All of the therapists at Hands on Physical Therapy and Advanced Massage Therapy have advanced training in specific anatomy and treatment related to the female and male pelvis. Our training includes both didactic and hands on lab technique courses aimed at in depth thorough evaluation and treatment of internal and external structures of the pelvic floor. Manual therapy techniques, primarily myofascial release, are the primary treatment tools utilized in our treatment approach. Our one on one approach allows us to easily identify postural and movement patterns which may be contributing to the problem being treated. Correction of these movement and postural patterns via specific strengthening, body mechanics and postural education is an important component to the treatment.

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Myofascial Release, manual therapy techniques and proper retaining of the pelvic floor muscles have produced successful outcomes for both men and women, becoming extremely important tools in areas such as:

  • Urinary Incontinence
  • Chronic Pelvic Pain
  • Constipation
  • Sexual Health
  • Fertility

The advantages of manual internal treatment of the pelvic floor are:

  • Identify and treat scar tissue from surgeries
  • Identify and treat muscle spasms of pelvic floor muscles
  • Identify weakness of pelvic floor muscles and define an appropriate exercise program
  • Evaluate directly appropriate muscle contraction while doing pelvic floor exercises
  • Education, biofeedback techniques for the patient to help them understand pain patterns and specific weakness.

The following are commonly treated diagnoses:

In Women:

  • Pelvic pain and dysfunction
  • Bladder and bowel health
  • Urinary and fecal incontinence
  • Urgency and frequency
  • Infertility problems
  • Vulvadynia/vestubulitis
  • Endometriosis
  • Menstrual Problems
  • Painful surgical scars and adhesions including episiotomy and mastectomy scars
  • Interstitial cystitis
  • Painful intercourse (dyspareunia)
  • Breast pain – implant and reduction scars
  • Musculoskeletal pain
  • Tail bone, sacroiliac and low back pain
  • Pregnancy and post partum pain

In Men:

  • Pelvic pain and dysfunction
  • Bladder and bowel health:
  • Urinary and fecal incontinence
  • Urgency and frequency
  • Prostate health/Post prostate surgery education and treatment
  • Erectile dysfunction
  • Musculoskeletal pain
  • Tail bone, sacroiliac and low back pain

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