Pelvic floor therapy (PFT) has been gaining traction as an essential component of health, particularly among postpartum moms and individuals dealing with pelvic floor issues, but what exactly can you expect at your first pelvic floor therapy appointment? This comprehensive guide will walk you through everything you need to know about what happens during a PFT appointment and why it’s important.

woman sitting on ground, wondering about Pelvic floor therapy, she gazes over a greay sky with tress in the background
Photo by Priscilla Du Preez

Introduction to Pelvic Floor Therapy and Its Importance in Health

Pelvic floor therapy (PFT) aims to address and treat various issues related to the pelvic floor muscles, which play a crucial role in bladder and bowel control, sexual function, and core stability. For women, particularly postpartum moms, maintaining strong and functional pelvic floor muscles is essential for overall well-being.

For men, erectile dysfunction,, pain with sex, persistent core weakness, lower back pain and urinary incontinence can be symptoms of pelvic floor dysfunction.

A growing number of people of any gender are recognizing the benefits of PFT. This therapy can alleviate symptoms of urinary incontinence, pelvic pain, and even help with postpartum or post-prostate surgery recovery. In this post, we will explore what happens during a PFT session, common pelvic floor dysfunctions, real stories from people who have benefited from the therapy, and much more.

What to Expect During a Pelvic Floor Therapy Appointment

Our clinic director, Sherryl DeVries always says, ” When you walk in for your evaluation, you are in charge!” Even though your first PFT appointment may seem daunting it’s important to remember that it’s a collaborative process between you and your therapist. Even though you will be discussing sensitive topics, you are in the driver’s seat and your therapist is there to listen without judgment and to offer science-based best-practice advice! Here’s a detailed breakdown of what to expect:

Initial Assessment

The initial visit usually begins with a thorough discussion of your medical history, symptoms, lifestyle, and any specific concerns you might have. Your therapist will ask about your urinary and bowel habits, sexual health, and any past surgeries or childbirth experiences. This helps them understand the context of your issues.

Physical Examination

Next, the therapist will conduct a physical examination, which includes assessing your posture, range of motion, and pelvic alignment. On your second visit, they may perform an internal mapping to evaluate the strength, tone, and flexibility of your pelvic floor muscles. Don’t worry; this part is usually done with a single gloved finger and is entirely voluntary.

Customized Treatment Plan

Based on the initial assessment and examination at your pelvic floor therapy appointment, your therapist will create a personalized treatment plan tailored to your needs. This plan may include specific exercises, lifestyle recommendations, and any necessary follow-up appointments.

Understanding Pelvic Floor Dysfunction

Pelvic floor dysfunction can manifest in various forms, and understanding these issues can help you see the potential benefits of PFT.

Urinary Incontinence

One of the most common pelvic floor issues is urinary incontinence, characterized by the involuntary leakage of urine. It can be triggered by activities such as coughing, sneezing, or exercising. PFT can help strengthen the pelvic floor muscles to improve bladder control.

Pelvic Pain

Pelvic pain can be caused by various factors including muscle tension, inflammation, or nerve issues. PFT techniques like myofascial release and targeted exercises can alleviate this pain by addressing the underlying causes.

Postpartum Recovery

Many women experience pelvic floor issues after childbirth, such as perineal tears or weakened muscles. PFT can aid in the recovery process by helping restore muscle function and reducing pain.

silhouette photography of woman doing yoga in a deep lunge. She's not worried about urinary incontinence because she has a pelvic floor therapist.
Photo credit:@kik_evega

Real Stories from People Who Benefitted from PFT

Hearing about others’ experiences can be encouraging, especially if you’re apprehensive about trying PFT.

Dave’s Journey

Dave, a middle-aged teacher, struggled with urinary incontinence after prostate surgery. He shares, “I was hesitant at first, but PFT gave me my confidence back. The exercises and guidance from my therapist have made a huge difference.”

Emily’s Experience

Emily suffered from chronic pelvic pain for years. “I tried everything, but nothing worked until I started PFT. My therapist helped me understand my body better and provided me with a treatment plan that finally brought relief.”

Melissa’s Recovery

After her third child, Melissa faced severe pelvic floor dysfunction. “PFT was a game-changer for me. It wasn’t just about the exercises; it was the holistic approach that addressed my overall well-being.”

The Role of PFT in Preventing Future Problems

PFT is not only about addressing current issues but also about preventing future problems. Strengthening and maintaining your pelvic floor muscles can have long-term benefits.

Improved Core Stability

A strong pelvic floor contributes to better core stability, which is crucial for overall physical health and can prevent issues like lower back pain. Lower back pain itself can even be a symptom of pelvic floor dysfunction!

Better Sexual Health

Regular PFT can enhance sexual health by improving muscle tone and increasing blood flow, which can lead to better sexual function and satisfaction. This is true for men, women, and nonbinary individuals!

Enhanced Quality of Life

By addressing and preventing pelvic floor issues, PFT can significantly enhance your quality of life, allowing you to engage in activities without fear of discomfort or embarrassment. No one wants to pass on jumping on a trampoline for fear of wetting themselves, no one wants to always feel they need a bathroom close by in case of emergency. With proper pelvic floor therapy, you can relieve pain and anxiety!

Post-Therapy Tips for Maintaining Pelvic Floor Health

Maintaining pelvic floor health requires ongoing effort even after completing PFT sessions. Here are some tips to keep your pelvic floor muscles in good condition:

Regular Exercises

Continue practicing the exercises recommended by your therapist. Consistency is key to maintaining strength and flexibility. You will soon make pelvic floor exercises a habit like brushing your teeth.

Healthy Lifestyle Choices

Incorporate healthy lifestyle choices such as staying hydrated, limiting alcohol, eating a balanced diet, and avoiding heavy lifting. These habits contribute to overall pelvic health.

Follow-Up Appointments

You will need more than one pelvic floor therapy appointment. A custom schedule of follow-up appointment will be designed for you. This schedule will respect your time and support your health goals. Regular follow-up appointments with your therapist are necessary to monitor your progress and make any necessary adjustments to your treatment plan.

Conclusion

Pelvic floor therapy is a valuable tool for addressing and preventing various pelvic floor issues, particularly for women and postpartum moms. By understanding what to expect during a PFT appointment, recognizing the importance of pelvic floor health, and hearing real stories from those who have benefited, you can feel more confident in seeking help. When you arrive for your appointment, relax, and bring your sense of humor. You and your therapist are a team with one goal in mind! Taking care of your pelvic floor muscles for your overall well-being. If you have any experiences or questions about PFT, we encourage you to reach out here! We look forward to working with you!