Sarton Physical Therapy

Hope and healing for pelvic floor dysfunction

Diagnoses | Sarton Physical Therapy

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Pelvic Floor Physical Therapy: Diagnoses Treated

Pelvic floor muscular dysfunction presents in 2 basic ways:

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A hypertonic pelvic floor
Overactivity and spasm (also known as pelvic floor tension myalgia or pelvic floor muscle spasm).
Common signs and symptoms of a hypertonic pelvic floor:
Achy pelvic discomfort or pressure
Dyspareunia (pain during or after intercourse)
Vaginal, perineal or rectal pain (sharp, burning, throbbing, or radiating)
Pain in the abdomen, lower back, coccyx, suprapubic area, or hips
Urinary hesitancy or retention
Painful urination
Urinary urgency/frequency
Pain with prolonged sitting (coccyx pain or seat bone pain)
Inability to use tampons
Pain with annual pelvic examination
When a hypertonic pelvic floor is present, patients typically present with various pain syndromes such as Interstitial cystitis, vulvodynia, vulvar vestibulitis ( vestibulodynia), coccydynia, painful intercourse (dyspareunia) and pudendal neuropathy.  These diagnoses are among the many pain syndromes routinely treated in our practice.  While each of these conditions is very different in terms of presentation, the common denominator that exists between them is muscular hypertonicity of the pelvic floor.
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A hypotonic pelvic floor
Laxity and weakness.

Common signs of a hypotonic pelvic floor:
Stress urinary incontinence
Urge urinary incontinence
Mixed urinary incontinence
Fecal incontinence
Gas incontinence
Pelvic organ prolapse - bladder
Pelvic organ prolapse - uterine
Pelvic organ prolapse - rectal
Treatment for these conditions is very different than those for a hypertonic pelvic floor as weakness and laxity are often hallmark characteristics.  Strengthening of the inner core and the pelvic floor is the foundation of treatment for pelvic floor laxity.  Each patient’s individualized plan of care is established only after a thorough evaluation by one of our pelvic floor PT specialists is completed.
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Specific diagnoses we treat:

Pelvic Pain and Sexual Pain Conditions:

Pelvic floor tension myalgia/pelvic floor muscle spasm.
Levator Ani syndrome
Vulvar vestibulitis or vestibulodynia
Painful intercourse (dyspareunia)
Interstitial cystitis / Painful bladder syndrome
Urinary urgency/frequency
Male chronic pelvic pain or “prostatitis”
Pudendal neuropathy/ neuralgia

Musculoskeletal Dysfunction:

SI joint dysfunction
Coccyx or tailbone pain
Pubic pain
Lumbosacral strain
Abdominal wall hernia - diastasis recti
Piriformis syndrome
Low back, hip, pelvic problems that haven’t responded to previous physical Therapy

Bladder Dysfunction:

Urinary incontinence- stress, urge, or overactive bladder
Voiding difficulties or urinary retention
Urinary urgency/frequency

Bowel Dysfunction:

Fecal or gas incontinence
Irritable bowel syndrome

Post Surgical Dysfunction:

Adhesions and scar tissue formation after plastic, gynecologic, urologic, intestinal, or cancer-related surgeries
Breast care program - Post mastectomy

Pre and Post Partum Dysfunction:

Pelvic or low back pain during and after pregnancy
Pregnancy related incontinence
Pregnancy related pubic symphysis split

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