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Pelvic Floor Dysfunction & Pelvic Pain

Millions of Americans are suffering from pelvic floor dysfunction, yet for most, the disease goes unidentified and untreated. Statistics say that 1 out of every 5 Americans (of every age) suffer from some type of pelvic floor dysfunction at some time in their life. Over 25 million Americans suffer from urinary incontinence alone or involuntary loss of urine. And, it is not just a "women's" disorder, men and children can have pelvic floor dysfunction as well.

Pelvic floor dysfunction refers to a wide range of problems that occur when the muscles of the pelvic floor are weak, tight, or there is an impairment of the sacroiliac joint, low back, coccyx and/or hip joint. The tissues surrounding the pelvic organs may have increased or decreased sensitivity and/or irritation resulting in pelvic pain. Many times, the underlying cause of pelvic pain is difficult to determine.

These conditions may be due to infections (usually undiagnosed), pregnancy or childbirth, insidious onset, poor posture from chronic low back or SI dysfunction, trauma such as a bad fall, or a result of surgery. The pelvic floor is made up of muscles and other tissues that form a sling from the pubic bone to the tailbone. They assist in supporting the abdominal and pelvic organs, and help to control bladder, bowel and sexual activity.

Anatomy of the Pelvic Floor

Patients are referred to us because they have one or more of the following problems:

• Disorders of the bladder
  • IC (Interstitial Cystitis)
  • Prostatitis
  • Prostatodynia
• Disorders of the bowel
  • IBS (Irritable Bowel Syndrome)
  • Feeling of fullness/abdominal pain, pressure, discomfort, and bloating
• Sexual Dysfunctions
  • Levator Ani Syndrome refers to pain, pressure, or ache in the sacrum, coccyx, rectum, and/or vagina caused by unusual tension in the levator ani muscles.
    • may increase with intercourse, sitting, defecation, and constipation
    • pain referred to the thigh or coccyx/sacrum, gluteal region
    • severe, sharp, burning, or ache with urination
  • Pudendal neuralgia
  • Dyspareunia
  • Vulvodynia
  • Vulvar vestibulitis
  • Vaginismus
  • Pelvic Inflammatory Disease (PID)
  • Pelvic congestion
  • Erectile dysfunction
  • Lichens sclerosus
  • Lichens planus
• Coccygodynia
• Post-Surgical: hysterectomy, hernia, laparoscopy, caesarean section, appendectomy, prostatectomy, and episiotomy.

Treatment may include:

• External and internal soft tissue mobilization, myofascial and trigger point release, visceral manipulation, connective tissue manipulation, deep tissue massage
• Biofeedback, electrical stimulation, and transcutaneous electrical nerve stimulation (TENS)
• Heat and cold therapy

We encourage treatment to be multidisciplinary and holistic. We offer help with stress management, nutritional counseling, massage therapy, support groups and psychological services. More about complementary services. >>

For more information, feel free to contact us.

Our Specialties

Musculoskeletal/Sports-Related Injuries
	Back Pain, Pre and Post–op Sports related injuries, TMJ, Coccygodynia, Fibromyalgia, Osteoporosis, Osteoarthritis
Pelvic Floor Dysfunction & Pelvic Pain
	Pelvic Pain, Pudendal Neuralgia, Bladder Dysfunctions, Sexual Dysfunction, Gastro-Intestinal, Disturbances/Bowel, Disorders
Men --- Women --- Children
Women's Health
	Pre-Natal, Post-Partum, Diastasis Recti
Lymphedema
	Breast Health, Pelvic Congestion, Upper/Lower Extremity Lymphedema