Pelvic Floor Therapy: Restoring Strength and Function

October 16, 2023
Pelvic Floor Therapy | What is Pelvic Floor Therapy? | Every Mother

Unlocking the path to optimal pelvic health is a journey of empowerment, and at the heart of this transformative voyage lies pelvic floor therapy. The intricate network of muscles and tissues known as the pelvic floor plays a pivotal role in our well-being, supporting vital functions and contributing to overall stability. However, factors such as pregnancy, childbirth, aging and certain medical conditions can challenge the strength and function of these muscles. Offering specialized techniques and exercises, pelvic floor therapy not only restores strength but also enhances functionality.

What is Pelvic Floor Therapy?

Pelvic floor therapy, also known as pelvic floor rehabilitation or pelvic floor physical therapy, is a specialized form of physical therapy that focuses on the evaluation and treatment of pelvic floor dysfunction. The pelvic floor refers to a group of muscles, ligaments, and connective tissues that support the organs within the pelvis, including the bladder, uterus or prostate, and rectum. Pelvic floor therapy aims to address issues such as weakness, tightness, or dysfunction of these muscles to restore optimal pelvic floor function.

Pelvic floor therapy is a comprehensive approach to addressing pelvic floor dysfunction and may involve various techniques and interventions tailored to each individual's needs. The treatment plan is developed by a skilled pelvic floor physical therapist and may include the following components:

Pelvic Floor Muscle Exercises

Pelvic floor muscle exercises, commonly known as Kegel exercises, are a fundamental component of pelvic floor therapy. The therapist guides individuals in correctly identifying and isolating the pelvic floor muscles and teaches them how to effectively contract and relax these muscles. Regular and proper performance of these exercises can strengthen weak pelvic floor muscles and improve muscle coordination and endurance.


Biofeedback is a technique used in pelvic floor therapy to provide visual or auditory cues that help individuals understand and improve their muscle function. It involves using specialized sensors or devices that provide real-time feedback on muscle activity. By observing the feedback, individuals can learn how to engage and relax the pelvic floor muscles correctly, enhancing muscle control and coordination.

Manual Therapy

Manual therapy techniques may be used by the pelvic floor therapist to address muscle tension, trigger points, or restrictions in the pelvic floor muscles. This may include internal or external manual techniques, such as myofascial release, trigger point release, or soft tissue mobilization. Manual therapy helps reduce muscle tension, improve blood flow, and restore optimal muscle function.

Education and Lifestyle Modifications

Pelvic floor therapy involves educating individuals about pelvic floor anatomy, function, and proper body mechanics. This education helps individuals understand how to protect and optimize their pelvic floor health in everyday activities. Therapists may provide guidance on bladder and bowel habits, posture, breathing techniques, and modifications for activities that may aggravate pelvic floor symptoms.

Behavioral and Relaxation Techniques

Pelvic floor therapy may incorporate relaxation techniques, such as deep breathing, mindfulness, or progressive muscle relaxation. These techniques help individuals manage pain, reduce muscle tension, and promote relaxation of the pelvic floor muscles. Behavioral strategies, including bladder and bowel retraining, can also be implemented to address issues like urinary urgency, frequency, or constipation.

Electrical Stimulation

In some cases, electrical stimulation may be utilized during pelvic floor therapy. It involves the use of low-frequency electrical currents delivered through vaginal or rectal probes to stimulate the pelvic floor muscles. Electrical stimulation can help improve muscle tone, increase blood flow, and enhance muscle coordination.

Home Exercise Program

Pelvic floor therapy often includes a personalized home exercise program, like Every Mother. The therapist provides instructions on specific exercises and techniques to be performed independently at home. Consistency and adherence to the home exercise program are imperative for achieving optimal results.

The specific techniques and interventions used in pelvic floor therapy will depend on the individual's condition, symptoms, and goals. The therapist will conduct a thorough assessment and customize the treatment plan accordingly. Regular follow-up visits with the therapist allow for monitoring progress, adjusting the treatment plan as needed, and addressing any concerns or questions that may arise.

Pelvic floor therapy is a collaborative process, empowering individuals to actively participate in their own healing and regain control over their pelvic health. The guidance and expertise of a pelvic floor physical therapist can make a significant difference in improving pelvic floor function, reducing symptoms, and enhancing overall quality of life.

When is Pelvic Floor Therapy Beneficial?

Pelvic floor therapy can be beneficial for individuals experiencing a wide range of pelvic floor-related issues and conditions. Some common situations where pelvic floor therapy may be recommended include:

Pelvic Floor Weakness

If you have weakened pelvic floor muscles, which can occur due to factors such as pregnancy, childbirth, aging, or hormonal changes, pelvic floor therapy can help strengthen and recondition these muscles. Strengthening the pelvic floor muscles can improve support for the pelvic organs, enhance bladder and bowel control, and alleviate symptoms of pelvic organ prolapse.

Pelvic Floor Tightness

Pelvic floor muscles that are excessively tight or in a state of spasm can cause pain, discomfort, and difficulties with urination or bowel movements. Pelvic floor therapy can help release muscle tension, improve muscle flexibility, and relieve associated symptoms. Conditions such as pelvic floor muscle spasms, vaginismus, or levator ani syndrome can often benefit from pelvic floor therapy.

Pre and Postpartum Care

Pregnancy and childbirth can significantly impact the pelvic floor muscles. Pelvic floor therapy during pregnancy can help prepare the muscles for labor and delivery, optimize pelvic floor function, and prevent or minimize postpartum complications. Postpartum pelvic floor therapy focuses on restoring muscle strength and function, addressing any issues arising from childbirth, and promoting healing.

Urinary or Bowel Dysfunction

Pelvic floor therapy can be effective in managing urinary incontinence, urinary urgency and frequency, fecal incontinence, or difficulties with bowel movements. Through specific exercises, biofeedback techniques, and lifestyle modifications, pelvic floor therapy can help improve bladder and bowel control, enhance muscle coordination, and restore normal voiding and bowel habits.

Pelvic Pain Disorders

Chronic pelvic pain, vulvodynia, interstitial cystitis, or other conditions characterized by pelvic pain can benefit from pelvic floor therapy. The therapist will assess the pelvic floor muscles for any muscle imbalances, trigger points, or areas of tension and develop a treatment plan to address these issues and reduce pain.

Pelvic floor therapy is a non-invasive and conservative approach to managing pelvic floor dysfunction. It provides individuals with the tools and techniques to actively participate in their own healing process and regain control over their pelvic health. If you are experiencing symptoms or conditions related to the pelvic floor, consulting with a pelvic floor therapist can help determine whether pelvic floor therapy is appropriate for your specific needs and goals.

Pelvic Floor Therapists: Your Partners in Pelvic Health

What is a Pelvic Floor Therapist?

A pelvic floor therapist, also known as a pelvic floor physical therapist or a pelvic health physiotherapist, is a healthcare professional who specializes in evaluating and treating pelvic floor dysfunction. These therapists have advanced training and expertise in the assessment, rehabilitation, and management of conditions affecting the pelvic floor muscles and associated structures. They play a critical role in helping individuals restore strength, function, and overall well-being of the pelvic floor.

Learn More About the Pelvic Floor