Pelvic Rehabilitation

In the same way you’d seek rehab for a hamstring tear, damaged pelvic floor muscles also need rehabilitation

Aurora BayCare’s pelvic rehabilitation program is designed to treat men and women with pelvic pain and incontinence. We also have specialized pediatric pelvic rehab services for children (ages 7 and older) with urinary and bowel incontinence.

Common Pelvic Conditions

The pelvic floor muscles run like a hammock from your pubic bone to your tailbone. These muscles and ligaments support the bladder, uterus (for women), urethra and rectum. They hold your organs in place and help them function properly.

Many factors can weaken your pelvic floor muscles, including pregnancy, childbirth, age, weight and lifestyle. Pelvic floor therapy can strengthen and/or lengthen these muscles to reduce incontinence and pain.

Our physical therapists work closely with your healthcare provider to coordinate care and refer you to specialists for further treatment options as needed.

Men’s Pelvic Complaints

Pelvic pain is not just a women’s issue, but few organizations have the staff and expertise to treat men’s pelvic pain. At Aurora BayCare, we have multiple specialists in male pelvic pain. See us if you’re having genital or groin pain, incontinence, or any pelvic pain that interferes with sitting or exercising.

  • Abdominal pain
  • Burning with urination (chronic prostatitis)
  • Incontinence: Pelvic rehab can address urinary incontinence and other conditions such as fecal incontinence, urinary retention, and chronic constipation.
  • Interstitial cystitis: This chronic condition is characterized by uncomfortable bladder pressure, bladder pain, and sometimes pelvic pain.
  • Tailbone pain: Pain in or around the bony structure at the bottom of the spine can be caused by trauma during a fall, prolonged sitting on a hard surface, or degenerative joint changes.

Women’s Pelvic Complaints

Our team of women's rehabilitation specialists provide care for women who experience pain or complications from the following conditions:

  • Childbirth: Pregnancy and childbirth can put a lot of stress on your pelvic floor muscles and nerves.  Damage to your pelvic floor can cause all sorts of problems including incontinence, pelvic pain, constipation, diminished orgasm, pain during exercise, or pain during sex.
  • Dyspareunia: Painful sexual intercourse and inadequate orgasms may be treatable by rehabilitation therapy.
  • Tailbone pain: Tailbone pain can be caused by or childbirth or other factors. (see above)
  • Vaginal pain: Some women experience pain and sensitivity around the vaginal opening. Intercourse is usually impossible. Sitting, walking, or wearing jeans can be irritating.  Pain often spreads to the surrounding areas. (In medical terms, this is called vestibulitis or vulvodynia.)
  • Vaginal tightening:  An involuntary tightening of the vagina may be a subconscious effort to prevent penetration during intercourse or gynecological exams. In some cases, the body "remembers" past trauma from events such as a painful childbirth, painful gynecological exams, or physical or sexual abuse. The vaginal muscles may spasm or guard to prevent any further trauma. (In medical terms, this is called vaginismus.)

Pediatric Pelvic Rehabilitation

Bowel and bladder control can be an emotional issue for a child. As parents, you may be feeling frustrated because you don’t know how to help. It’s okay. We do. Our pediatric pelvic rehabilitation specialists help children learn to manage their bowel and bladder function.
We use biofeedback, exercises, and other therapies to teach your child how to overcome problems like bedwetting, bladder accidents, bowel leakage, and constipation.

Treatment Goals

At Aurora BayCare, pelvic floor rehabilitation specialists provide treatment therapies to retrain and strengthen your pelvic muscles so that they are better able to support the pelvic organs and control function. Increased muscle support makes it easier for patients to manage conditions like urinary incontinence, pelvic prolapse and pelvic pain. Common therapeutic goals include:

  • Decreased pelvic pain
  • Greater tolerance for sitting and walking
  • Improved bowel and bladder control
  • Improved sexual function

Treatment Plan

There are several approaches pelvic pain treatment, for both men and women. Your treatment plan may include:

  • Biofeedback
  • Internal assessment of the pelvic floor muscles
  • Electrical stimulation for pain control or strengthening
  • Lengthening exercises
  • Manual therapy techniques to improve muscle and bone alignment
  • Pelvic floor exercises (Kegels)
  • Therapeutic ultrasound

Your pelvic floor muscles are important for continence, sexual health, and general support for your pelvic organs.  You don’t have to live with incontinence or pelvic pain.

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