Brigham and Women’s Hospital Department of Rehabilitation Services has a program specifically devoted to treating pelvic floor dysfunction and related conditions.
Pelvic floor physical therapy includes the evaluation and treatment of individuals of all gender identities and sexual orientations with the following diagnoses:
Constipation (Dyssynergic Defecation)
Myofascial Pelvic Pain Syndrome
Pelvic Floor Muscle Dysfunction
Pelvic Organ Prolapse
Pre and Post Pelvic Surgery
Pregnancy and Post-Partum Musculoskeletal Conditions
What can I expect the first day? A thorough history and physical examination will be conducted the first day specifically related to the problem you are coming to physical therapy for. For pelvic floor related conditions (ie: incontinence, constipation, pelvic pain), it is likely an external and internal pelvic floor muscle examination will be conducted, a speculum will not be used. Based on the results of the examination, your therapist will devise with you a specific plan of care to treat your condition.
What if I have my period, can I still come to my appointment? Having your period is not a contraindication to treatment. As long as you are comfortable, it is perfectly fine to attend your appointment during your menstrual cycle.
How long will it take to get better? Unfortunately, there is no easy answer for that question. Every person/body and diagnosis is different. Your physical therapist will work with you to attain your goals as safely and efficiently as possible. Your therapist can talk to you specifically about your goals, plan of care, and anticipated prognosis.
What should I wear to the appointment? Comfortable clothes are always encouraged. However, if you are attending physical therapy for pelvic floor related conditions it is likely you will have an internal exam that you will be draped for, so the type of clothing you wear is not relevant. If you need specific exercise clothes, your therapist will let you know.
Rehabilitation Services - Physical and Occupational Therapy