We provide integrated therapy to help our patients with pelvic floor disorders bring back their quality of life .
We are proud to be offering women in the Houston area with the very best pelvic physical therapy treatment. All of our therapists have extensive post-graduate training in women’s pelvic health. Our clinic provides a clean, safe environment and open communication with therapists is encouraged.
Pelvic floor has a layer of muscles that support our organs such as the bladder, uterus and bowel. Through child birth or simply part of aging, the supported tissue can weaken and can cause several conditions related to pelvic floor dysfunction, including:
- Organ prolapse
- Urinary or fecal incontinence
- Recurrent bladder infections
- Overactive bladder
These muscles can also become tense and painful resulting in pelvic pain, sexual pain, constipation and discomfort sitting. Nearly all pelvic floor problems can be corrected through behavioral physical therapy, surgery, or medication.
Our Pelvic Floor Physical Therapy Services
Our team of pelvic therapy specialists will work with you to provide the proper treatment for your condition. We also provide extensive education and resources to teach you how to manage your symptoms at home.
Physical therapy is provided for pelvic organ prolapse, pelvic pain, sexual pain, scar pain, and fecal and urinary incontinence. Physical therapy starts with evaluation and based on these findings each patients gets a tailored Plan of Care designed to meet their goals.
Your initial visit will be 60 - 90 minutes. Following treatment sessions vary from 30-60 minutes.
- Patients with urinary incontinence, frequency, or urgency come once a week for three weeks and then every other week for a month.
- Patients with pelvic, sexual and menstrual pain or painful bladder syndrome attend 1-2 times per week for eight weeks and attend less frequently as their condition improves.
Pelvic Pain Physical Therapy
The pelvic floor is the area between the pubic bone in the front and the tailbone at the back. It is richly meshed with several small muscles, nerves, and other soft tissues. These structures form a sling that supports abdominal and pelvic organs — primarily the bladder, uterus, and bowel.
Women and men may experience pelvic pain for a variety of reasons. These pain syndromes can be separated into three categories:
- Myofascial (muscle and fascia): Muscles of the pelvic floor can be tense, weak, shortened, or uncoordinated. Scars and fascia tightness may contribute to pain.
- Organ related: The origin of pain is primarily from an organ: vulva, bladder, bowels, or uterus. Common medical diagnoses are vulvodynia, interstitial cystitis, painful bladder syndrome, endometriosis, irritable bowel, or menstrual pain.
- Nerve related: Pudendal neuralgia is sometimes called “the carpal tunnel syndrome of the pelvic floor.” It is caused by the compression of the pudendal nerve and can cause perineal or rectal pain. Injuries during childbirth, prolonged downward pressure on the pelvic floor, and/or prolonged sitting and bicycling are common causes of pudendal neuralgia.
Physical therapy for pelvic pain and discomfort targets the muscles of the pelvic floor. Treatment is directed toward relieving pain and tension in these muscles and may include:
- Manual therapy
- Decongestive therapy
- Cold laser therapy, electrical stimulation and ultrasound
Physical Therapy for Incontinence
We were the first in Texas and the sixth hospital in the country to be named a “Center of Excellence” for Continence Care in Women, as designated by the National Association for Continence.
Women, men, and children may experience bladder dysfunction for a variety of reasons. Most commonly, patients are referred to physical therapy for urinary leakage, urinary urgency/frequency, or incomplete voiding caused by :
- Stress incontinence: The involuntary loss of urine with physical exertion including, coughing, sneezing, getting up from a chair, laughing, or exercising.
- Urge incontinence: The loss of urine that occurs with a strong desire to urinate, but an inability to get to the bathroom in time.
- Mixed incontinence: A combination of stress and urge incontinence.
- Incomplete voiding: A small amount of urine remaining in the bladder after voiding is normal, but a "high post void residual" indicates that the bladder is not emptying as fully as it should.
Physical therapists specialize in personalized muscle rehabilitation. Therapy is recommended to strengthen pelvic-floor and lower-abdominal muscles, train these muscles to work together in a coordinated manner, or re -educate the pelvic floor muscles to relax as the bladder contracts.
Treatment may include:
- Individualized and accurate Kegel exercise
- Electrical stimulation to ease bladder urgency and increase muscle tone
- Pelvic floor biofeedback and bladder training
Biofeedback and electrical stimulation are commonly used by most providers to strengthen pelvic floor muscles. Physical therapists offer additional tools for muscle rehabilitation, which include manual muscle facilitation and trigger point release, as needed.
Most importantly, pelvic floor muscle exercises (Kegel) are personalized for each patient with customization of the number of repetitions, variety of positions, number of seconds holding a pose and number of seconds relaxing, and coordination with breathing and other key muscle groups. Finally, exercises are incorporated into the activities of daily life, and muscles are challenged to grow stronger over time.
Physical Therapy for Bowel Dysfunction
Women, men, and children may experience bowel dysfunction for a variety of reasons. Bowel dysfunction is multifactorial and generally falls into two broad categories:
- Pelvic floor muscle tension: Symptoms of constipation or rectal pain
- Pelvic floor muscle weakness: Symptoms of gas or fecal incontinence
Therapy targets the muscles surrounding the anal canal. Your care plan may include: biofeedback training for muscle strengthening and relaxation, exercises to enhance muscle coordination, electrical stimulation for pain or muscle weakness, and education on nutrition and toileting positions.
Pelvic Floor Physical Therapy Appointments
For more information about our services or to make an appointment, please call (713) 799-6193.
You will need to discuss your need for physical therapy with your physician and provide a prescription before you begin therapy. This script must include your name, diagnosis, and the physician’s signature.