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Pelvic Floor Physical Therapy for Dysfunction and Pain

Pelvic Floor Physical Therapy in Edmonton.

Pelvic floor physical therapy is a specialized branch of physical therapy that focuses on treating dysfunction and pain related to the pelvic floor muscles. The pelvic floor plays a crucial role in supporting pelvic organs, bowel and bladder function, sexual function, and overall core stability. When these muscles become tight, weak, or dysfunctional, it can lead to various issues, including pelvic pain, urinary or fecal incontinence, and sexual dysfunction. Pelvic floor physical therapy aims to assess and address these problems through targeted exercises, manual techniques, and education.

Understanding the Pelvic Floor

The pelvic floor consists of a group of muscles and connective tissues that form a sling or hammock-like structure at the base of the pelvis. These muscles support the pelvic organs (bladder, uterus, and rectum), help control bladder and bowel function, and contribute to sexual arousal and orgasm.

Common Conditions Treated with Pelvic Floor Physical Therapy

Pelvic floor physical therapy is beneficial for treating a variety of conditions, including:

  1. Pelvic Pain: Chronic pelvic pain, including conditions like pelvic floor dysfunction, vulvodynia, and interstitial cystitis, can be effectively managed through pelvic floor physical therapy.
  2. Urinary Incontinence: Both stress incontinence (leakage with activities like coughing or sneezing) and urge incontinence (sudden, intense urge to urinate) can be addressed with pelvic floor exercises to strengthen and coordinate the muscles.
  3. Fecal Incontinence: Loss of control over bowel movements can be improved by strengthening pelvic floor muscles and learning techniques to enhance bowel function.
  4. Sexual Dysfunction: Pelvic floor physical therapy can help improve sexual function by addressing issues such as pain during intercourse, difficulty achieving orgasm, or vaginal tightness.
  5. Prenatal and Postpartum Care: Pelvic floor exercises and education can prepare women for childbirth, aid in recovery post-delivery, and address any pelvic floor issues that arise during pregnancy or after giving birth.

Treatment Approaches in Pelvic Floor Physical Therapy

Pelvic floor physical therapy is highly individualized and may include:

  • Manual Therapy: Hands-on techniques such as myofascial release, trigger point release, and soft tissue massage to relax and release tight muscles.
  • Biofeedback: Using sensors to monitor muscle activity and provide visual or auditory feedback to help patients learn to relax or contract pelvic floor muscles correctly.
  • Therapeutic Exercises: Targeted exercises to strengthen weak muscles, improve muscle coordination, and enhance overall pelvic floor function.
  • Behavioral Strategies: Techniques to improve bladder and bowel habits, such as timed voiding and dietary modifications.
  • Education: Providing patients with knowledge about pelvic anatomy, optimal posture, and strategies for managing symptoms at home.

Benefits of Pelvic Floor Physical Therapy

  • Non-Invasive: Pelvic floor physical therapy offers a non-surgical, conservative approach to managing pelvic floor dysfunction and pain.
  • Improved Quality of Life: By addressing pelvic pain and dysfunction, patients often experience improved bladder and bowel control, reduced pain during intercourse, and enhanced overall well-being.
  • Customized Care: Each treatment plan is tailored to the individual’s specific symptoms, goals, and needs, ensuring a personalized approach to care.

Finding a Pelvic Floor Physical Therapist

When seeking pelvic floor physical therapy, it’s essential to find a therapist with specialized training and experience in this area. They should be able to conduct a thorough evaluation, create a customized treatment plan, and provide ongoing support and guidance throughout the therapy process.


Pelvic floor physical therapy is a valuable treatment option for individuals experiencing pelvic pain, urinary or fecal incontinence, sexual dysfunction, and other pelvic floor issues. By addressing muscle imbalances, improving muscle coordination, and providing education on pelvic health, physical therapists help patients regain function, reduce pain, and improve their quality of life. If you are experiencing pelvic floor dysfunction or pain, consider consulting with a pelvic floor physical therapist to explore how therapy can benefit you.