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Pelvic floor dysfunction

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WA Physical Therapy Specialist perform a non-surgical approach which include behavioral strategies, manual therapies, modalities, therapeutic exercise, education, and functional re-training.

You can call us with or without a referral for a consultation. Our first step is to gather facts about the condition. Then, we will perform specific and sensitive variables to the symptoms you are experiencing, measure and observe your mobility, and identify what could be causing your symptoms. Finally, we will develop a plan of care specific to your conditions and establish functional goals to attain your optimum quality of life.

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Pregnancy / Pre & postpartum 

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Pregnancy has many complex complications, such as pelvic pain, coccygodynia,   incontinence, hip pain, and other dysfunctions. You need a trained pelvic floor practitioner to prevent or reduce the risks. Also, we will examine and manage your symptoms during pregnancy. We will also teach positions beneficial during labor. Positions can assist with opening the pelvic inlet or outlet or relieving discomfort or pressure.

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Post surgeries

 

Immobility, pain, limited strength, soft tissue or joint restriction and, infections are the most common complications of  pelvic floor surgeries. At WA Physical Therapy Specialist, we will assist you in your recovery, prevent or reduce the risk of complications, manage symptoms and pain.  

bladder surgery

Bowel/Bladder Incontinence

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You may be experiencing incontinence aggravated by activities like coughing or  sneezing. You might also experiece fecal incontinence and constipation. Beside diet and lack of exercises, your pelvic floor could also be causing this. These could be cause by your brain integration, high muscle tone or behavioral. At WA physical Therapy Specialist, we are trained to evaluate and treat these conditions. 

incontinence

Sense of Urgency/Frequency

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Anther symptom that affects your daily activities is the frequency and constant feeling of urge to empty your bladder or bowel.  This could be a true urge or a false urge. We will identify and treat this symptom that is impacting you.

urge to eliminate

Pelvic Floor dysfunction we see

  • Pelvic Pain

  • Prostatodynia

  • Sacrococcygeal disorders, not elsewhere classified (Coccygodynia)

  • Sciatica, right side

  • Sciatica left side.

  • Anal spasm (Proctalgia fugax)

  • Muscle spasm

  • Other muscle spasm

  • Vaginismus Excludes psychogenic vaginismus (F52.5)

  • Dyspareunia Excludes psychogenic dyspareunia (F52.6)

  • Primary dysmenorrhea

  • Secondary dysmenorrhea

  • Dysmenorrhea, unspecified Excludes psychogenic dysmenorrhea (F45.8)

  • Vulvar vestibulitis

  • Vulvodynia, unspecified

  • Pelvic and perineal pain Excludes vulvodynia (N94.81)

  • Lower abdominal pain, unspecified

  • Stress fracture, pelvis and femur (Stress fracture, hip)

  • Stress fracture, pelvis

  • Bowel

  • Abdominal distension (gaseous) Bloating Tympanites (abdominal) (intestinal)

  • Gas pain

  • Flatulence

  • Fecal incontinence Includes: encopresis NOS

  • Incomplete defecation Excludes1: constipation (K59.0-) fecal impaction (K56.41)

  • Fecal smearing (Fecal soiling)

  • Fecal urgency

  • Full incontinence of feces (Fecal incontinence NOS)

  • Irritable bowel syndrome Includes: irritable colon spastic colon

  • Irritable bowel syndrome with diarrhea

  • Irritable bowel syndrome without diarrhea Irritable bowel syndrome NOS

  • Constipation Excludes1: fecal impaction (K56.41) incomplete defecation (R15.0)

  • Constipation, unspecified

  • Slow transit constipation

  • Outlet dysfunction constipation

  • Other constipation

  • Functional diarrhea Excludes diarrhea NOS (R19.7)

  • Urinary

  • Interstitial cystitis (chronic)

  •  Interstitial cystitis (chronic) without hematuria Interstitial cystitis (chronic) with hematuria

  • Neuromuscular dysfunction of bladder not elsewhere classified.

  • Neuromuscular dysfunction of bladder, unspecified

  • Overactive bladder (Detrusor muscle hyperactivity)

  • Urethritis and urethral syndrome

  • Urethral syndrome, unspecified

  • Frequency of micturition

  • Nocturia

  • Hesitancy of micturition

  • Poor/weak stream

  • Splitting of stream

  • Feeling of incomplete bladder emptying

  • Urgency of Urination Excludes1: urge incontinence

  • Straining to void

  • Stress incontinence (female) (male)

  • Urge incontinence (Excludes1: mixed incontinence 

  • Incontinence without sensory awareness

  • Post-void dribbling

  • Nocturnal enuresis

  • Continuous leakage

  • Mixed incontinence (Urge and stress incontinence)

  • Overflow incontinence.

  • Enlarged prostate with lower urinary tract symptoms.

  • Functional urinary incontinence

  • Post Surgical Status

  • Bladder Type                                                                 

  • Hysterectomy

  • C-Section

  • Prostatectomy

  • Post Radiation/Chemotherapy

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