Physical therapists help patients eliminate symptoms of pain and discomfort as a part of Pelvic Floor Dysfunction Treatment a program designed specifically for those experiencing symptoms like pelvic pain, pain with intercourse, perineal pain, tailbone and groin pain, urinary or fecal incontinence and constipation. These symptoms may be a result of pregnancy and childbirth, infections, chronic low back pain, SI dysfunction, trauma, surgery or generally weakened pelvic muscles, among other causes. Typically, pelvic floor dysfunction is thought of as an issue that only affects women but in fact, both men and women are susceptible.

Therapydia’s Pelvic Floor Dysfunction Treatment helps patients eliminate these symptoms by strengthening weakened muscles and relaxing muscles that may be too tight. Custom exercises are prescribed in order to increase hip and core strength and to provide the necessary tools to eliminate symptoms. Below are a few example exercises utilized as a part of pelvic health physical therapy.

Bridge with Hip Adduction:

• With your knees bent and your feet on a flat surface, squeeze the Pilates ring using your inner thigh muscles so that your knees, ankles and hips are all in one line.
• Hold this position as you lift your hips up, squeezing through the glute muscles.
• Maintain a tight core throughout to avoid any arching of the back and to ensure proper glute activation.
• Hold for a few seconds at the top and return to the starting position.

Side-lying Hip Abduction

• Lie on your side with your bottom knee bent for stability.
• Roll the top hip forward and contract the lower abs to prevent any arching of the low spine.
• Lift the top leg straight up with the toe pointed forward and squeeze the leg up and slightly back.
• You should feel this exercise in the posterior glute and not in the front or the side of the hip.

Clamshells

• Start on your side in a fetal position. Keep the top hip rolled forward and the heels together as you lift the top knee up using your glute muscles. This exercise should be felt in the back of the hip, not in the front, side of inner thigh.
• Make sure that you are not rolling the top hip back as you are lifting your knee.
• Keep the core engaged throughout the entire movement.

90/90 Heel Taps

• Start on your back, contract the low abs and lift both legs up to 90 degrees of hip and knee flexion without letting the lower spine come off the table.
• Squeeze the belly button toward the spine and keep the pelvis stable as you tape one heel to the table and bring it back up.
• Alternate legs and make sure that you are not arching through the lower spine.
• Perform this exercise to fatigue.

If you experience any pain with these exercises, stop immediately and contact a Therapydia physical therapist.

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