What is Pelvic Floor Therapy?

The other day, I was speaking with a friend who has chronic constipation. When she asked me for advice, I suggested pelvic floor therapy.

What is Pelvic Floor Therapy?

In essence, pelvic floor therapy is a treatment provided by a licensed physical therapist trained to treat pelvic floor dysfunction.

Pelvic Floor Therapy Equals Kegels?

She said that she was already doing it, so I asked, “where do you go?” and she replied, “I do it at home. I found out about it on the internet and now I do kegels.”

Pelvic Floor Therapy?

While this is a fantastic start to getting in touch with some of the pelvic floor muscles, what I was referring to is generally considered a medical treatment from a physical therapist.

This can often involve learning to relax and release overly tight muscles in the pelvic floor, though, like any therapy, it is customized to the individual.

Pelvic Floor PT

This therapy may include stretching and or strengthening of the pelvic floor muscles as well as those of the hip, low back, thighs, and more.

Pelvic Floor Massage

Typically, this is a hands-on or manual therapy. It may involve working vaginally or rectally.

Pelvic Floor Dysfunction: Home Treatment

While it is fantastic to be able to see a pelvic floor therapist for treatment, not everyone has insurance that covers pelvic floor injury.

Pelvic Wand

When I am not able to make the time to get to a pelvic floor therapist and am suffering from discomfort, I use a pelvic wand that can reach up and into the pelvic floor muscle area.

What is a Pelvic Wand?

Wondering what is a pelvic wand? It’s a pelvic floor massage tool for relaxing and releasing the pelvic floor muscle team.

These muscles are located deep in the pelvis and the pelvic wand is designed so that you can reach them more easily to do soft tissue massage and trigger point release on yourself.

Therawand

The brand of wand I use is called Therawand, and it is made of a medical-grade polymer blend of ABS and Polycarbonate.

TMT Pelvic Wand

Alternatively, when the above wand is not in stock, you can use the TMT Pelvic Floor Wand. I have also used this wand with good results.

How to Use: Pelvic Wand

Above is a video with instructions for how to use a pelvic floor wand at home.

How to Relax Pelvic Floor Muscles: Online Pelvic Floor Therapy

If you’re not interested in pursuing the wand, you can try online pelvic floor therapy.

My friend Lauren, who can be found on Instagram at thelaurenohayon, is a genius when it comes to pelvic floor education and rehabilitation.

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A post shared by Lauren Ohayon | Pelvic Floor Empowerment (@thelaurenohayon)

Lauren states that the constant external rotation from yoga and Pilates can tighten the pelvic floor. I began teaching yoga over 30 years ago, and we were very external rotation focused.

I’ve found that Lauren’s philosophy and exercises are effective in providing relief and opening for my pelvic floor while strengthening my core.

My Pelvic Floor Injury

Lauren’s work, along with hands on treatment from a pelvic floor therapist for a few years prior, has helped with a severe scar from an episiotomy that has caused me pain over the years.

My boys were born in the late 1990s, and over the past decades, I had been suffering from discomfort due to the episiotomy.

Episiotomy Pain

Strangely, a midwife gave me the episiotomy during an otherwise natural, totally un-medicated childbirth.

Vaginal Pain

I still don’t understand why and would have preferred not to have it. It took a long time to heal and caused me severe post-partum pain for months.

I never spoke about it with anyone, thinking it was normal that it hurt to sit down for a year after my son was born. It especially hurt when I was sitting and nursing.

Silent Suffering

Thanks to a growing number of pelvic floor physical therapy practices, women can be treated for our pain.

And thanks to the resource Lauren has created we have a place to learn, gather, and discuss what was once taboo.

Pelvic Floor Therapy for Men

Because pelvic floor injuries also occur in men, pelvic floor therapy can also be beneficial for them.

I cannot speak from personal experience, obviously, but the practice I go to in Boulder says that 35% of their patients are male.

What is Pelvic Floor Dysfunction?

Pelvic floor dysfunction is often a component of the following medical issues:

• Pelvic Pain
• Low Back Pain
• Hip Dysfunction
• Bowel Issues
• Bladder Dysfunction
• Functional Incontinence
• Uterine Prolapse
• Painful Intercourse
• Episiotomy Damage
• C-Section Scarring

Pelvic Floor Physical Therapy

I have gone to a practice in Boulder called Pelvic Therapy Specialists.

They take most forms of insurance, which I think is amazing. The experience is lovely from the moment you call them on the phone.

Pelvic floor therapy takes place in such a vulnerable part of the body that I would only recommend going to a place where all of the employees are incredibly pleasant, personable, and thoughtful.

Finding the Right Pelvic Floor Specialist

Several years ago, I went to a pelvic floor therapy practice where the receptionist was not a happy person.

I felt crushed every time I called and set up an appointment over the phone.

I also brought a friend with me to each appointment just to have someone to keep me company and to act as a buffer in dealing with the animosity that emanated from behind the front desk.

This was not a good long term arrangement and required way too much effort on my part, so I stopped going there even though the pelvic floor therapist was great.

Bedside Manner That Works

Although we have little power in this odd healthcare system, I do my best to avoid practices with negative gatekeepers.

When I encounter an efficient, pleasant person who answers the phone at one of my physician’s offices, I am sure to let the doctor know how grateful I am for that person.

When we’re sick or in pain, there’s no need for nasty bureaucrats to pile it on and further distress us.

Do You Have Pelvic Floor Dysfunction?

If you have any of the issues listed above it may be worth consulting with a physical therapist specializing in pelvic floor treatment.

Do you have pelvic floor issues? Leave a comment and let me know.

This post is an oldie but goodie from the archives. I first shared Pelvic Floor Therapy in 2019.