Typically, a doctor’s referral is needed to have Pelvic Floor Disorders physical therapy procedures covered by insurance. Contact your family medicine provider to determine if pelvic physical therapy is appropriate for your condition and to receive a referral.
Physical therapy evaluation for pelvic floor disorders is indicated for several medical diagnoses, including incontinence, pelvic organ prolapse, and pelvic pain. Some example medical diagnoses include:
Example Urinary Dysfunction Diagnoses:
Urinary Incontinence (Stress, Urge, or Mixed)
Overactive Bladder
Example Pelvic Floor Dysfunction Diagnoses
Example Female Pelvic Pain Diagnoses
Chronic Pelvic Pain
Endometriosis
Pain with intercourse
Painful menstrual cycles
Physical therapy evaluation for patients referred for any of these diagnoses will generally include:
Subjective evaluation/Patient history
Objective evaluation including musculoskeletal exam; posture, gait, and movement analysis; specific pelvic muscle exam including internal evaluation of pelvic muscle tone, pain/trigger points, strength, muscular coordination, etc.
Assessment of patient's presentation
Plan for treatment based on specific evaluation findings and overall assessment
Physical therapy treatment of pelvic floor disorders may include:
Neuromuscular reeducation and strengthening of the pelvic floor musculature
Pelvic floor internal trigger point techniques
Biofeedback for Pelvic floor muscles (strengthening or down-training of overactive muscles)
Electrical stimulation (intravaginal, for strengthening or relaxing overactive muscles)
Perineal soft tissue mobilization and massage
Vaginal dilators, weights, etc
Bladder training
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