“I did not know there was physical therapy for THAT!”
This is a common response I encounter when discussing what I do as a Pelvic Floor Physical Therapist. I specialize in treating muscles, tissues, and nerves that play a vital role in various bodily functions such as urination, defecation, organ support, sexual activity, and childbirth. Just like any other muscle, these pelvic floor muscles require attention and physical therapy to function optimally. If you’re unfamiliar with pelvic floor physical therapy or unsure of what to expect in a session, read on to learn more about the process and its potential benefits.
![men - pelvic floor physical therapy in Washington, DC - pelvic floor exercises - external pelvic floor manual therapy - pelvic pain therapy - 20006 - 20002 - 20001 - 20005 - 20036 A diverse group of men. If you are a man struggling with pelvic pain, Pelvic Floor Physical Therapy in Washington, DC can offer relief and support.](https://restorehopept.com/wp-content/uploads/2023/08/pexels-armin-rimoldi-5301578-1-1024x683.jpg)
I treat all genders throughout adulthood. The differences in anatomy and function mean that treatment varies on gender at birth. Pelvic floor issues can manifest in various ways, including urinary incontinence, urgency or frequency in men or women, and pelvic pain in men or women.
While it might be uncomfortable to discuss these concerns, it’s important to remember that many people experience these symptoms, and seeking pelvic floor physical therapy can provide valuable treatment and relief.
Information Gathering
Your first pelvic floor physical therapy session begins with a comprehensive information-gathering process. During this session, lasting about an hour, you’ll have a private conversation with your therapist. This is an opportunity for you to share your concerns, experiences, and questions related to urination, defecation, sexual health, pain, daily activities, and exercise routines.
External Assessment
After gathering information, the therapist performs an external assessment to evaluate various aspects of your body:
- Posture and Alignment: A thorough examination of your posture and alignment is conducted to identify any potential issues. Often alignment or habitual tension patterns on other parts of the body can affect the pelvis and the function of the pelvic floor. A thorough full body exam will be done with light touch and observation in standing.
- Body Mechanics: If you have difficulty with an activity like sitting, walking, running, or lifting, you may be asked to mimic a simplified version of the body mechanics so the therapist can determine how these activities might be affecting your pelvic floor.
- Abdominal Core Strength and Diastasis Recti: Your abdominal wall and organs are examined for tenderness or tightness that may contribute to pain complaints. A simple core strength assessment in standing, sitting, or laying down to see if you can engage the muscles of your deep core system. The therapist also checks for diastasis recti (abdominal separation) and any abdominal scar tissue.
- Breathing and Pressure Management: The therapist evaluates your breathing patterns and ability to manage pressure in the pelvic region.
![crossed arms - pelvic floor physical therapy in Washington, DC - pelvic floor exercises - external pelvic floor manual therapy - pelvic pain therapy - 20006 - 20002 - 20001 - 20005 - 20036 Two women sit next to each other with their hands crossed over their pelvic area representing women getting ready for Pelvic Floor Physical Therapy in Washington, DC.](https://restorehopept.com/wp-content/uploads/2023/08/pexels-angela-roma-7480120-1-683x1024.jpg)
Internal Assessment (with Consent)
With your consent, an internal assessment is performed typically through the vagina. Unlike a gynecological pelvic exam, this assessment does not involve stirrups or a speculum. Instead, a gloved and lubricated finger is gently inserted while you lie comfortably on your back. This internal assessment evaluates muscle function, tone, and tenderness within the pelvic floor. If you have male anatomy or bowel-related issues, an internal rectal assessment can also be performed with your consent.
It’s important to note that internal assessments are always performed with your consent, and you have the option to delay or decline this aspect of the evaluation.
Creating your Pelvic Floor Therapy Plan
The first session sets the stage for the goals you want to achieve and the path to get there. The therapist provides you with tools and exercises that you can immediately incorporate into your daily routine at home. Based on the assessment findings, the therapist will develop a treatment plan tailored to your requirements. This could involve a combination of muscle relaxation, strengthening exercises, or other specialized techniques.
Getting Ready for Your First Visit at Restore Hope Physical Therapy
Are you about to start your journey with Restore Hope Physical Therapy? We’ve got some helpful tips to make sure you’re all set for your first visit. Here’s what you need to know:
Step 1: Fill Out Forms Online
Before you head over to our clinic, make sure to complete the online patient history and consent forms. These forms are essential as they give your therapist important information about your health. This way, your therapist can come prepared with specific questions to help diagnose and treat your condition. You also have the option to provide your credit card details for secure and convenient payment through our patient portal.
Step 2: Dress Comfortably
When it comes to what to wear, the choice is yours! Wear whatever makes you feel comfortable and confident. Some folks bring a change of clothes, especially if they’re coming from work, but that’s completely up to you. We’re just excited to have you here, so wear what makes you feel good!
Step 3: Remember the Internal Assessment Is Your Choice!
In pelvic floor therapy, nothing is mandatory, and your comfort is our priority. If you’re on your period, whether you proceed with an internal assessment is entirely up to you. While it doesn’t affect the assessment’s value, some people prefer to wait until their next visit. And don’t worry if you haven’t had a recent bowel movement – it won’t impact the assessment either.
Step 4: Cost and Insurance Coverage
As I am a small private practice, I do not bill insurance. I find this helps me provide the high-quality individualized care that my patients love. Most people choose to submit their bills to insurance for out-of-network coverage. I provide you a superbill monthly or more often upon request. This is a specialized receipt with all the information the insurance needs to determine your coverage. I encourage patients to find out before starting what their out-of-network coverage is. For more information on cost and payment, check out the FAQs here.
Getting started with pelvic floor therapy at Restore Hope Physical Therapy is all about your comfort and well-being. We’re here to support you, no matter what. So, follow these steps, and get ready for a journey towards a healthier and happier you!
![couch - pelvic floor physical therapy in Washington, DC - pelvic floor exercises - external pelvic floor manual therapy - pelvic pain therapy - 20006 - 20002 - 20001 - 20005 - 20036 A diverse group of women sitting on a couch in support of each other. Get the support you need for your pelvic pain in Pelvic Floor Physical Therapy in Washington, DC.](https://restorehopept.com/wp-content/uploads/2023/08/pexels-rfstudio-3810832-1-1024x731.jpg)
Don’t go it alone. Contact Dr. Hope for a pelvic floor physical therapy assessment to see what kind of pelvic floor treatment is right for you.
To contact me to schedule a 1-hour in-person initial assessment or a free 30-minute phone consultation, you can send me an email to DrHope@restorehopept.com and restore hope for living a full and engaged life.
To schedule the consultation, you can call or text me at 202-990-7177 or send an email to DrHope@restorehopept.com.