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Pelvic Physical Therapy

Pelvic physical therapy is a sub-speciality of physical therapy. The pelvic muscles form essentially a "sling" or cradle in your pelvis, running alongside and around the anus, urethra, vagina (in women), and prostate (in men). When pelvic muscles become very tense and/or dysfunctional, it can result in pain, discomfort, and other serious physical difficulties. Certain medical conditions can worsen if there is pelvic floor dysfunction present. Abdominal muscles and upper thigh muscles that interact with the pelvic floor can also be involved in and exacerbate pelvic pain.

What Happens During Physical Therapy?

During pelvic physical therapy, a physical therapist manually works on pelvic muscles and adjacent muscles to lengthen them and release trigger points. This type of physical therapy is done externally (outside the body) and internally (vaginally in women, rectally in men). Our pelvic physical therapists are well educated and have completed extensive training in this delicate, precise work. We may use biofeedback and myofascial release in a session. Exercises may be prescribed for our patients to speed recovery by practicing at home. 


Physical therapy on the pelvic floor brings relief and improvement to many men and women suffering from pelvic pain. At Partnership in Therapy, a client is treated in a private room to ensure privacy during the session, and wears a soft, cotton hospital-type gown or a drape to ensure comfort.

Because pelvic physical therapy is a newer and rising speciality, people need to be educated about its benefits. Watch the video below for an overview of the specialty of "pelvic PT," with Dr. Pamela Downey explaining more about the anatomy and functions of the pelvic floor.

Learn More with Dr. Pamela Downey

In this video, Dr. Pamela Downey, owner of Partnership in Therapy and a nationally recognized expert in the speciality of pelvic physical therapy, discusses the anatomy of the pelvic floor and how it functions. Dr. Downey also speaks about how she came to work in this field, and how Pilates can play a role in pelvic floor health.


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