Frequently Asked Pelvic Floor Therapy Questions

At Restorative Solutions, we have been helping our patients with pelvic floor issues for years. Over that time, we have gained invaluable experience addressing a wide range of concerns related to pelvic health. Patients often come to us with many questions, seeking clarity about their conditions and how therapy can help. These conversations have allowed us to deepen our commitment to education and care. Here are some of the most common questions we hear from our patients, along with detailed answers to help you better understand pelvic floor therapy, what it involves, and how it can transform your quality of life.

Basics of Pelvic Floor Therapy

• What is pelvic floor therapy?

  Pelvic floor therapy is a targeted treatment focused on the muscles, ligaments, and connective tissues of the pelvic floor. Therapists use a combination of exercises, manual therapy, and biofeedback to alleviate symptoms and improve function. This therapy can address conditions like prolapse, incontinence, and chronic pelvic pain.

• Why are occupational therapists especially suited for pelvic floor therapy?

  Occupational therapists are uniquely trained to take a holistic approach to patient care, focusing not only on muscle function but also on how pelvic floor issues impact daily life. Their expertise in developing customized strategies for managing activities of daily living makes them particularly effective in addressing the broader challenges of pelvic dysfunction.

• What is pelvic therapy used for?

  Pelvic therapy is used to treat a variety of conditions, including urinary incontinence, fecal incontinence, pelvic pain, sexual dysfunction, and postpartum recovery. It’s also helpful for individuals recovering from pelvic surgeries or managing chronic conditions like endometriosis.

• What is involved in pelvic floor therapy?

  Pelvic floor therapy begins with a thorough assessment of strength, mobility, and coordination of the pelvic muscles. Treatments often involve a combination of manual therapy, targeted strengthening exercises, and biofeedback to enhance muscle function and relieve symptoms. External methods, such as posture correction and general strengthening, are paired with internal techniques, which may include manual manipulation or the use of biofeedback tools to focus on specific muscle groups.

• How many sessions are needed for pelvic floor therapy?

  The number of sessions varies depending on the individual’s condition and response to therapy. On average, most patients attend 6 to 12 sessions, but some may require fewer or additional appointments to achieve their goals.

Preparation and Expectations

• What to wear to pelvic floor therapy?

  Wear comfortable, loose-fitting clothing to pelvic floor therapy. Athletic wear like leggings and a t-shirt are ideal, as they allow the therapist to assess your posture and movement easily. For internal assessments, you may be provided with a gown or sheet for privacy.

• What to expect during pelvic floor therapy?

  During pelvic floor therapy, your first session will include a review of your medical history and a physical examination to assess muscle function. Therapists may use exercises, biofeedback, and hands-on techniques to improve strength and alleviate symptoms. With consistent therapy, many patients notice improvements within weeks.

• How long does a pelvic floor therapy session last?

  Most sessions last between 45 minutes to an hour, depending on the complexity of the treatment plan. Therapists will ensure that each session is efficient and focused on your specific needs.

Benefits and Effectiveness

• Is pelvic floor therapy effective?

  Yes, pelvic floor therapy is a scientifically validated approach that has been proven effective for managing a variety of pelvic health issues, including incontinence, pelvic pain, and organ prolapse. Success depends on the specific condition being treated and patient adherence to therapy plans.

• Does pelvic floor therapy help control incontinence?

  Yes, pelvic floor therapy is one of the most effective non-surgical treatments for urinary and fecal incontinence. Strengthening and retraining the pelvic floor muscles can significantly reduce or eliminate leakage episodes.

• Can pelvic floor therapy help with erectile dysfunction?

  Yes, pelvic floor therapy can significantly improve erectile dysfunction (ED) by increasing blood flow and strengthening the muscles involved in sexual function. Research supports its effectiveness, particularly for men with pelvic floor weakness or post-surgical complications.

• What happens in male pelvic therapy (Kegel)?

  In male pelvic therapy, therapists guide patients through Kegel exercises to strengthen pelvic muscles. Additional techniques like biofeedback and manual therapy may be used to address specific dysfunctions.

• Can pelvic floor therapy make me tighter?

  Yes, pelvic floor therapy improves muscle tone and can help men achieve better bladder control and sexual performance by increasing pelvic strength and flexibility.

• Can pelvic therapy help with chronic constipation?

  Pelvic therapy can address chronic constipation by retraining the pelvic muscles involved in bowel movements. Therapists may use biofeedback, exercises, and relaxation techniques to improve coordination and reduce straining.

• Does pelvic floor therapy work for anal fissures?

  Yes, pelvic floor therapy can support healing and reduce pain associated with anal fissures. By retraining the pelvic muscles and promoting relaxation, it helps decrease pressure on the area, allowing for improved comfort and recovery.

• How does pelvic floor therapy work?

  Pelvic floor therapy works by assessing and retraining the muscles of the pelvic floor. Techniques like exercises, manual therapy, and biofeedback improve muscle strength, coordination, and relaxation, addressing dysfunction and alleviating symptoms.

Cost and Insurance

• How much does pelvic floor therapy cost?

  The cost of pelvic floor therapy varies depending on location and insurance coverage. Sessions typically range from $75 to $300, with many insurance plans covering at least part of the cost.: (We will bill your insurance if therapy is covered for the plans we are contracted with. For out-of-network clients we offer superbills that you can submit for reimbursement. Sessions are $200/hr and we also offer 4, 6 and 12 pack packages that provide additional discounts.

• Does insurance cover pelvic floor therapy?

  • Many insurance plans cover pelvic floor therapy as a medically necessary treatment. It’s important to check with your provider to confirm coverage and any out-of-pocket expenses.

• Does Medicare cover pelvic floor therapy?

  Yes, Medicare often covers pelvic floor therapy as part of its outpatient rehabilitation benefits. This includes therapy prescribed by a physician and deemed medically necessary. Coverage may vary based on the specific condition being treated, and patients may still be responsible for co-pays or deductibles. It is important to check with Medicare or your healthcare provider for specific coverage details.

• Does Blue Cross Blue Shield cover pelvic floor therapy?

  Blue Cross Blue Shield often covers pelvic floor therapy as part of its physical therapy benefits. Coverage details vary by plan and state, so it’s essential to contact your insurance provider to confirm eligibility and out-of-pocket costs.

Specialized Conditions

• How does pelvic floor therapy work for organ prolapse?

  Pelvic floor therapy helps support and lift organs affected by prolapse through targeted exercises and manual techniques. It can reduce symptoms like pressure, discomfort, and incontinence without the need for surgery.

• Can radiation therapy on the pelvic region cause constipation?

  Yes, radiation therapy targeting the pelvic region can damage surrounding tissues, leading to constipation. Pelvic floor therapy can help restore bowel function through exercises and biofeedback.

• Can pelvic floor therapy help after radiation for colon cancer in men?

  Pelvic floor therapy can aid recovery after radiation for colon cancer by strengthening muscles weakened by treatment. This therapy helps improve bowel and bladder function, as well as manage pain.

• Which disorder may result from radiation therapy for a malignant pelvic disease?

  Radiation therapy for malignant pelvic diseases can cause conditions like pelvic floor dysfunction, constipation, or incontinence. Pelvic floor therapy is a valuable tool for managing these complications.

• Is pelvic floor therapy advised if there is spinal stenosis?

  Pelvic floor therapy can be beneficial for individuals with spinal stenosis if pelvic dysfunction is present. A therapist will adapt techniques to ensure safety and effectiveness.

Male-Specific Concerns

• Does pelvic floor therapy help ED?

  Yes, pelvic floor therapy can improve ED by strengthening the muscles that support erectile function. This therapy enhances blood flow and helps patients regain control over pelvic muscle coordination. Research supports pelvic floor therapy as an effective treatment for erectile dysfunction, particularly for men with pelvic floor weakness or post-surgical complications.

• What happens in male pelvic therapy (Kegel)?

  In male pelvic therapy, therapists guide patients through Kegel exercises to strengthen pelvic muscles. Additional techniques like biofeedback and manual therapy may be used to address specific dysfunctions.

Techniques and Methods

• How to do pelvic floor therapy?

  Pelvic floor therapy involves a series of exercises like Kegels, posture correction, and breathing techniques. A therapist may also perform manual therapy or use biofeedback tools to target specific dysfunctions.

• What is internal pelvic floor therapy?

  Internal pelvic floor therapy focuses on muscles inside the pelvic region. It involves manual techniques performed by trained therapists to release tension, improve mobility, and retrain muscle function. Internal techniques are particularly effective for addressing issues like pelvic pain, prolapse, or incontinence.

• How to do pelvic floor therapy at home?

  While pelvic floor therapy is most effective when guided by a trained therapist, there are exercises you can do at home, such as Kegels, diaphragmatic breathing, and pelvic tilts. Your therapist may provide you with a personalized exercise plan to complement your in-office sessions.

• Can biofeedback be used for pelvic floor dysfunction?

  Yes, biofeedback is a highly effective tool for pelvic floor dysfunction. It involves using sensors and visual feedback to help you better understand and control your pelvic floor muscles. This technique is often integrated into therapy sessions to optimize results.

• Who can perform myofascial pelvic floor therapy?

  Myofascial pelvic floor therapy should be performed by a licensed therapist trained in pelvic health. These professionals have specialized knowledge of the anatomy and techniques required for effective treatment.

Concerns and Misconceptions

• Is pelvic floor therapy painful?

  Pelvic floor therapy should not be overly painful, though some discomfort may occur during manual techniques or initial exercises. Therapists work to ensure treatments are as comfortable as possible and will adjust techniques based on your tolerance.

• Can pelvic floor therapy cause infections?

  When performed under hygienic conditions by a trained professional, pelvic floor therapy is very safe and does not cause infections. If you have concerns, speak with your therapist about the safety measures in place.

• Is doing pelvic floor therapy just prolonging the inevitable?

  No, pelvic floor therapy addresses the root cause of pelvic dysfunction and often prevents the need for more invasive treatments. It’s a proactive and empowering solution for managing symptoms and improving quality of life.

Signs and Symptoms

• How to know if you need pelvic floor therapy?

  You may need pelvic floor therapy if you experience symptoms like incontinence, pelvic pain, sexual dysfunction, or a feeling of pressure in the pelvic area. A healthcare provider can help determine if therapy is right for you.

• Do I need pelvic floor therapy?

  If you struggle with bladder control, bowel movements, or pain in the pelvic region, pelvic floor therapy could benefit you. An evaluation by a pelvic health specialist will provide clarity on your specific needs.

Related Disorders and Complications

• Can pelvic floor therapy treat constipation and pelvic floor dysfunction?

  Yes, pelvic floor therapy is highly effective for addressing constipation and pelvic floor dysfunction. Techniques like biofeedback, muscle relaxation, and targeted exercises retrain the muscles responsible for bowel movements, improving coordination and reducing straining.

• Disorder may result from radiation therapy for a malignant pelvic disease?

  Radiation therapy can cause disorders like pelvic floor dysfunction, incontinence, or chronic constipation. Pelvic floor therapy offers a non-invasive way to manage these symptoms and improve quality of life.