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— Leigh Hunt
Pelvic Floor Physical Therapy
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        What is the Pelvic Floor?Pelvic floor are the muscles that sit in your pelvic ring that support your pelvic organs. They work to coordinate and control the functions of the bladder and rectum, contribute to sexual health, and assist in core stabilization of your body. What to expect? Patients will be evaluated one-on-one with a skilled, speciality trained therapist in a comfortable, professional setting, establishing first a good subjective history of patient’s symptoms and goals for therapy. Patients’ pelvic floor musculature will be assessed through internal and external evaluation as well as pelvic organ positioning. PFM (Pelvic floor musculature) will be assessed for tone, tension, pain, and mobility then for strength, coordination, relaxation, and range of motion. Pelvis alignment as well as orthopedic assessment of structures surrounding the pelvic floor, including breath assessment, will be evaluated to establish a whole body approach to treatment. 
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        What are some dysfunctions of the Pelvic Floor?Incontinence: Urinary including stress and urge incontinence, Fecal incontinence including urgency. Pelvic Pain: Dyspareunia (painful intercourse), Conditions such as: Vulvodynia, Vulvar vestibulitis, Vaginismus, Levator ani syndrome (muscular pain), Interstitial Cystitis (painful bladder syndrome), Endometriosis, Pudendal nerve irritation, Painful defecation, Anal and/or Rectal pain, Prostatitis and Testicular pain. Pregnancy and Postpartum Care: Low back pain, Sacroiliac joint pain, Pubis symphysis pain (pubic pain), Sciatica, Diastasis Recti (separation of abdominals), Coccyx pain (Tailbone), Weak core/PFM Surgical: Hysterectomy, Scar Pain, issues ranging from Caesarean or Episiotomy, Prolapse repair, Radiation and Post cancer surgery/treatment, Post Prostatectomy, Endometriosis Orthopedic dysfunction: Hip/Pelvis/Lumbar dysfunction and Core instabilities 
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        What are some potential treatments?Pelvic floor Physical Therapy works with the Pelvic floor muscles, ligaments, joints, and connective tissues of the pelvis, tailbone, and sacrum as well as Abdominal/Core Strength and pelvic stability SEMG Biofeedback: Visual feedback on screen on PFM engagement/relaxation Strengthening, Coordination, & Relaxation of PFM Stretching of PFM and hip/pelvis/back musculature Dilator training for PFM releases for pain, mobility and flexibility issues Education on bowel and bladder healthy habits Voiding schedules and bladder diaries Internal and external releases of pelvic floor musculature Fitness & Personal Training Pilates Reformer exercises Core and hip Stabilization exercises Early Post-partum care to re-establish core strength and pelvic alignment Return to Prior Fitness Safely Post-Partum