What Is Pelvic Floor Physical Therapy?


In the healthcare system that currently exists in America, it is hard to define what physical therapy is, and exactly what role it plays.

Beyond that, defining a subset of physical therapy can be even more difficult.

The American Physical Therapy Association has agreed that the role of physical therapy is to restore, maintain, and promote optimal physical function. In simpler terms, physical therapists are movement specialists. Our passion is to get our patients feeling and moving symptom-free. The best way of helping people move optimally is to look at the person’s whole body as a system that works and functions together.

Our comprehensive evaluation will help to identify the causes driving your symptoms. An extensive medical history and physical exam reveals whether poor posture, faulty biomechanics, tight muscles, trigger points, weakness, or nerve disorders are part of your problem. Additionally, restricted scar tissue or adhesions, connective tissue and fascial restriction are always assessed.

Your individualized treatment program may include any or all of the following: 

  • Manual therapy including myofascial release, trigger point release, joint mobilization, muscle energy techniques and connective tissue mobilization

  • Pilates based therapeutic exercise

  • Visceral manipulation

  • Scar tissue adhesion release

  • Strain or counter strain

  • Nerve flossing and neural tension releases

  • Class IV warm laser therapy

  • Neuromuscular re-education techniques

  • Core stabilization training

  • Functional exercise and prescriptive therapeutic exercise

  • Physioball and foam roller exercise

  • Intramuscular trigger point therapy injections

  • Postural re-education

  • Patient and family education

  • Instruction in a home exercise program

  • Pelvic floor biofeedback


Your Treatment plan is designed to fit your unique needs

For more information about our personalized treatment approach, take a look at our Sarton Physical Therapy Healing Heart® 


Always prioritizing the latest technology

Sarton Physical Therapy is excited to have a Class IV Warm Laser to help patients maximize their progress towards long term goals of decreased pain and increased function.


Pelvic Floor PT, Explained

+ Pelvic Pain

Manual therapy such as myofascial release, joint mobilization, nerve gliding/tension release and visceral manipulation creates the cornerstone of our treatment. Correcting abnormal movement patterns and posture via neuromuscular re-education, therapeutic exercises and core strengthening is an integral component of treatment as well. Additionally, utilizing pain reducing strategies combined with cutting edge modalities such as warm laser therapy facilitates faster healing.

+ Sexual Pain

Often misunderstood and mismanaged, many types of sexual dysfunction can be successfully treated with pelvic floor physical therapy. Women who experience pain during or after intercourse, diminished or absent orgasm, genital hyperarousal disorder and pain with arousal or orgasm routinely present with a muscular impairment of the pelvic floor. Many times sexual pain and/or dysfunction can be a result of neuromuscular dysfunction of the pelvic floor muscles, nerves, fascia and connective tissue. Manual therapy such as myofascial release, joint mobilization, nerve gliding/tissue tension release, visceral manipulation and stretching by our pelvic floor therapists can significantly improve and even eliminate pain and dysfunction.

+ Incontinence

Physical therapy can help all types of incontinence including stress, urge or mixed urinary incontinence. After a comprehensive physical therapy evaluation, it may be determined that weak or dysfunctional pelvic floor muscles or trunk (core) muscles are contributing to the problem. Other musculoskeletal issues such as trigger points, myofascial tightness, misalignment of pelvic, sacroiliac, spine, and/or hip joints may be a causative or perpetuating factor. Diet and behavior can also affect incontinence. Studies have shown that pelvic floor muscle exercises help with urinary incontinence. Using biofeedback enables the patient to understand the function of pelvic and low back muscles in bladder health. Your expert physical therapist will implement an individualized treatment program to address any issues found during the evaluation.

+ Pregnancy

Physical therapy during pregnancy can prove to be useful for remedying common discomforts like back pain and urinary incontinence or for enhancing your body’s ability to have an easier and smoother pregnancy and birth.

  • Physical Therapy can increase core muscle strength: including the pelvic floor, abdominal muscles and trunk muscles.
  • Improving breathing control.
  • Reducing fluid retention through lymphedema massage/ manual lymph drainage.
  • Reducing constipation.

How common is back pain during pregnancy?

Prevalence ranges between 50 to 70 percent of women who are pregnant. While the reasons for back pain vary from person to person, the majority of back pain concerns can be accounted for by one of the following reasons:

  • An increase in hormones.
  • A change of the body’s center of gravity.
  • Gaining additional weight.
  • Faulty postures utilized during pregnancy
  • Added stress

+ Post Partum

Physical therapy treatments following delivery include: manual therapy to regain lost range of motion, scar mobilization to prevent adhesions, abdominal and pelvic floor strengthening, correction of diastasis recti, education in proper posture and positioning, and treatment of vaginal and pelvic pain.

Physical therapy treatment can also address unresolved painful episiotomies and painful c-section scars.