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Integrative Women's Health
 

pelvic health

physical therapy

 
 

What is Pelvic Health Physical Therapy?

 Pelvic health physical therapy is a specialty area focusing on evaluating and treating the musculoskeletal and behavioral aspects of conditions within the abdomen and pelvis. The pelvic floor muscles sit within the pelvis, running from the pubic bone to the tailbone and are involved in bladder and bowel function, sexual function, organ support, and postural stability. These muscles work together with the deep abdominal muscles, low back muscles, and the respiratory diaphragm to play a key role in spine and pelvic support and stability throughout movement. 

Who benefits from pelvic health physical therapy?

When the pelvic floor muscles become weak, overactive and tight, or discoordinated, they are unable to function optimally. This can impact all of the functions of the pelvic floor. The following challenges are examples of diagnoses which often have pelvic floor muscle involvement:

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  • Urinary Issues

    • Bladder Leakage

    • Incomplete emptying

    • Urinary urgency

    • urinary frequency

    • Interstitial Cystitis

  • Bowel Issues

    • Constipation

    • Diarrhea

    • Pain with defecation

    • Incomplete defecation

    • Fecal Incontinence

  • Pain

    • Pelvic Pain

    • Tailbone pain

    • Hip or Sacroiliac joint pain

    • Pain with Sex

    • Vaginismus

  • Pregnancy & postpartum

    • Pelvic Organ Prolapse

    • Diastasis Recti Abdominus

    • Scar pain

    • Postpartum weakness

What happens in pelvic physical therapy sessions?

All appointments are one-on-one with your provider. Your first appointment will include a comprehensive examination, tailored to your specific problem. This can include a full-body movement screen, postural assessment, specific tests of the abdomen, low back, hips, and examination of the pelvic floor muscles. A pelvic floor muscle assessment can be performed externally or internally via the vaginal or rectal canal, based on the needs of the patient. 

Treatment is individualized but could include: specific myofascial and manual therapy techniques, exercises to improve mobility or postural stability, analysis of exercise performance or work ergonomics, custom behavioral education regarding bowel, bladder, sexual health, and much much more!

Meet our PT team

Dr Kara Fanelli (Westport) and Dr Jodie Lippman (Stamford) are experts in the field, each with over a decade of experience treating pelvic floor dysfunction. To learn more about them, visit our bios page.

Investment

INITIAL EVALUATION (60 min) $280

FOLLOW UP (45 min) $240

  • We require payment at the time of service, however we can provide you with a superbill to submit to your insurance company for reimbursement. Learn more about insurance coverage here.