What to Expect at a Pelvic Floor Physical Therapy Appointment | Pelvic Health & Rehab Center
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- Опубликовано: 6 ноя 2020
- Your first Pelvic Floor Physical Therapy appointment can be a little daunting. Pelvic health expert Stephanie Prendergast is here to help you understand what to expect during your first PT session and ease any worries you may have.
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About Pelvic Health and Rehabilitation Center:
PHRC is the leading physical therapy center for patients experiencing pelvic pain. At PHRC our advanced pelvic floor training allows us to integrate pelvic floor and pelvic girdle physiology to help the person function better as a whole. The benefit of our focus is that it has allowed us to establish a deep well of experience that we are able to draw from when treating this complex part of the body.
Didn't know what to do with the pain except deal with it. Now to gain courage to see someone about this embarrassing problem is my challenge
Pelvic floor physical therapy can help! You are not alone in what you are experiencing. It may feel embarrassing but we promise we have seen patients before who are in the same position as you. Please see below for directories to help you find a provider near you pelvicguru.com/directory/
pelvicpain.org/IPPS/Patients/Find_A_Provider/IPPS/Content/Professional/Find_A_Provider.aspx?hkey=ac3c51ec-0939-499f-a6a0-c72d0aa2f427
pelvicrehab.com/
pelvicguru.com/directory/
Did you seek treatment? I’m just now in the same place you were a year ago….am curious if it helped you.
Thank you for this!
You're welcome!
Excellent video.
Thank you!
I had pain for 7 months before getting PT. The exercises work amazingly, now after only 3 treatments and a prostrate-friendly chair; I am getting closer back to normal. However, now I am dealing with exhaustion and was told that is expected. I finally feel light at the end of the tunnel and healing.
It is so great to hear how the PT, exercises and a better chair allow you to feel close to normal! Some level of fatigue is expected, especially if you are doing more exercises or being more active than you were. Getting good sleep and nutrition are essential. If the exhaustion interferes with your daily activities or continues for many days, then talk to your doctor about it.
In my experience with this ten years ago it was not medically recognized. After years of any research I could find I believe it is connected with stress and people who are pleasers, the peace keepers. I had to distance myself from some family members and friends. They were stressing me out and I never realized this was going on at the time. I can only imagine how this affects a man. Women can get some relief from physical therapy. But men, I hope you can find some relief from this severe muscle pain. 🙏
Stress can affect the body in so many ways; especially in the pelvic floor! We are happy that the pelvic health field is gaining more recognition. Everyone has a pelvic floor, and pelvic floor muscles. We see men & women equally in our patient load, and are appreciative every time they get referred (as this is a growing field).
wow, I had no Idea, as a 61 year old m, I need this
Please find providers on this list here pelvicpain.org/IPPS/Patients/Find_A_Provider/IPPS/Content/Professional/Find_A_Provider.aspx?hkey=ac3c51ec-0939-499f-a6a0-c72d0aa2f427
pelvicrehab.com/
pelvicguru.com/directory/
I think i have either prostatitis or pudendal neuralgia. I think its less likely prostatis but seeing a urologist for this soon. I have booked an assessment with a pelvic floor PT as well.
Do you think that having a procedure to remove an area of suspected skin cancer on a buttock, where it was cut about 3" into the buttock and this was toward the lower part of the buttock could lead to problems with the pudendal nerve. I get burning sensation in both but mostly left buttock. Burnung pain, inner things, perinium and up my back passage, also backs of thighs and some times testicles. Worse when seated or standing. But painful all the time. Do you think a Pelvic PT is the right person to see?
Only watched a couple of your videos but very impressed.
Many thanks!
Yes, you are absolutely right to see a pelvic PT and a doctor. Surgeries to the lower buttock have the potential to cause pudendal nerve problems because of the location. If you report all these symptoms and your suspicion that the pudendal nerve is involved, then you and your PT and doctor should be able to solve this puzzle. If your providers are not familiar with your condition, reach out to us for a virtual appointment. Good luck on your healing journey.
Not to kind to my body I find that if one muscle fails then all give to pain nervous system takes over . However if you don't use them you lose them...what's the point of no return...told my surgeon hands on operation that said everything should work after op. My response was so where am I going to use it?????
We think you might benefit from this blog linked below. Whether we are actively using a muscle or not, being mindful of it can help alleviate pain and help our muscles work together.
pelvicpainrehab.com/female-pelvic-pain/5968/mindfulness-meditation-is-it-actually-effective-for-treating-chronic-pain/
Is there a Canadian directory that you can share?
This is an international directory and should help! pelvicpain.org/IPPS/Patients/Find_A_Provider/IPPS/Content/Professional/Find_A_Provider.aspx?hkey=ac3c51ec-0939-499f-a6a0-c72d0aa2f427
do you have any male therapists? have had too many bad experiences with female providers.
We currently do not have any male therapists on our staff but we will leave a few directories below to help you find a provider.
pelvicrehab.com/
pelvicguru.com/directory/
pelvicpain.org/IPPS/Patients/Find_A_Provider/IPPS/Content/Professional/Find_A_Provider.aspx?hkey=ac3c51ec-0939-499f-a6a0-c72d0aa2f427
Have you treated PGAD? I think I have been experiencing these symptoms.
Yes we have treated it before.
I have a problem with severe abdominal pain from generating lot of gas and passing stinking wind all the time and so I smell foul. I want to know if pt can help with stop the wind and stop the smell
Hi there! This sounds like seeing a gastroenterologist would be a good first step with these symptoms and then going from there. Pelvic floor physical therapy may be considered following an evaluation with a gastroenterologist. Hope this is helpful!
@@PelvicHealth yes I have already consulted GI and also Colo-Rectal doctor. They didn’t anything wrong and asked me to take care of diet habits, so meditation etc. among these things, I was asked to consult for PT.
You explain this very well.. Thank you .. I suffer from Child/Adult Abuse as well as PTSD so I am not really sure if working with PFP is right for me.. I do have the common OAB, BMs , SEX in general .. is there anything I can do before I make that call to PFP.. I want to move on
These are the common components of an exam, but it will vary based on each individual. There are many things a PFPT can assess and teach without doing any manual work or having a patient undress. The treatment ideas will depend on the details of your case. When you do call, it's appropriate to ask what level of knowledge and comfort the therapist has with working with survivors of abuse and trauma. Let them know what you are and are not comfortable with, and how they can make you feel safe. If you have a talk therapist who helps you, ask them for ideas, too. If you don't feel ready to tackle this now, talk it through and revisit it when the time is right.
Hi, I am similar to you with history. I did read somewhere trauma to these areas can bring on all the miserable symptoms....hope it helps you!
Where are you located?
We have several locations including virtual services. From coast to coast- you can see all of our locations here pelvicpainrehab.com/location-numbers/
Does this therapy help with problems urinating? And does it work on men?
Yes pelvic floor PT can help with incontinence/bladder issues and it absolutely does work on men. Pelvic floor pt is for everyone. Please let us know if you need help finding a provider.
@@PelvicHealth Today is the first that I even became aware of these topics. All that I "do know" is that after five (5) spinal surgical procedures, both hips having been rebuilt and now living with the after effects of "foot drop" from the right hip procedure I seem to be going downhill rapidly in every area between by ribs and knees. Can you recommend a location within northwest Ohio?
@@stanleypoe7393 Hi Stanley, We are so happy to hear that this video has been helpful for you. We know how frustrating it can be to go so long without answers. While we do not have a specific recommendation, we have a few directories we will link to below for you to find a provider near you.
pelvicpain.org/IPPS/Patients/Find_A_Provider/IPPS/Content/Professional/Find_A_Provider.aspx?hkey=ac3c51ec-0939-499f-a6a0-c72d0aa2f427
pelvicguru.com/directory/
pelvicrehab.com/
What can you do to help my husband who has ED with painful rectal exam? He will not allow anything up his rectum including a finger from a doctor.
Your husband should make a visit with a pelvic health PT who sees male patients. Even if a rectal exam is not possible now, a visual pelvic exam can often help us get an idea of how the pelvic muscles are functioning. Exercises such as diaphragmatic breathing or stretches such as happy baby or child's pose can help the pelvic floor muscles more more effectively even without an internal exam. This can vary case to case and your husband should see a specialist who can work through this with him.
@PelvicHealth He was born with a genetic bone disease, he cannot bend the way most people can, extra cartilage grows in th joints and benign tumors on the middle of his bones, he has several of the tumors on his hips and pelvis, his bones grew curved. He cannot bend like most people. Think it may help?
It sounds like he is struggling with some limitations beyond what we typically see, but there are often things that can be done to address the muscular side, even within structural limitations. Without evaluating him in person, we would be unable to tell how helpful PT may be. I would recommend making an appointment with a skilled pelvic health PT to see if this could be a helpful treatment for him. @@janetw9430
I had one treatment which included massaging around the vagina. Sex isn’t painful, but I have urgency, burning, pelvic pressure and irritation. I can’t eat certain foods or consume certain drinks. I’ve had four different bacterial strains and a yeast UTI.
I’m so tired of this.
Thanks for sharing your experience. Often physical therapy takes more than one session to be effective so it may be worth sticking with it. It is also important to remember that many people may need additional services such as an integrative nutritionist, MD support, medication, and/or acupuncture to help with their symptoms. Hopefully your providers are helping you to build the right team!
@@PelvicHealth Yes, I am very tired of it too....urologists and urogyn have not helped at all. so discouraging.
@@jeanniebrewer3550 If you ever need another consult, we are happy to help you virtually.
ok , some men get embarrassed about things like this. I recently had to stay in the hospital and the worst things i could hear coming from a female nurse was, we've heard it all before, we seen it all before, if you seen one you seen them all. you can tell me im a professional or if i was really embarrassed dont be silly. imagine if a male doctor or nurse said that to a female patient. hard enough talking about problems to the opposite sex , but then they belittle you. thats why most men dont seek medical treatment. and the sad part is, they are to embarrassed to admit they are embarrassed.
As a pelvic floor physical therapist, we want to assure you that professionalism, respect and empathy are at the heart of our practice. It's important to remember that everyone has their own comfort levels when it comes to discussing health issues, especially those of a sensitive nature.
It's absolutely okay to feel embarrassed or uncomfortable. We acknowledge that these feelings are valid and we strive to create an environment where each patient feels safe and comfortable discussing their concerns. We are here to help, not to belittle anyone's fears or discomfort.
Moreover, we want to stress that it's perfectly acceptable to request a healthcare provider of the same sex if that makes you more comfortable. (If you are able to depending on the clinic you are seen at). Our ultimate goal at our practice is to provide the best care possible and that includes respecting your preferences.
Remember, seeking help for any health issue is a sign of strength, not weakness. We're here to support you every step of the way.
@@PelvicHealth you have to understand , that men dont seek medical treatment for this reason. female doctors and nurses wil say stuff like that. further more, a man knows when he goes to a doctors appointment, clinic appointment he will be met with females. female at check in, female nurse that takes vitals and ask him what brings him in today, and on top of all that . he better hope the doctor is a male if its a intimate issue . just one sentence from a female doctor, or nurse can make men never want to go back. so yeah, things like. we heard it all before, we seen it all before, you seen one you seen them all, dont be silly, im a professional. that can make men feel belittle and not want to seek medical treatment. oh yeah i almost forgot. with the way hospitals are now these days. if it turns out to be a female doctor, she brings in a chaperone or other female student doctors. makes me laugh, women can say what ever they want and if it demeaners a male patient . they can get away with it just by saying things like. we didnt mean to offend you, but if a male patient says something like that automatically disciplinary actions. in theses types of settings i find male doctors and nurses have more empathy towards male patients. you can respond with what ever you want but even you didnt realize by you saying "we heard it all before" is degrading.
That the provider has seen it all before. Don't make it any less embarrassing for the patient.
The patient is in an extremely vulnerable situation where he has to answer questions about the most personal matters. Matters he may not even share with his wife.
On top of that, he has to get naked so you can see and touch his genitals.
I would suggest that the provider is also naked. It may make it less embarrassing and awkward for the patient.
I'm concerned about being aroused with the therapy. 😅
Therapy is not intended to be arousing or sexual. Therapists are very professional and make an effort to keep people comfortable, but not aroused. That being said arousal is a natural state of being. Discussing this concern with your therapist could put you both at ease and help you come up with strategies to avoid uncomfortable situations.
Wasn't VERY helpful at all - this could have been so much better if you only had gone into detail of what the exam actually TOTALLY entailed........
Hello, you can find more information via this blog that goes into depth about the evaluation and follow up treatment appointments. pelvicpainrehab.com/pelvic-health/5974/part-1-of-2-what-is-a-good-pelvic-pt-session-like/
And what questions are asked.