What can I expect during my Pelvic Floor initial visit?
The following information serves as a general guideline for you to be aware of what to expect upon your first visit and follow up visits regarding your pelvic floor treatment. We understand the need for privacy, comfort, respect and patient’s involvement in your return to full pelvic floor health.
1) HISTORY - A quick history will be taken regarding your main concerns and symptoms. These could include low back, hip, abdominal pain, bladder leaking, urgency or hesitancy, bowel issues such as constipation or incontinence, or sexual symptoms including painful intercourse, erectile dysfunction, perineal pain, fear of penetration or difficulty with orgasm.
2) EDUCATION - We believe that education is empowering! Based on your history and specific concerns, your therapist will educate you on anatomy of the pelvic bones and muscles using our anatomical model. We will go through a step-by-step instruction of the pelvic floor physical examination and answer all your questions. When you are ready to start, we will ask for your permission.
3) EXAMINATION - We will start a general orthopedic exam to assess movement patterns of your spine and extremities. It is unlikely that we will do an internal pelvic floor muscle exam on the first visit. We will explain it in detail and gain your verbal consent before going forward with any internal work. An internal exam is more likely on visit #2 or #3 if it is required, it often isn’t!
4) DISCUSSION OF FINDINGS - Throughout your initial visit and subsequent visits we will discuss our findings and test results with you and go over your individualized treatment plan for your optimum return to a healthy pelvic floor/core.
5) TREATMENT can include:
- Manual techniques (myofascial release, dry needling of non-pelvic floor muscles, and joint mobilization) to release intramuscular tension, improve mobility of connective tissue and improve function
- Biofeedback: “Bio” means body and “Feedback” means receiving information about a physiological activity. Biofeedback measures the electrical activity of the muscle and transmits that information to either a range of numbers and/or sounds. You will see the numbers and learn how to retrain your pelvic floor muscles with the guidance of the physical therapist. Biofeedback training is utilized during follow up physical therapy treatments to help you learn how to either relax or recruit your pelvic muscles and regain normal function.
- Therapeutic Exercise – tailored to you to improve flexibility, strength, balance and coordination
- Pelvic floor relief techniques – you will be taught a specific posture, body awareness technique, self-massage, or given a stretch so you can immediately incorporate all that you have learned in the first visit and start on your road to recovery!
6) SCHEDULING FOLLOW UP VISITS - Consistent weekly therapy treatments along with you performing your tailored home exercise program results in faster gains in your return to pain free normal function. Your therapist will guide you on the best frequency of treatment. It is common for our patients to attend appointments 2 times a week consistently for the first month or so of care and gradually phase to once a week and then to less than that.
Whether you’ve experienced symptoms for two months or many years, we can help you find relief, decrease pain, and return to normal function! We will help make sure you are safe and will guide you through returning to higher levels of physical activity and exercise!
Call or email today for an appointment! firstname.lastname@example.org or 414-763-2941