Pelvic Floor Dysfunction [Male & Female]

Iwalani Crush, PT, DPT. Iwalani is a graduate of New York University, where she received her Bachelor of Arts degree in 2005.

Iwalani Crush, PT, DPT. Iwalani is a graduate of New York University, where she received her Bachelor of Arts degree in 2005.

Iwalani Crush, PT, DPT. Iwalani is a graduate of New York University, where she received her Bachelor of Arts degree in 2005.

Iwalani Crush, PT, DPT. Iwalani is a graduate of New York University, where she received her Bachelor of Arts degree in 2005.

Pelvic Floor Dysfunction (PFD) refers to a collective of issues that occur when the muscles of the pelvic floor are weak, tight, or there is an impairment of the sacroiliac joint, low back, coccyx and/or hip joint. Additionally, muscular, ligamentous and/or bony tissues comprising the pelvis and organs within may have increased or decreased sensitivity and/or irritation resulting in pain, incontinence, and inefficient movement patterns.

These conditions may be due to infections (usually undiagnosed), weaknesses in the hip/low back/core region, pregnancy or childbirth, insidious onset, poor posture from chronic low back or SI dysfunction, trauma (e.g., bad fall, athletic injury), or a result of surgery.

The pelvic floor physical therapist at Dynamic Sports Physical Therapy will design a rehabilitative regimen to treat Pelvic Floor and associated dysfunctions such as:

BLADDER

  • IC (Interstitial Cystitis)
  • UTI
  • Incontinence
  • Prostatitis

BOWEL

  • IBS (Irritable Bowel Syndrome)
  • Feeling of fullness/abdominal pain, pressure, discomfort, and bloating
    Incontinence

SEXUAL

  • Levator Ani Syndrome refers to pain, pressure, or ache in the sacrum, coccyx, rectum, and/or vagina caused by unusual tension in the levator ani muscles.
    • may increase with intercourse, sitting, defecation, and constipation
    • pain referred to the thigh or coccyx/sacrum, gluteal region
    • severe, sharp, burning, or ache with urination

PAIN

  • Trigger Points
  • Pudendal neuralgia
  • Dyspareunia
  • Vulvodynia
  • Vaginismus
  • Pelvic Inflammatory Disease (PID)

ORTHOPEDIC

  • Coccygodynia
  • Sacroiliac Joint Dysfunction
  • Hip Pain
  • Low Back Pain
  • Post-Surgical: Hip scope, hysterectomy, hernia, laparoscopy, caesarean section, appendectomy, prostatectomy, and episiotomy
  • Pre and Post-Partum

PELVIC FLOOR EVALUATION AND TREATMENT

A comprehensive physical therapy evaluation of the musculoskeletal system can determine the cause of PFD and then provide treatments to correct them due to the interrelationship between the lumbar-sacral spine, hip, and pelvis during functional movements and postures. Importantly, at Dynamic Sports Physical Therapy, we strive to educate our patients on how physical therapy works to help their specific symptoms.

All evaluations and treatments for pelvic floor dysfunction are conducted in private treatment rooms for 45-60 minutes.

Treatments may include:

  • External and internal manual therapy including: myofascial release and trigger point release, visceral manipulation, connective tissue manipulation
  • Biofeedback, electrical stimulation
  • Pelvic floor endurance, coordination and fast twitch strengthening
  • Lumbopelvic stability
  • Stretching, foam rolling, breath-work, and relaxation techniques
  • Cold laser, heat/Ultrasound and cold therapy

Back to Services