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Advocacy and Research

Pelvic Floor Physical Therapy on The Doctors!

By Riva Preil

Last week was a huge week for pelvic floor physical therapy! Fortunately, a very brave young woman named Nicole agreed to come forward and publicly speak about her near decade struggle with pelvic pain on daytime television. The popular syndicated talk show, The Doctors, is an hour long daytime program produced by father and son Phil McGraw and Jay McGraw (CBS Television Distribution). The series is a spin-off of Dr. Phil which itself is a spin-off of The Oprah Winfrey Show. The show features various medical care providers discussing a wide range of medical conditions.

On last week’s shows (November 13. 2013), Nicole was brought onto the show to share her story with Dr. Jennifer Ashton, a board-certified Ob-Gyn and attending physician at Englewood Hospital and Medical Center in New Jersey. According to Nicole, “I know that there are a lot of other people who are living in silence with this and I want them to know that it’s not their fault and they’re not alone.†After Nicole courageously shared her experience and perspective, Dr. Ashton reassured Nicole, “A lot of what’s really going to help you has nothing to do with what I did in my office, it’s pelvic physical therapy… We get conditioned to think that what’s going to go on in the doctor’s office will make such a big difference, sometimes that’s just the beginning…there are great pelvic physical therapists out there, it’s just a matter of finding a good one, and hopefully you did.†Fortunately, Nicole’s response was “Yes!†Thank you, Nicole, for stepping outside of your comfort zone for the sake of the many suffering in silence, and thank you, Dr. Ashton, for promoting pelvic floor physical therapy. May your testimony raise public awareness regarding the benefits of pelvic floor physical therapy and help bring others closer to their healing process. To see two clips from last week’s episode of The Doctors, please click on the links here and here.

—FAQ

Frequently Asked Questions

Pelvic Floor Disorders and Treatment

What is pelvic floor dysfunction and why does it happen?

Pelvic floor dysfunction is extremely common and occurs when the muscles, tissues, or nerves of the pelvic floor are weakened, tightened, or injured by trauma, chronic strain, or overuse. Pelvic floor disorders can result from traumatic injury such as a fall, from sporting activity, surgery, or childbirth. They can also happen from more chronic issues, such as infection or chronic inflammation such as endometriosis. Pelvic floor disorders can be a consequence of poor alignment or posture, overuse, or improper movement. The pelvic floor muscles surround the urethra, rectum, vagina and prostate; therefore, if there is a dysfunction in these muscles it can result in urinary, bowel, or sexual dysfunction in people of all ages.

Who should I see to get a proper diagnosis?

Many healthcare providers don’t assess – or don’t know how to assess – the pelvic floor muscles and nerves, so it’s important to get a proper diagnosis from a practitioner who specializes in pelvic floor dysfunction and pelvic pain. Too often patients tell us that they’ve been to 10 different doctors and healthcare providers and their symptoms have not improved, or have worsened. Find a specialist right away and get on the path to healing as quickly as possible.

Why do healthcare providers miss (or misdiagnose) pelvic floor dysfunction?

Long story short, the medical practice is divided into areas of the body: Urology. Orthopedics. Gynecology. But the body itself doesn’t have walls; every system interacts with everything else. Sometimes providers are so laser-focused on what they treat that they miss the whole picture. 

As more and more research emphasizes the importance of physical therapy as part of a complete treatment regimen, more and more physicians are learning how to recognize and treat pelvic floor disorder. In the meantime, if you’re not getting relief from your current treatment, make an appointment with a pelvic floor specialist to learn more.

How does pelvic floor dysfunction affect sex?

Pelvic floor muscles have a huge impact on sex. Muscles that are shortened or tight and are unable to elongate will not allow for good blood flow into the genitals. This can result in pain, weaker erections, diminished sensation, inability to orgasm, and even decreased lubrication. Pelvic floor PT can help with these issues by enhancing blood flow and improving muscle function. 

How can pelvic floor dysfunction cause bloating?

Pelvic floor dysfunction, a condition characterized by the inability to correctly relax and coordinate pelvic floor muscles, can significantly contribute to bloating due to its impact on gastrointestinal functions. When these muscles are not functioning properly, it can impact the ease of emptying and make it difficult for your body to pass stool and gas through the intestines. This obstruction leads to an accumulation of waste and gas in the gastrointestinal tract, causing bloating and abdominal discomfort.

Is it true there’s internal massage?

There can be. We do perform internal soft tissue mobilization of the pelvic muscles that are inside your pelvis and are accessible only through the vagina or rectum. We never do internal treatment without your consent and understanding.

What makes someone a pelvic floor PT vs a regular PT?

All pelvic PTs get additional training in pelvic floor internal treatment through continuing education and at our clinic. 

We pride ourselves on the level of training we provide, not just at the beginning but throughout the time our therapists spend at Beyond Basics. We know that learning is a life-long process.  We also provide additional training in physiology of the GI system and urinary system as well as sexual health and function and nutritional training. Most PT programs and schools do not provide the depth and breadth of knowledge that we provide all our PTs at Beyond Basics.

Get help now from a pelvic floor therapist.

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