The ins and outs of Pelvic Floor Therapy

What is the pelvic floor? 

The pelvic floor is a group of muscles surrounding the anus and sex organs that helps support the bladder, anus, and in women, the uterus. Think of it like a hammock that holds these important organs. If you think of “the core” as a box, the pelvic floor is the bottom of the box, with the abs at the front, the oblique muscles on the sides, the low back muscles at the back, and the diaphragm as the top of the box. As such, it works in concert with these and other muscles to support posture, breathing, urinary and bowel continence, and sexual function. 

What can cause problems with the pelvic floor? 

Many things! Both women and men can experience some form of pelvic floor dysfunction. Specific to women, pregnancy and childbirth can be hard on the pelvic floor. Carrying a baby to term places a lot of pressure on the pelvic floor, and delivery can cause stretching and tearing of the pelvic floor. After pregnancy, or later in life, this can produce issues like organ prolapse (when the bladder, uterus, or anus are sitting too low in the abdominal cavity), urinary or anal incontinence, or pelvic pain. Women and men both experience hormonal changes later in life, which can also lead to pelvic floor dysfunction. These changes can manifest as vaginal dryness, pain with sex, and/or urinary incontinence. Sometimes, in both women and men, the pelvic floor muscles can be too tight (just like a tight hamstring). This can lead to constipation, back pain, or difficulty initiating the flow of urine. Abdominal surgeries, such as hysterectomies or bladder slings, can also contribute to pelvic floor dysfunction. 

What can you do about it? 

If any of these issues resonate with you, talk to your doctor and ask for a referral for pelvic floor rehabilitation at Shoshone Medical Center. Our specially trained physical and occupational therapists can help you recover. There are specific exercises, stretches, breathing techniques, and lots of other tips and tricks to get things working right again. We can also help your doctor refer you to OBGYN, proctology, or urologic care if that is needed. 

There is nothing to fear! 

At Shoshone Medical Center rehab, we will ensure your safety, security, privacy, and comfort during your care. You will be in good hands, and we will listen to your concerns and progress accordingly. Have no fear, pelvic floor therapy is here!