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What is Pelvic PT?

Pelvic floor physical therapy is a specialized area of therapy that focuses on the muscles, ligaments, and connective tissues in the pelvic region. Here's an overview of major learnings related to pelvic floor physical therapy, including how pelvic muscles contract and relax, Kegel exercises, reverse Kegel exercises, and diaphragmatic breathing:

Pelvic Muscle Anatomy:

Understanding the anatomy of the pelvic floor muscles is crucial in pelvic floor physical therapy. These muscles form a sling-like structure at the bottom of the pelvis, supporting organs such as the bladder, uterus, and rectum.


Pelvic Muscle Contraction and Relaxation:

Pelvic floor muscles contract and relax to control bladder and bowel function, support pelvic organs, and contribute to sexual function. Learning to consciously contract and relax these muscles is a key aspect of pelvic floor physical therapy. Three KEY exercises to learn and balance are:


3 Key Exercises


1. Kegel Exercises:

Kegel exercises, named after Dr. Arnold Kegel, are a common technique used in pelvic floor physical therapy. They involve contracting and relaxing the pelvic floor muscles to strengthen them. Kegels can help improve bladder control, reduce urinary incontinence, and enhance sexual function.


2. Reverse Kegel Exercises:

Reverse Kegel exercises focus on relaxing the pelvic floor muscles rather than contracting them. They can be beneficial for individuals who have tight or overactive pelvic floor muscles, which can contribute to pelvic pain or urinary dysfunction.


3. Diaphragmatic Breathing:

Diaphragmatic breathing involves deep breathing that engages the diaphragm muscle, located below the lungs. This type of breathing can help improve pelvic floor muscle function by coordinating the breath with pelvic muscle relaxation and contraction. It also reduces tension in the pelvic area and promotes relaxation.


Pelvic Floor Dysfunction:

Pelvic floor dysfunction refers to problems with pelvic floor muscle coordination, strength, or relaxation. Common issues include urinary incontinence, pelvic pain, fecal incontinence, and pelvic organ prolapse. Pelvic floor physical therapy aims to address these dysfunctions through targeted exercises, education, and lifestyle modifications.


Assessment and Treatment:

Pelvic floor physical therapists conduct thorough assessments to evaluate pelvic floor muscle function, strength, and coordination. Treatment plans are individualized based on the specific needs and goals of each patient. They may include a combination of exercises, biofeedback techniques, manual therapy, behavioral strategies, and education on bladder and bowel habits.


Overall, pelvic floor physical therapy empowers individuals to take control of their pelvic health, improve muscle function, and enhance overall quality of life. It is important to work with a qualified pelvic floor physical therapist who can provide personalized guidance and support throughout the treatment process.



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