Advanced Pelvic Floor Physical Therapy

advanced pelvic floor therapyOn average, patients with Pelvic Floor Dysfunctions will spend 4-5 years seeing 10+ specialists having 25+ tests in order to be properly diagnosed. In the process patients continue to suffer with pain and dysfunction, develop depression/anxiety, and alter their lifestyle to their condition. An experienced Pelvic Floor Physical Therapist can diagnose the source of the dysfunction/pain within one hour and set the patient on the proper path to recovery.

Patients usually present with:

  • Nerve Pain in the Pelvic Floor Pudendal Nerve Entrapment
  • Pudendal Neuralgia
  • Intentional Constipation
  • Diastasis Recti
  • Coccygodynia/Tailbone pain or fracture
  • Interstitial Cystitis
  • Prostatitis
  • Vaginismus
  • Hernia (Abdominal/Groin)
  • Vulvodynia
  • Irritable Bowel Syndrome (IBS)

At ProTouch Physical Therapy we provide boutique-like treatment to the most complex pelvic floor patients. Each patient receiver 1-2 hours of full body assessment and education to find the source of their dysfunction. Pelvic Floor patients are use to seeing many doctors who perform a battery of tests with little to no answers. The team at ProTouch looks at posture in sitting and standing, including the position of the legs and feet. The patient is fully assessed externally, including spine/neck, pelvic, hips/knees. Internal exams are performed in a comfortable private room and patients are walked through all of the findings and educated on the dysfunctions found. We believe that knowledge empowers the patient to take control of their difficult condition. To address the emotional part of the situation, the staff and therapists are trained to address every aspect of the process with the utmost respect and care. Our patients feel that they have finally found a place where there is a team of individuals who will support and help progress them toward their goals.

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.

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.

Zarina is one of two pelvic floor therapists in the US that has been trained by Dr. David Wise.
pelvic pain book- a headache in the pelvis

Click here to learn more about Dr. Wise and his pelvic pain protocol.

Pelvic Floor Testimonials

  • When I first got CPPS/CP I did not know what was happening to me and was scared.  I was in pain and only wanted help from a knowledgeable physical therapist that worked with males. I chose Zarina because she's been coached by the pioneers in CPPS. Zarina explained what was going on with my pelvic floor, gave me stretches to do at home, and is compassionate and caring during our sessions.  Her enthusiasm sometimes is just what you need. Zarina has helped me feel better in only a few short months, and I know I'm only going to keep progressing. The center also has plenty of space to do some stretches and the staff is very warm and friendly. -H.R.
  • I'm a 61 year old who has been treated by multiple physical therapists for a variety of ailments including lower back pain, sciatica and a surgically reattached pectoral tendon.  The ProTouch facility is immaculate, has a full complement of exercise machines and medical equipment to treat almost any condition imaginable.  After my initial evaluation the intensity of the treatment I received on my first visit by Zarina and her assistants was by far more extensive than anything else I had ever experienced... - C.G.
  • Pelvic Pain is a complex chronic pain, mind-body syndrome. Zarina is extremely knowledgeable, supportive, and professional. She is very clear in giving instructions for home exercise. She is reassuring and optimistic. I had already been to several physical therapists; with Zarina, I am progressing for the first time! -Unknown