Pelvic Floor Physical Therapy for Prolapse

How Pelvic PT Strengthens the Pelvic Floor and Resolves Pelvic Organ Prolapse


Pelvic organ prolapse is when the pelvic floor is no longer able to support the pelvic organs.  One of the primary job of these muscles is to keep the organs of the pelvis - the bladder, uterus, and rectum - in their proper position. When the pelvic floor is unable to perform this function, often due to childbirth, other trauma, or generalized weakness, these organs can slip down from their natural position.

You may hear different names for prolapse, which depend on which organ is affected, but the general problem - and solution! - is similar regardless of the type of prolapse.

  • Cystocele is a prolapse of the urinary bladder

  • Rectocele is a prolapse of the rectum

  • Uterine prolapse is a prolapse of the uterus.



The good news is that this can often be reversed without surgery or other high-risk procedures.  Pelvic floor physical therapy works to strengthen the muscles of the pelvic floor, abdominals, glutes, low back, and other core muscles.  All of these muscles work in concert to help keep the pelvic floor working properly and organs in their place.

Simple changes in body mechanics and posture can also have a major benefit for prolapse.  Making these changes can have an immediate impact on how much symptoms bother you throughout the day.

A prolapse is also associated with other symptoms, including incontinence, urinary frequency, painful intercourse, diastasis recti and other pelvic floor dysfunction.  Pelvic PT can help or resolve each of these symptoms as well.

Even though it's a simple shorthand to say a 'weak' pelvic floor is responsible for a prolapse, the reality is far more complicated. Sometimes muscles have been stretched or torn in childbirth, other times a history of low back or hip pain .  It's not just about the pelvic floor muscles - the abdominals, glutes, hamstrings, low back, and other core muscles all play a big role. In fact, even if the pelvic floor muscles are injured from childbirth, a surgery, or other injury, these muscles can often be strengthened to help the pelvic floor compensate.  The body can be amazingly resilient!  


At PelvicSanity, your physical therapist will be a specialist in the field and an expert in dealing with prolapse and post-natal symptoms.  

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 highly recommend PelvicSanity for listening to my health issues.  Not only did they hear me, but clearly relayed a course of treatment in a safe, comfortable atmosphere....I feel so much stronger, healthier, and at ease."


Of new mothers experience a pelvic organ prolapse following delivery.

"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."

From our Patients


Prolapse and Pelvic Pain

"I highly recommend Pelvic Sanity for listening to my health issues. Not only did they hear me, but clearly related a course of treatment in a safe comfortable atmosphere. They corresponded with referring doctor and kept me in the loop. I feel so much stronger and healthier and at ease.


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."


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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