Orthopedic Pain and Pelvic Floor Physical Therapy

Resolving Low Back, Hip, Groin, Sciatica and Tailbone Pain

WHAT ORTHOPEDIC PAIN IS RELATED TO THE PELVIC FLOOR?

The area around the pelvic girdle is one of the most common places to experience orthopedic pain.  Common types are:

  • Low back pain

  • SI joint pain

  • Hip pain

  • Groin pain

  • Sciatica

  • Tailbone pain (coccydynia)

All of these symptoms may have a pelvic floor component - in the case of chronic low back pain, one study found 95% of patients also had pelvic floor dysfunction!

The internal pelvic floor muscles are secondary stabilizers for the low back and actively involved with the hips and SI joint.  When there is pain in any of these areas, the pelvic floor often activates to try and protect the injured area, causing additional dysfunction.

Many patients see limited success with traditional orthopedic physical therapy.  They'll get a day or two of improvement, but then symptoms will return.  Often other physical therapists say their treatment just isn't 'sticking.'  This is a sign that the pelvic floor is also involved; the external component is being addressed, but the issues within the pelvic floor keep the symptoms from resolving.

HOW DOES PELVIC PT HELP?

By addressing both the internal and external components of orthopedic pelvic pain, pelvic floor physical therapy can break the feedback loop and treat the true underlying issue. 

Many patients also experience secondary symptoms with orthopedic pelvic pain or low back pain.  These commonly include urinary symptoms like urgency, frequency, or incontinence. Sexual dysfunction, including pain with intercourse or erectile dysfunction in men, is also associated with orthopedic pain in the area.  Physical therapy can help resolve each of these associated symptoms as well.  

THE PELVICSANITY DIFFERENCE

At PelvicSanity, your physical therapist will be a specialist in the field and an expert in dealing with orthopedic pelvic pain, including both internal and external components.  Many of our patients have been to multiple doctors, chiropractors, or orthopedic physical therapists 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. 

 

At PelvicSanity, we often work in close conjunction with orthopedic physical therapists who refer complex cases here.  An initial evaluation can determine how much of a role the pelvic floor is playing in your symptoms, and get you started on a treatment plan including both pelvic floor and traditional orthopedic physical therapy if that's the best course of action.
 

YOUR INITIAL EVALUATION

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.

RESOURCES

"I would highly recommend this place for any nerve, pelvic floor, or soft tissue pain...I am a Golf Pro, and came to PelvicSanity because I had nerve pain from a groin injury and other injuries over the years. Nicole has been able to help me eliminate all my nerve pain with consistent weekly sessions.  I'm very thankful I have found PelvicSanity - you will be too!"

-Ryan T.

LOW BACK PAIN

Affecting 65% of Americans, low back pain is intrinsically connected with the pelvic floor, and often can't be completely addressed without treating the pelvic floor component.

"The excellent and precise treatment I have received has shifted me from a plateau where I was still very disabled, despite nearly three years of varied treatments, to feeling nearly pain-free for a full two weeks. I had given up hope that I would ever experience anything more than a temporary respite from intractable pain. I am extremely grateful."

From our Patients

1

Pelvic Pain

"I love PelvicSanity!  They have helped me live pain-free, and taught me techniques to manage my pain at home.  I don't feel hopeless in pain anymore!"

2

Pelvic Pain

"I'm so thankful to have found this place. I appreciate the comprehensive knowledge of my condition and the encouragement to keep working toward my goals."

3

Pelvic Pain

"The excellent and precise treatment I have received has shifted me from a plateau where I was still very disabled, despite nearly three years of varied treatments, to feeling nearly pain-free for a full two weeks. I had given up hope that I would ever experience anything more than a temporary respite from intractable pain. I am extremely grateful."

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