It depends on the patient and how long they have had the symptoms/condition for, how many other related systems are involved if there are any other contributing factors, like allergies and dietary restrictions, or any other injuries. Obviously, the more complex the case is, the longer it may take. For example, a patient who has had pain for 2 years, a hip labral tear, a herniated disc, pelvic pain, constipation, a high-stress job, and nutritional deficits, versus a patient who fell on their tailbone a week ago and is in today for coccyx pain with no other conditions.

The majority do. Our office accepts most insurances out of network and will file a claim on behalf of the patient. For more details on your own insurance and what it offers, you can talk to our billing manager/department. We are here for you and can give you a better understanding of what will be covered.

Everything that a regular physical therapist does and more. We are experts in the musculoskeletal system, which includes all the bones, muscles, and joints in the body along with the structures that work with them, such as your nerves, organs, and arteries. We utilize a lot of different techniques to address identified restrictions within this system to promote more optimal function so that you can move better and lift heavier, but also stop having pain and other symptoms. We guide you through proper positioning, posture, relaxation techniques, home exercise, and pain management strategies, but since we are pelvic health specialists, we also dive deep into education on pain science, nutrition, toileting, bowel, and bladder health, as well as can discuss the physical aspects of sexual function and how to improve that.

While in rehabilitation, there are some activities that may be too much right now for the pelvic floor and can overwhelm the system. The strength, flexibility, and endurance have to be increased to be able to handle harder tasks. Anything that causes pain, bladder leaking, causes you to hold your breath and strain, or forces you to compensate or lose form, could be detrimental to your rehab progress. Pelvic floor exercises and Kegels are appropriate in only certain conditions of pure weakness and sometimes are overutilized. In most cases, these exercises can aggravate pelvic pain and pelvic floor dysfunction conditions.

Yes, but we prefer to use the word manual therapy rather than massage. Our physical therapists perform soft tissue mobilization and trigger point release or myofascial release to the pelvic floor muscles. Muscles are muscles, so increasing the blood flow, decreasing the myofascial restrictions, and decreasing the spasm/tone are all addressed through manual techniques to these specific muscles. It does typically require an internal vaginal or internal rectal approach because that is where the muscles live. The muscles surround the urethra, bladder, anorectal and genital regions; therefore, if there are restrictions or issues in the surrounding muscles, nerves, or organs it can cause pelvic floor dysfunction, including bladder and bowel problems, sexual dysfunction and abdomino-pelvic pain.