Patients with pelvic floor dysfunction can suffer from incontinence, pelvic pain, constipation, and voiding disturbance. These symptoms are signs of complex problems affecting the entire pelvic floor, so clinicians should treat the pelvic unit as a whole rather than isolated organs. For instance, pelvic muscle rehabilitation (PMR) manages pelvic floor dysfunction and associated symptoms.
Pelvic floor physical therapy takes a holistic approach by assessing various physiological factors associated with pelvic floor dysfunction. The clinician considers each patient’s circumstances when determining treatment options. PTs look at medical history, stressors, symptoms, and physical presentation in order to create an individualized treatment plan.
Evaluation
PMR is a comprehensive treatment program for pelvic floor dysfunction, starting with systematically evaluating symptoms and contributing factors. First, the clinician interviews the patient to understand medical history, psychological stressors, and symptom onset and severity.
Examination
Following the evaluation, the clinician conducts a physical assessment of the pelvic muscles, joints, and ligaments. The PT observes posture and movement of the hips, back, and core. Next is an internal examination via the vagina for females or the rectum for males.
Treatment
After the examination and evaluation, the clinician uses the information to formulate an individualized treatment plan using one or more modalities. Additional treatments include patient education, manual manipulation, and electrical stimulation. In addition, the individual or couple may benefit from cognitive behavioral therapy to address co-occurring anxiety or emotional distress.
What are the therapeutic modalities of Pelvic Muscle Rehabilitation?
PMR treatment has 6 modalities of therapy. The practitioner uses diagnostic results and clinical presentation to choose the best therapeutic modalities for the patient.
Down-training
Accessory Muscle Isolation
Discrimination Training
Muscle Strengthening
Endurance Training
Electrical Stimulation
Pelvic Floor Physical Therapy in New Jersey
The Women’s Health expert at Churchill Orthopedic Rehabilitation has extensive knowledge in pelvic floor rehabilitation to alleviate pelvic dysfunction. If your patient needs Pelvic Muscle Rehabilitation, call our office at 201-833-1333.