Pelvic Pain/ Pelvic Spasm

Pelvic pain is pain felt in the lower abdomen, pelvis, sacrum, hips or perineum. It has many possible causes and affects up to 20% of the population in the United States, including women and men. Pelvic Floor Physical therapists help people experiencing pelvic pain restore strength and flexibility to the muscles and joints in the pelvic region, and reduce their pain through internal pelvic floor intervention.

Signs and Symptoms:

  • Inability to sit for normal periods of time.
  • Reduced ability to move your hips or low back.
  • Difficulty walking, sleeping, or performing daily activities.
  • Pain, pressure or numbness in the pelvic region with exercise or recreational activities.
  • Pain during sexual activity.
  • Urinary frequency, urgency, or incontinence, or pain during urination.
  • Constipation or straining with bowel movements, or pain during bowel movements.
  • Difficulty using tampons

How can a Physical Therapist help?

Based on the evaluation results, your Pelvic Floor Physical Therapist will individualize treatment to strengthen your Pelvic Floor muscles and to improve their function. You will also gain control over your symptoms and reduce your dysfunctions. Your physical therapist will discuss diet and nutrition, change in behavior, postural training, and develop a plan to return you to your previous level of function.

Dr. Scott Kelly in Clinics in Colon and Rectal Surgery, Sept, 2014 published an article Pelvic Floor Rehab in the treatment of incontinence stated that Pelvic Floor Physical Therapy is an important first-line treatment for patients with incontinence.

What to Expect During Your First Evaluation:

Your physical therapist will complete a thorough review of your medical history, and perform a physical examination to identify the causes of your pelvic pain and any joint issues, muscle tightness or weakness, or nerve involvement.

The exam may include:

Pelvic girdle screening, Soft tissue assessment, Visual inspection of the tissues, Reflex testing, Sensation testing, Internal assessment of pelvic floor muscles.

Your physical therapist also will determine whether you should be referred to a physician to assist in your interdisciplinary plan of care.

For more information, Contact Us Today at Cranford, NJ Center.