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  • Writer's pictureDr. Luba Khakham, PT, DPT

Pelvic Floor Physical Therapy: Expectations vs. Reality

Updated: Jul 9, 2023


A young woman thinking

By Dr. Luba Khakham, PT, DPT who is currently serving the Metro Detroit community


Pelvic floor physical therapy is a specialized branch of physical therapy that focuses on treating various conditions related to the pelvic floor muscles. It has gained significant attention in recent years as more people are becoming aware of the impact the pelvic floor has on their overall well-being. In this blog post, we will explore the expectations versus the reality of pelvic floor physical therapy. Whether you're considering pelvic floor therapy or just curious about what it entails, this article will provide valuable insights. So let's dive in!


Understanding Pelvic Floor Physical Therapy:


The pelvic floor is a group of muscles that support the pelvic organs, including the bladder, uterus, and rectum. These muscles play a crucial role in various bodily functions such as controlling urination, bowel movements, and sexual activity. When these muscles become weak, tight, or dysfunctional, individuals may experience a range of symptoms, including urinary incontinence, pelvic pain, and sexual dysfunction.



Expectation: Quick Fix for Pelvic Floor Issues


Reality: Patience and Consistency Are Key


One common expectation people have when starting pelvic floor physical therapy is that it will provide a quick fix for their pelvic floor issues. However, the reality is that pelvic floor rehabilitation takes time, consistency, and patience. The therapist will work closely with you to develop an individualized treatment plan tailored to your specific needs. This plan may include a combination of manual therapy, exercises, and lifestyle modifications.



Expectation: Embarrassing or Uncomfortable


Reality: Professionalism and Empathy


Some individuals may feel embarrassed or uncomfortable at the thought of pelvic floor physical therapy due to the sensitive nature of the treatment area. However, it is important to remember that pelvic floor therapists are highly trained professionals who approach their work with empathy and respect. They create a safe and comfortable environment where patients can openly discuss their concerns. Understanding that pelvic floor therapy is a medical treatment can help alleviate any apprehensions.



Expectation: Exclusively Internal Techniques


Reality: Holistic Approach


While internal techniques, such as manual therapy, are commonly used in pelvic floor physical therapy, it is not the sole focus of the treatment. Therapists employ a holistic approach, considering all aspects of a patient's condition and lifestyle. This may include assessing posture, body mechanics, breathing patterns, and providing education on bladder and bowel habits. The goal is to restore optimal function and empower patients to take an active role in their recovery.



In conclusion, pelvic floor physical therapy offers a range of benefits for individuals struggling with pelvic floor dysfunction. By debunking common misconceptions and understanding the reality of pelvic floor therapy, we can encourage more people to seek the treatment they need. Remember, pelvic floor therapy requires time, consistency, and patience, but it can lead to significant improvements in quality of life.


If you want to regain your life and are interested in learning more click here for a free 15 minute consultation.



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