Edmonds, WA · Pelvic Floor Physical Therapy

Call to schedule · (425) 582-0727

The journal Pelvic Health

When To Seek Out Pelvic Floor Physical Therapy

By Dr. Allison Feldt, PT, DPT 3 min read

Pelvic Floor Physical Therapy is the treatment of pelvic floor dysfunction. But what is the cause of pelvic floor dysfunction? Oftentimes it is caused by trauma, so pregnancy and birth can cause trauma to the pelvic floor, but so can car accidents and injuries. More subtle causes might be straining going to the bathroom, joint instability, constant clenching of the pelvic floor muscles and high-intensity workouts like running, crossfit and gymnastics.

Pelvic Floor Dysfunction is usually due to a lack of blood flow to the pelvic floor muscles which can be caused by scar tissue or hypertonicity, extreme tightness of the muscle. If these dysfunctions are present during pregnancy it will affect a vaginal birth and can lead to a C-Section. That is why the number one thing we do in Pelvic Floor Physical Therapy is address this issue with manual therapy both internally and externally.

But really our bodies will compensate for pelvic floor dysfunction by putting strain on our joints and muscles. During pregnancy our joints are already compromised by a hormone called Relaxin that makes our joints flexible and allows for the pelvis to open during birth. Our pelvic floor will continue to atrophy with a lack of blood flow and that leads to more leaking because that muscle is weak and can no longer control our bathroom functions. We always say just because it is common doesn’t mean it is normal. Addressing the issue holistically with an expert will eliminate the need for surgeries and medications down the road.

Symptoms Of Pelvic Floor Dysfunction

  • Leaking when you are jumping, running, sneezing or coughing
  • Pain with intercourse
  • Low Back Pain
  • Hip Pain
  • Back Pain
  • Neck Pain
  • Knee Pain
  • Constipation
  • Pelvic Pain or Heaviness
  • Inability to orgasm
  • Pain when inserting a tampon
  • Inability to completely void urine or feces
  • Vaginal dryness
  • Diastasis Recti

Common Issues During Pregnancy That Pelvic Floor Physical Therapy Addresses:

  • Pubic bone pain, Symphysis pubis
  • Sacroiliac Joint Pain
  • Pelvic Pain, Pelvic Pressure, Pelvic Organ Prolapse
  • Incontinence
  • Low Back Pain
  • Hand Numbness
  • Mid Back Pain
  • Rib Pain
  • Hip Pain
  • Round Ligament Pain
  • Diastasis Recti, Abdominal Separation
  • Pain With Intercourse
  • Pain While Moving in Bed
  • Pain Getting In And Out Of Car
  • Pain with Any Life Activity
  • Pelvic Floor Preparation for Birth

Healthy Pelvic Floor Checklist

  • No Leaking When Sneezing, Coughing, Jumping
  • Can Go For More Than 3-4 Hours Without Having An Urge To Pee and Once You Get It You Can Hold It For At Least 15 Minutes
  • Have A Bowel Movement Everyday
  • Can Enjoy Penetrative Sex Without Discomfort
  • Can Relax, Contract & Bulge Pelvic Floor Muscles
  • Can Engage Lower Abdominal Muscles
  • Can Void Urine and Feces Completely
  • Create Natural Lubrication When Aroused
  • No Dribbling After Toilet After Peeing
  • Can Freely Orgasm Without Discomfort
  • Hips and Low Back Always Feel Flexible and Pain Free

Can’t Check All Of These Boxes? Pelvic Floor Therapy Will Help You! Book A Complimentary Consultation With A Pelvic Expert Physical Therapist! To Book Visit https://bodymotionpt.com/discovery-visit/

Dr. Allison Feldt, PT, DPT, founder of Body Motion Physical Therapy

About the author

Dr. Allison Feldt, PT, DPT

Allison is a pelvic floor physical therapist and the founder of Body Motion PT in Edmonds. A mom who knows the aftermath of pregnancy and birth firsthand, she's on a mission to help women restore their core and pelvic floor at every stage of life.

Keep reading

More from the journal

View all articles

Ready when you are

Questions about your own body?

Let's talk it through.

Book a free discovery visit and get real answers from our pelvic health team. Every conversation stays private, respectful, and centered on you.