Pelvic physical therapy is a specialized form of physical therapy that focuses on the muscles, ligaments, and connective tissues that support the pelvic organs. These muscles play a critical role in core stability, bladder and bowel control, and sexual function. When this muscle group is weakened, overly tight, or injured, it can lead to a range of symptoms, including pain, incontinence, and reduced quality of life.
Unlike general physical therapy, pelvic physical therapy addresses internal and external components of the pelvic floor. It is often recommended for patients experiencing postpartum recovery issues, chronic pelvic pain, urinary leakage, or pelvic organ prolapse. At May-Grant OB/GYN in Lancaster, PA, our team of providers collaborates with pelvic floor specialists to help patients regain strength, function, and confidence in their daily lives.
When to Consider Pelvic Floor Therapy
Pelvic floor dysfunction can affect individuals at any stage of life, from young athletes to postmenopausal women. While it is often associated with pregnancy and childbirth, there are many other causes, including surgery, aging, high-impact exercise, chronic constipation, and trauma.
Common conditions that may benefit from pelvic physical therapy include urinary or fecal incontinence, pelvic organ prolapse, painful intercourse, endometriosis-related discomfort, and lingering postpartum pain. Sometimes symptoms are subtle, such as feeling pressure in the pelvic area or difficulty starting the stream of urine. In other cases, symptoms are more disruptive and interfere with work, exercise, or intimacy. If you’re experiencing persistent issues in these areas, pelvic physical therapy may be a highly effective, non-invasive option.
Benefits That Go Beyond Symptom Relief
Pelvic physical therapy provides a host of benefits that can significantly improve day-to-day well-being. One of the primary goals is to restore normal muscle function in the pelvic floor, which can resolve issues such as incontinence or pelvic pain. But the benefits extend further—enhancing core strength, posture, and overall movement efficiency.
Another major advantage of pelvic therapy is its role in preventing further complications. For example, strengthening pelvic floor muscles can reduce the likelihood of pelvic organ prolapse, particularly in individuals who are at risk due to childbirth or age-related muscle weakening. It can also reduce reliance on medications or surgical interventions by offering long-term functional improvement through targeted exercises and education.
What to Expect During a Session
Pelvic physical therapy is highly individualized, and your plan will depend on your specific symptoms and goals. The process often begins with a detailed consultation and examination, during which your therapist will evaluate your pelvic alignment, posture, and muscle tone. Internal examination may be recommended to assess the strength and flexibility of the pelvic floor muscles. This is always done with your consent and explained thoroughly beforehand.
Once a plan is in place, treatment typically includes a combination of manual therapy, biofeedback, guided exercises, and lifestyle modifications. You may be given pelvic floor strengthening exercises such as Kegels, or relaxation techniques if your muscles are overactive. Sessions may also include education about bladder and bowel habits, breathing techniques, and postural alignment to support healing. The goal is to help you reconnect with your body and rebuild strength and coordination over time.
The Role of Pelvic Therapy in Postpartum Recovery
After childbirth, the body undergoes a period of healing and realignment. Pelvic physical therapy can play a vital role in helping women recover more fully from delivery. Vaginal birth, especially when accompanied by tearing or the use of forceps, can weaken the pelvic floor muscles or damage surrounding tissues. Even Cesarean deliveries affect core muscles and pelvic stability, making rehabilitation important for all postpartum individuals.
Pelvic therapy helps address postpartum issues such as urinary leakage, painful intercourse, and diastasis recti (separation of abdominal muscles). It can also reduce discomfort from scar tissue following a C-section or episiotomy. For many women, pelvic floor therapy provides the foundation to safely return to physical activity and exercise. At May-Grant OB/GYN, our team supports new mothers through every stage of their recovery, offering compassionate care that promotes strength, function, and confidence.
Bladder and Bowel Control Improvements
One of the most well-known applications of pelvic physical therapy is improving bladder and bowel control. Incontinence—whether urinary or fecal—can be deeply distressing and disruptive. However, it is also highly treatable. Many cases of incontinence result from weakened or uncoordinated pelvic floor muscles, and with targeted rehabilitation, these muscles can be trained to respond more effectively.
Therapists use tools like biofeedback to help patients visualize their muscle contractions and improve control. They may also incorporate behavior modification techniques to reduce urinary urgency, frequency, or nighttime leakage. Restoring continence not only improves physical comfort but also reduces anxiety and restores social confidence.
Emotional and Mental Health Impact
The benefits of pelvic physical therapy extend beyond the physical. Many patients report improvements in mood, body image, and overall mental well-being following therapy. Chronic pelvic pain and incontinence can be emotionally draining and may lead to isolation, low self-esteem, or even depression.
Having a space where these concerns are taken seriously—and where tangible progress is made—can be incredibly empowering. Learning how to manage symptoms and reconnect with your body provides a renewed sense of control and optimism. At May-Grant OB/GYN, our providers take a whole-person approach, recognizing the intimate connection between physical symptoms and emotional health.
Taking the First Step in Lancaster, PA
If you think you may benefit from pelvic physical therapy, the first step is having a conversation with your OB/GYN or primary care provider. At May-Grant OB/GYN, with locations throughout Lancaster and surrounding areas, our team is experienced in identifying when pelvic therapy is appropriate and referring patients to trusted specialists in the field.
You don’t need to live with discomfort, embarrassment, or pain. Whether you are newly postpartum, managing chronic pelvic pain, or seeking help with incontinence, pelvic physical therapy offers a path forward. It’s never too late to invest in your health and improve your quality of life.
Frequently Asked Questions About Pelvic Physical Therapy
Is pelvic physical therapy only for women?
No, although it’s often associated with women’s health, pelvic therapy can benefit all individuals, including men and people of all gender identities experiencing pelvic floor dysfunction.
Does it hurt?
Therapy should never be painful. Some discomfort may arise during certain treatments or exercises, but your therapist will work within your comfort zone.
How long does therapy usually last?
It varies, but many people see improvement within 6 to 8 sessions. Your therapist will tailor the duration based on your needs and progress.
Can I do pelvic exercises on my own?
Yes, once you’ve learned proper technique. However, it’s best to first be evaluated by a specialist to ensure exercises are appropriate and effective for your condition.
Is a referral needed for pelvic physical therapy?
This depends on your insurance provider. Our team at May-Grant can help you navigate the referral process and coordinate care.
A Supportive Approach to Lasting Relief
Pelvic physical therapy offers powerful, lasting solutions for individuals dealing with a wide range of pelvic floor issues. At May-Grant OB/GYN, we believe in proactive, supportive care that helps you regain control over your body and your health. From the first evaluation to your final session, our team is committed to walking beside you with knowledge, empathy, and expert guidance.
If you’re struggling with discomfort, postpartum challenges, or concerns about bladder control, you are not alone. Pelvic therapy can be life-changing, helping you return to the activities you enjoy with comfort and confidence. Reach out to one of our Lancaster-area locations to learn more and take the next step in your healing journey.
Resources:
Bo, K., & Frawley, H. C. (2010). Evidence for the effectiveness of pelvic floor muscle training in treatment of pelvic organ prolapse, urinary incontinence, and sexual dysfunction. Neurourology and Urodynamics.
Hay-Smith, E. J. C., Herderschee, R., Dumoulin, C., & Herbison, G. P. (2011). Comparisons of pelvic floor muscle training and other treatments for urinary incontinence in women. Cochrane Database of Systematic Reviews.
Ashton-Miller, J. A., & DeLancey, J. O. L. (2007). Functional anatomy of the female pelvic floor. Annals of the New York Academy of Sciences.
