Pelvic Floor Physical Therapy Services in Tallahassee
Your pelvic floor muscles help support internal organs as well as aid with proper functioning of bladder and bowels. In order for pelvic floor muscles to function normally a proper balance of strength and relaxation is needed. Weak muscles in the pelvic floor can cause urinary incontinence, pelvic organ prolapse, and fecal incontinence.
Our physical therapists in Tallahassee, Florida can assist you with strengthening both your core and pelvic floor muscles, teach you proper techniques and educate you on proper diet to improve your overall health and quality of life.
Schedule a physical therapy consultation
A prescription from a physician or ARNP is needed for referral to physical therapy. For more information, call Capital Regional Medical Center’s Physical Therapy Department at (850) 325-5269.
Normal functioning pelvic floor muscles
Pelvic floor muscles should contract to prevent leakage of urine when you cough, sneeze or laugh. When urination or having a bowel movement, these muscles should involuntary relax. Pelvic floor muscles are also an important part of the body's core and should co-contract for stability and support.
It is not normal to have urinary incontinence after pregnancy or with aging. Pelvic floor physical therapy can help prevent urine leakage and treat urinary incontinence.
What causes pelvic floor muscles to weaken?
There are many different factors that can cause the pelvic floor muscles to weaken, including:
- Increased age: As a woman gets older her estrogen levels will decrease
- Pregnancy (vaginal or C-section): Episiotomies (surgical incision to enlarge the opening for a baby to pass through), perineal tears and large birth weight babies
- Body weight: If a person's body mass index is greater than 30
- Chronic cough, asthma or smoking
- Chronic constipation
- Repetitive lifting and high impact activities such as gymnastics
- Surgery: Hysterectomy
Weak pelvic floor muscle conditions
The physical therapists at Capital Regional Medical Center are trained to help patients strengthen their pelvic floor muscles and treat the following conditions:
- Urinary incontinence
- Stress urinary incontinence: Loss of urine with laughing, sneezing, coughing and exercise
- Overactive bladder
- Fecal incontinence: Loss of gas, liquid or solid stool
- Muscles may not contract after bowel movement
- Overflow (bowel) incontinence: Leakage of liquid stool around sold stool due to being constipated
- Pelvic organ prolapse: Protrusion of the pelvic organs into, or out of the, the vaginal canal
Exercise, education and treatment
Our physical therapy programs are designed for each specific patient's needs, start with easier exercises and progress over time. We also help our patients avoid certain exercises that could cause harm and make conditions worse.
The exercises are designed to both strengthen and relax:
- Pelvic floor muscles
- Core abdominal muscles
- Surrounding hip and abdominal muscles
Our physical therapists help patients coordinate their breathing, body position and overall safety.
What is urinary incontinence?
Urinary incontinence in the simplest terms is a weak bladder causing involuntary leakage of urine. It is a common condition caused by too week or tight pelvic floor muscles. A weak pelvic floor lacks necessary muscle strength. A tight pelvic floor pulls on the urethra.
- Total voids per day: 4-8 times
- Nighttime voids: 0-1 times per night If you are younger than 65 years of age; 1-2 times if older than 65.
- Time between voids: 2-5 hours between voids if less than 65 years of age; 2-3 hours between voids if older than 65.
Chronic pelvic pain conditions and treatment
Patients who have overactive pelvic floor muscles from certain medical conditions like chronic pelvic pain (that can be caused from interstitial cystitis/painful bladder syndrome, vaginismus, and vulvodynia) will benefit from pelvic floor physical therapy to learn how to decrease muscle tightness, decrease pain, and decrease tender/trigger points that can be caused from non-relaxed/tight pelvic floor muscles.
- Interstitial cystitis
- Painful bladder syndrome
Pregnant and post-partum health physical therapy
Pelvic floor physical therapy can also aide you if you are pregnant or are post-partum by strengthening your pelvic floor muscles for common conditions such as: low back and sacroiliac joint pain, diastasis recti, and perineal tears. Our physical therapists also provide education on:
- C-section scar massage
- Labor positions
- Proper body mechanics during pregnancy and post-partum
- Perineal massage
- Compression hose
Learn more about our physical therapy program
If you have questions about Capital Regional Medical Center's physical therapists, physical therapy program or would like to schedule a consultation, please call (850) 325-5269.