How Is Pelvic Floor Therapy Applied Externally?

Pelvic floor therapy is a treatment method that involves one-on-one sessions with a trained pelvic floor physical therapist to address and manage symptoms of pelvic floor dysfunction, such as leaky bladder, incontinence, and prolapse. The therapy aims to restore mobility and movement while reducing pain. During the exam, the therapist will assess posture, breathing pattern, strength, and flexibility of the spine, hip, and other pelvic floor muscles.

Pelvic floor therapy can help relax and strengthen the muscles of the pelvic floor, which in turn can relieve pain. It is suitable for individuals with low or high tone forms of pelvic floor dysfunction and related pelvic floor muscle pain. The treatment plan may include exercises, stretches, manual therapy, biofeedback therapy, or electrical stimulation to strengthen or relax the pelvic floor muscles.

External pelvic floor therapy addresses muscles that attach to the outside of the pelvis or those that can be accessed without an internal part. The treatment for pelvic floor dysfunction must always include the external part and at times may include internal manual work. The therapist will first do a visual exam of the external genital area, urethra, clitoris, and anus, checking for skin integrity or signs of irritation.

External therapy techniques include nerve release, trigger point therapy, deep tissue massage (myofascial release), skin rolling, and joint manipulation. With the patient’s permission, the therapist will use a little lubricant and insert it vaginally or rectally depending on the condition. External pelvic floor therapy can include modalities such as myofascial release, stretching, and massage to target muscles of the lower body and other areas of the pelvic floor.

How is a pelvic floor massage done?

Internal pelvic floor physical therapy is a crucial aspect of pelvic health, involving manual manipulation of pelvic floor muscles by a skilled therapist. This therapy can help treat pelvic floor dysfunction caused by childbirth, aging, surgery, or other conditions. The primary benefits of pelvic floor massage include pain relief, improved bowel and bladder control, improved sexual function, and improved recovery after childbirth or pelvic surgery.

How do you massage your pelvic floor externally?

A pelvic floor massage is a gentle and effective way to relax and improve the overall health of the pelvic region. It involves a series of steps, including washing hands, finding a quiet area, using a water-based lubricant, and lying down in a comfortable position. To prepare the pelvic musculoskeletal area for the massage, perform warm-up stretches by bringing your knees toward the chest and gently circle them three times in one direction and three times in the opposite direction.

Lie on your back or turn on your side, using blankets or pillows to find a comfortable position to reach your vagina. Take a minute to relax into your breathing, feeling your abdomen gently rise and fall as you inhale and exhale. Continue to breathe gently until you feel ready to start the massage.

For an external pelvic floor massage, apply lubricant to the perineum, which is the area between the vagina and anus. Massage for thirty to ninety seconds, applying gentle circling pressure from your first two fingers to relax the muscles and improve blood flow. For an internal pelvic floor massage, apply lubricant to your vaginal opening and insert the thumb or index finger about an inch inside the vagina, allowing the remaining fingers to relax along the inside of your thigh.

Imagine the vaginal canal as a clock, with the anus at 6:00 and the pubic bone at 12:00. Place the thumb or finger at the 6:00 position, apply gentle pressure, and slowly move it counterclockwise against the wall of the vaginal canal.

Identify tender spots or trigger points and press them gently against them for thirty to ninety seconds while breathing in through the nose and out through the mouth. If the massage feels too painful, release some pressure and continue more gently.

As you progress with the massage, insert the finger or thumb into the vaginal canal, rotating clockwise and counterclockwise to identify pain and apply massage for relief. Always move slowly and gently.

When you’re ready to stop the massage, perform the same warm-up stretch to cool down the pelvic muscles, ligaments, and tendons before standing up and going about your day.

How to do pelvic floor therapy at home?

Pelvic floor muscle training exercises are a series of exercises designed to strengthen pelvic floor muscles. They are recommended for women with urinary stress incontinence, men with urinary stress incontinence, often after prostate surgery, and people with fecal incontinence. To perform these exercises, empty the bladder, tighten the pelvic floor muscles, relax the muscles completely, and perform 10 repetitions daily.

Do they touch you in pelvic floor therapy?

A pelvic floor therapist will assess pain, discomfort, and muscle strength using light touch and gloved finger. They will also evaluate coordination and relaxation abilities. Many women avoid seeking a pelvic floor therapist due to fear, reluctance to admit their bathroom habits, and the challenge of finding time and energy to start. Addressing these issues can help women improve their pelvic floor health.

Do I need to shave for pelvic floor physical therapy?

It should be noted that shaving is not a mandatory practice. This is because grooming is a matter of personal preference and not a requirement or request for the work in question.

Do you have to undress for pelvic floor therapy?

A pelvic floor physical therapy involves a private, private examination of the pelvic floor muscles using non-latex gloves and lubricant. The therapist will also review the patient’s medical history and address any specific concerns. They will evaluate posture, alignment, and movements, test for balance, strength, flexibility, and coordination, and test sensory and sensation awareness. The goal is to provide an individualized treatment plan for each individual. To schedule an appointment, contact a team of specialists to start your pelvic floor physical therapy journey.

How is pelvic floor therapy done?

A physical therapist will collaborate with you to develop an individualized plan to address your pelvic health needs, which may include exercises, stretches, manual therapy, biofeedback therapy, or electrical stimulation. The number of sessions will vary, and each session is tailored to your specific needs and symptoms. It’s important to note that Kegel exercises may not be the sole solution to any pelvic floor disorder, and improper or incomplete use can lead to poor results and frustration. A pelvic floor physical therapist can assess and guide you to ensure the effectiveness of these exercises.

How awkward is pelvic floor therapy?

Pelvic floor therapy is a non-judgmental, non-emotional treatment for various pelvic floor disorders. It is administered by skilled healthcare professionals who prioritize patient confidentiality and comfort. Patients should feel comfortable discussing their concerns and symptoms during sessions. Although it is effective for a wide range of conditions, some may feel apprehensive about seeking this type of therapy. Pelvic floor physical therapy focuses on the muscles, ligaments, and connective tissues in the pelvic region.

Do they finger you in pelvic floor therapy?

An internal rectal assessment is a procedure where a therapist inserts a gloved finger into the vagina to check the pelvic floor muscles for function, tone, and tenderness. This is different from a gynecological exam as it does not involve stirrups or speculum. The assessment is designed for problems in the rear, such as pooping issues, tailbone pain, or rectal pain, and is suitable for those without a vagina or unable to perform the assessment vaginally.

The assessment is brief, and the therapist will discuss the findings with the patient. After the assessment, the patient will receive education and exercises to start at home and discuss the next therapy sessions.

Do you have to take your pants off for pelvic floor therapy?

During the examination, it is required that the patient maintain an upper garment and disrobe from the waist down. The patient may drape a sheet around themselves to facilitate this process. It is recommended that patients wear clothing that can be easily removed, and that they refrain from wearing jumpers and rompers during the course of their treatment.

What is external pelvic floor therapy?

External pelvic floor therapy is a method that targets muscles outside the pelvis, including the hip, back, and core muscles. These muscles can be accessed without an internal examination, with the exception of the pelvic floor muscles.