Pelvic Floor Dysfunction

The pelvic floor is a group of muscles, ligaments and connective tissue that spans across the
base of your pelvis. They provide control in prevention of urinary and fecal incontinence and
support the pelvic organs, such as the rectum, bladder, uterus, etc.
Individuals who suffer from pelvic floor dysfunction may have insufficient strength or excessive
tension to properly control this group of muscles. This can interfere with urination, defecation or
participation in sexual activity.

Pelvic floor dysfunction can affect men, women and children. It is often associated with women
who are pregnant and postpartum, but can affect individuals of all ages.

The most common symptoms of pelvic floor dysfunction include:
• Urinary frequency/urgency
• Pain in the pelvis or low back
• Increased pressure or heaviness within the vagina or rectum
• Muscle spasms in the pelvic region
• Constipation or difficulty with bowel evacuation
• Pain or discomfort during sexual activity
• Urinary or fecal incontinence

What causes pelvic floor dysfunction?

Pelvic floor dysfunction can occur with or without a specific mechanism. This condition is often
associated with events that weaken the pelvic floor muscles or connective tissue. This can
include childbirth, inactivity, excessive breath-holding and/or straining, nerve damage, trauma to
the pelvic region, obesity, and age.

How can physical therapy help pelvic floor dysfunction?

Following a comprehensive evaluation including an orthopedic and pelvic floor assessment, our
therapists will tailor an individualized plan to treat your specific status and condition. We utilize
various, skilled techniques including, but are not limited to, myofascial release, internal and
external manual therapy, visceral mobilization, muscle energy techniques, therapeutic exercise,
biofeedback training, relaxation and mindfulness training, therapeutic cupping, bladder
retraining and vaginal trainer/dilator therapy.

I think I could benefit from pelvic floor physical therapy! What are my next steps?

If you believe that you may be a good candidate for pelvic floor physical therapy, discuss your
symptoms with your doctor and request a referral to Carolina Strong Physical Therapy to begin
your rehab journey to wellness and recovery. If you have any additional questions or concerns,
please contact our office and our Pelvic Floor Physical Therapy Specialists would be happy to
discuss your condition further.