Pelvic Floor Physical Therapy for Interstitial Cystitis

Why Pelvic Physical Therapy is the Most Proven Treatment for IC


Interstitial cystitis is a pelvic pain condition, characterized by pelvic pain (in the lower abdomen, inner thighs, or pelvic area) and urinary urgency/frequency.  It’s also frequently accompanied by other symptoms like painful intercourse, low back pain, and waking at night to go to the bathroom.



Pelvic floor physical therapy is the most proven treatment for interstitial cystitis.  It’s the only treatment given an ‘A’ evidence grade by the American Urological Association, and recommended in the first line of medical treatment.  In clinical studies, pelvic PT helped nearly 90% of patients with interstitial cystitis.


Many times, the bladder is actually an ‘innocent bystander’, and the pain and urinary urgency are actually being caused by tight pelvic floor muscles.  They irritate the nerves that pass through the pelvic floor, causing pain anywhere the nerve travels and sending the message to the brain to urinate, even when the bladder isn’t full.  Studies have found that more than 90% of patients with IC have pelvic floor dysfunction causing or contributing to their symptoms.

The pelvic floor is also responsible for many of the associated symptoms with IC, including painful intercourse, low back pain, hip/groin pain, incontinence, waking at night to use the bathroom, and more.


At PelvicSanity, your physical therapist will be a specialist in the field and an expert in dealing with interstitial cystitis – we’ve written a book on the subject and received the Physical Therapist of the Year award at the clinic in 2017.  Many of our patients have been to multiple doctors for their symptoms before finding success here at PelvicSanity.

We believe full-length sessions are crucial to success with pelvic PT, so all appointments at PelvicSanity are an hour in length and spent entirely with a pelvic floor specialist. You’ll never be hooked up to electrodes, see an aide instead of a physical therapist, or be told to ‘just do your Kegels.’  We create a positive, calm environment for healing in private treatment rooms.

We also believe the pelvic floor can’t be treated in isolation, so your treatment will address both the pelvic floor and the external muscles that connect and influence the entire pelvis for optimal results. 


Your initial evaluation will be an hour in length, and have three major components:

  • Consultation: Most of our patients have been to multiple doctors, but have never really felt listened to in their appointments.  In your initial evaluation you’ll have a chance to go through your medical history with your physical therapist.  We’ll listen to you and ask about your personal goals for physical therapy.

  • Assessment:  Next your physical therapist will do a complete assessment.  They will look at your posture, hip and pelvic alignment, fascia, scar tissue, and anything else influencing your pelvis.  Then they will do an internal evaluation, looking for trigger points and dysfunction within the pelvic floor muscles.

  • Treatment:  We also want to know how your body responds to treatment, so your initial evaluation also includes targeted treatment.  You’ll also leave with ‘homework’ that you can be doing in between your visits to build on the improvements with physical therapy.


"I had struggled with IC symptoms for many years...Within just a few PT sessions I started feeling better, with many of my IC symptoms beginning to subside.  Finding PelvicSanity has made a huge impact helping me attain a much lower level of pain than I thought possible."

At PelvicSanity, our patients with IC see significant improvements in pain levels, symptom bother, and how much their condition limited their daily lives.  

"I have been to other physical therapists for my IC, but they did not have the training or experience to help me. I highly recommend giving yourself a chance and allowing PelvicSanity to help you."

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