Understanding Pelvic Floor Dysfunction

What it is, how it manifests, and how physical therapy can help.

Overview

Pelvic floor dysfunction occurs when the muscles supporting your pelvic organs aren't working optimally, affecting bladder, bowel, and sexual function. This common condition impacts up to 25% of people during their lifetime, affecting individuals of all genders, ages, and backgrounds. Whether you're experiencing discomfort, urinary issues, or other pelvic health concerns, specialized physical therapy can help restore proper function and improve your quality of life.

At Mendwell Pelvic Health, we specialize in treating both overactive (too tight) and underactive (too weak) pelvic floor muscles. Our expert team provides comprehensive, individualized care in a supportive environment where you can feel comfortable discussing sensitive health concerns. We understand that seeking help for pelvic health issues can feel overwhelming, and we're here to guide you through every step of your recovery journey.

Understanding Your Symptoms

Living with pelvic floor dysfunction can significantly impact your daily activities and overall well-being. Common symptoms include:

  • Bladder and Urinary Changes: Many people experience frequent urination, sudden urges to urinate, or difficulty starting or stopping urine flow. Some may also deal with urinary leakage during activities or when feeling the urge to go.
  • Bowel Function Issues: Constipation, difficulty emptying the bowels completely, or loss of bowel control can be signs of pelvic floor dysfunction. These symptoms often impact daily routines and social activities.
  • Pain and Discomfort: You might experience pain during sexual activity, sitting, or exercise. This can include pelvic pain, lower back discomfort, or pain that radiates through your hips and tailbone.
  • Pressure Sensations: Some people feel heaviness or pressure in their pelvic area, which may worsen throughout the day or during certain activities. This can include sensations of "dropping" or bulging in the pelvic region.

Common Causes and Risk Factors

Understanding what contributes to pelvic floor dysfunction helps create effective treatment plans. Key factors include:

Physical Impact Factors
Your pelvic floor can be affected by various physical changes and events:

  • Pregnancy and childbirth experiences, including vaginal delivery and cesarean sections
  • Pelvic or abdominal surgeries that affect muscle function
  • Regular heavy lifting or high-impact activities without proper muscle coordination
  • Chronic coughing or respiratory conditions that strain the pelvic floor

Lifestyle Influences
Daily habits and activities can significantly impact pelvic floor health:

  • Prolonged sitting and poor posture habits
  • Chronic stress leading to muscle tension
  • Improper exercise techniques, especially during core workouts
  • Dietary choices affecting bowel habits and pelvic floor strain

Medical Conditions
Several health conditions can contribute to or worsen pelvic floor dysfunction:

  • Endometriosis and other reproductive health conditions
  • Prostate health issues
  • Neurological conditions affecting muscle control
  • Connective tissue disorders impacting muscle function

How We Help: Our Specialized Treatment Approach

At Mendwell Pelvic Health, we offer comprehensive pelvic floor physical therapy tailored to your specific needs. Our evidence-based treatment includes:

Comprehensive Evaluation: Your journey begins with a thorough assessment to understand your unique symptoms and concerns. We examine:

  • Muscle strength and coordination patterns
  • Movement habits and postural alignment
  • Daily activities that may impact your symptoms
  • Previous treatments and their effectiveness

Personalized Treatment Plans: Based on your evaluation, we create individualized treatment programs that may include:

  • Targeted exercises to improve muscle function
  • Manual therapy techniques for pain relief and muscle balance
  • Biofeedback training to enhance muscle awareness
  • Education about proper posture and movement patterns
  • Strategies for managing symptoms during daily activities

Frequently Asked Questions

How long does pelvic floor physical therapy treatment typically take to show results?
Most patients begin noticing improvements within 6-8 sessions, though individual experiences vary. We'll establish clear treatment goals and regularly assess your progress, adjusting your plan as needed.

What should I expect during my first pelvic floor physical therapy session?
Your initial visit focuses on understanding your health history and concerns. We'll discuss your symptoms, evaluate relevant muscle function, and develop your treatment plan. All examinations are performed with your comfort and consent as our priority.

Is it possible to prevent pelvic floor dysfunction?
While some risk factors can't be controlled, we can teach you preventive strategies including proper exercise techniques, posture improvements, and lifestyle modifications to support long-term pelvic health.

Will I need internal examination as part of my treatment?
Internal examination may be recommended for some conditions, but it's never required. We offer alternative evaluation and treatment methods and always respect your preferences and comfort level.

Experiencing

Pelvic Floor Dysfunction

or related symptoms? Pelvic floor physical therapy can help.

Mendwell is a Pelvic Health Physical Therapy clinic serving patients in Portland, Lake Oswego, Beaverton, Hillsboro, Tigard, and Tualatin. Our team of specialists are passionate about helping patients improve pelvic function, relieve pain, and get back to feeling their best. Reach out to learn how we can help.

Other names for this condition

No items found.