Do you need Pelvic Floor Physical Therapy?

Understanding the signs and symptoms

Pelvic floor physical therapy is a specialized area of physical therapy that focuses on the muscles, ligaments, and connective tissues that support the pelvic organs, including the bladder, bowel, and reproductive organs. These muscles play a vital role in core stability, sexual function, posture, and continence. When the pelvic floor isn’t functioning properly, it can lead to a variety of symptoms that can significantly impact your quality of life.

So how do you know if you should see a pelvic floor physical therapist? Here are some of the most common signs and symptoms to be aware of:

1. Urinary Symptoms

• Leaking urine when coughing, sneezing, laughing, or exercising

• Strong, sudden urges to urinate that are difficult to control

• Frequent urination, often more than 8 times a day or waking multiple times at night to urinate

• Difficulty starting the flow of urine, or a feeling of incomplete emptying

These may be signs of pelvic floor muscle dysfunction, overactivity, or poor coordination between the bladder and pelvic muscles.

2. Bowel Issues

• Constipation or straining to have a bowel movement

• Fecal incontinence or difficulty controlling gas

• Painful bowel movements

A pelvic floor physical therapist can help retrain and strengthen the muscles needed for optimal bowel function.

3. Pelvic Pain

• Pain in the pelvic region, hips, tailbone, genitals, or lower abdomen

• Pain with intercourse, tampon use, gynecologic exams, or prolonged sitting

• Burning, aching, or sharp pain that feels deep and persistent

These symptoms could be due to pelvic floor muscle tension, nerve entrapment, or scar tissue—all of which can be treated with specialized manual therapy and movement strategies.

4. Pregnancy and Postpartum Recovery

• Back, pelvic, or hip pain during pregnancy

• Diastasis recti (abdominal separation)

• Pain with returning to sexual activity after childbirth

• Persistent pelvic heaviness or pressure, which may indicate a pelvic organ prolapse

• Weakness or instability in the core and pelvis after delivery

Pelvic floor therapy can support a smoother pregnancy, prepare your body for birth, and aid in postpartum recovery—whether you delivered vaginally or via cesarean.

5. Pelvic Organ Prolapse

• A sensation of heaviness, bulging, or pressure in the pelvic area

• Feeling like something is “falling out” or “sitting low”

• Visible or palpable bulge in the vaginal canal

These symptoms often occur when the pelvic floor muscles and connective tissues become stretched or weakened. Pelvic floor therapy can help manage or even reverse mild to moderate prolapse symptoms.

6. Sexual Dysfunction

• Pain during or after intercourse

• Decreased sensation or arousal

• Difficulty achieving orgasm

Sexual health is closely linked to pelvic floor function. A skilled therapist can address both physical and emotional components of dysfunction, working collaboratively with other providers as needed.

7. Unresolved Core or Lower Back Pain

The pelvic floor is a foundational part of the core muscle system. If you’ve been dealing with persistent low back, hip, or sacroiliac (SI) joint pain, and traditional approaches haven’t resolved it, your pelvic floor might be playing a hidden role.

When to Reach Out

If you are experiencing any of the above symptoms, even if they seem minor or come and go, it’s worth talking to a pelvic floor physical therapist. These issues are common, but not normal, and you don’t have to live with discomfort, pain, or embarrassment.

Pelvic floor physical therapists are trained to provide individualized, evidence-based care. Treatment may include hands-on techniques, exercises, breathing strategies, biofeedback, education, and more—all designed to restore healthy function and empower you in your healing.

Final Thoughts

Listening to your body is the first step toward healing. Whether you’re preparing for childbirth, recovering from surgery, or simply noticing symptoms that are interfering with your everyday life, pelvic floor therapy can make a profound difference.

You deserve to feel strong, confident, and comfortable in your body. Don’t wait—help is available, and healing is possible. Contact us today to schedule a free phone consultation!