Pelvic Floor Physical Therapy


Why do Pelvic Floor Physical Therapy?

Who can it benefit?
Women 
• Pregnancy
• Pelvic Organ Prolapse
• Urinary Incontinence

Men
• Urinary Incontinence
• Prostate Cancer (before & after surgery)

Goal of Pelvic Floor Physical Therapy:
Goal is to increase recruitment of muscle fibers for an ultimate goal of muscle hypertrophy.

Treatment Plan
Exercise progression can go in the following order
• Supine, hips elevated
• Supine
• Side-lying
• Sitting
• Standing
• On toilet
• During intercourse

Key Strengthening exercises
* Postural Training (start with pelvis in neutral alignment, palms turned out, ER shoulders, lift chest up. Chin tucked, scapula retracted – hold for 10 seconds.) Can progress to upper neck/back strengthening, scap retraction, shoulder ER, trunk flexors, hip extensors, knee flex & Ankle dorsiflexors with stretching to neck extensors/ scalene/levator scapulae/pectoral muscles/low back extensors/hip adductors)

* Abdominal Strengthening (screen for diastasis recti)

* Pelvic Floor Strengthening and Awareness Training (Kegel’s are the key to start with 10 reps, 10 count hold & 10 count relaxation)

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