pain and suffering.

There’s no surgery required with this therapy. Instead, it includes physically exercising your pelvic floor muscles with Kegel exercises and other approaches.

What are Kegel exercises? Kegels are workouts that strengthen your pelvic floor muscles. They feature repetitive, prolonged, fast voluntary muscle contractions—but not anyone can do them. The physiotherapist who does the therapy must have specialized training—so be sure to ask them if they can do it before signing up.

But before you get the therapy, you might wonder why this physical therapy concentrates on your pelvic floor's muscles, ligaments, and connective tissues. It's easy! These areas support your pelvic organs (such as your uterus). They also help with sexual activity and stop you from leaking when you gotta go.

But here’s an important fact: It’s best to address pelvic floor problems early, or you risk getting more severe illnesses, including pelvic organ prolapse (POP). 

6 Signs You Need Pelvic Floor Physical Therapy

1. You're Experiencing Bowel and Bladder Issues (Including Incontinence)

If you're suffering from bowel or bladder issues, it's a good idea to seek pelvic floor physical therapy (even if you don’t want to talk about it). 

These are some of the symptoms to look out for: 

  • Urine and fecal incontinence: When you sneeze, laugh, yell, exercise, or cough, you may unintentionally leak or pass stool/urine. This is due to weak pelvic floor muscles, which cannot hold back your bladder or bowel movements. 
  • Pain while peeing or pooping: It’s not comfortable to talk about, we know, but pain while you’re peeing or pooping is usually a good sign you need pelvic floor therapy.
  • Pain in other areas of your reproductive system: Particularly when you’re having sex, moving heavy objects, or working out. This pain may not indicate something serious, but if left unchecked, it can cause chronic inflammation—so it’s not a good idea to ignore it.
  • Urinary and bowel urgency: Ever had an uncontrollable, sudden desire to pee? If you do, and it ends in embarrassing moments, then it’s a good sign you need therapy. 

2. You're Under Constant Pelvic Pain

Do you ever get sharp pain around your pelvic area? It’s nothing dire, but seeing a pelvic floor therapist is still a good idea. It’s better to play it safe…as you know, better safe than sorry. 

In most cases, constant ongoing pain in your pelvic region may indicate pelvic floor dysfunction, which is fixable with pelvic floor physiotherapy. Usually, pressure points on your muscles are causing your pelvic floor pain (more so if they are weakened or injured).

And this happens to the best of us! So, rest assured that pelvic floor therapy will aid in regenerating injured tissues and ligaments, alleviating your pain and suffering. Basically, you’ll be back to partying in no time!

So, if you're tired of dealing with that annoying pelvic pain, why not give a pelvic floor physiotherapist a try?

3. You're Experiencing Sexual Dysfunctions

Now let's talk about something that many people may not be used to discussing: sexual dysfunction. 

Do you ever feel pain during sex, lack sexual desire, or have trouble reaching orgasm? You’re not facing this alone—these are common symptoms that many people experience.

Did you know that the pelvic area is crucial in sexual functioning? It houses your sexual organs and helps you move during intercourse, making sex more pleasurable and exciting.

However, if the pelvic floor’s muscles, tissues, and ligaments become damaged, it can impair the movement and normal functioning of the pelvic organs, leading to sexual dysfunction.

But here's the good news—pelvic floor physical therapy can help!

By healing injured pelvic floor muscles and reducing discomfort, you can improve your sexual functioning and enhance your overall experience. Pelvic floor therapists are experts in this area and can work with you to develop a personalized treatment plan to address your specific needs.

So, if you're struggling with sexual dysfunction, don't suffer in silence. Consider contacting a physical therapist to help you get back on track and start enjoying sex again. You deserve to feel good.

4. You're having Pregnancy and Postpartum Problems

Did you know that over 20% of new moms experience pelvic floor disorders (PFDs)? That’s according to research from Lifespan and the National Center for Biotechnology Information (NCBI) [2].

So, what happens?

During pregnancy, hormonal changes cause the pelvic muscles to loosen, and when combined with the baby’s weight, this can weaken the pelvic floor and increase the likelihood of PFDs.

The good news is that there are ways to address this:

  • Physical or manual therapy is a great option for new moms who want to rebuild the strength of their pelvic floor muscles after delivery.

  • With specific exercises and targeted therapy, pelvic floor physical therapy can also help strengthen the pelvic area’s muscles, tissues, and ligaments, relieving any pelvic pain or discomfort.

And that’s all we want...to feel like us again!

So, if you're a new mom dealing with PFDs or pelvic pain after giving birth, don't suffer in silence. Pelvic floor physical therapy is a safe and effective way to address these issues and get you back to feeling like yourself again.

5. You're Constipated

If you're having trouble emptying your colon and are experiencing thin stool, acute discomfort during excretion, or the sensation of incomplete toilet trips, it could be a sign of PFDs. 

This is usually caused by a lack of coordination between your pelvic floor muscles and the abdominal muscles, but it’s quite normal and can happen to anyone.

In fact, 50% of chronic constipation patients also suffer from pelvic floor disorders (PFDs). According to a study b

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