About 20% of women experience pelvic pain at some point in their lives.

The musculoskeletal system is often the primary or secondary cause of pelvic pain in women. Pelvic floor physical therapy is often the main treatment or evaluation tool to treat these pelvic dysfunctions.

Evaluation and Treatments:

Wellest therapists are specifically trained to effectively assess and treat internal (vaginal and rectal) and external pelvic floor tissue restrictions that can contribute to pelvic floor dysfunction. During a patient's first appointment at Wellest, a physical therapist will perform a musculoskeletal examination internally and externally.

The initial evaluation will include:

  • Postural screening and assessment
  • Evaluation of myofascial restrictions or areas of tightness around the pelvis
  • Examination to assess and identify trigger points in the pelvic girdle and pelvic floor muscles that could contribute to dysfunction
  • Pelvic floor examination is done by gently inserting a gloved, lubricated finger into the vaginal or rectal opening to assess muscle tone, motor control, and strength
  • Skin inspection
  • Evaluation of muscle strength

After the examination, the physical therapist will discuss the physical findings and your prescribed treatment plan. Typically, patients are seen once per week for one-hour long treatments. 

The treatment you will receive is 100% one-on-one with the physical therapist. We do not have physical therapy aides or assistants. We utilize a multidisciplinary approach in order to have a comprehensive treatment plan for our patients. We coordinate will all other providers and recommend adjunct therapies that we believe can play a role in your healing. 

Types of treatments utilized include (see advanced body work page):

  • Myofascial Release
  • Internal pelvic floor muscle release 
  • Visceral Manipulation
  • Craniosacral Therapy

    Common Symptoms Include:

    • Vulvar, vaginal, clitoral pain
    • Anal pain
    • Pelvic pain with sitting
    • Painful intercourse
    • Pain with urination
    • Urinary hesitancy, urgency, frequency
    • Urinary incontinence/leakage
    • Abdominal pain
    • Constipation
    • Infertility
    • Coccydynia (tailbone pain)
    • Menstrual pain or painful periods

    Common Diagnoses Treated:

    • Interstitial cystitis/painful bladder
    • Endometriosis
    • Irritable Bowel Syndrome (IBS)
    • Vulvodynia or vestibulitis
    • Persistent Genital Arousal (PGAD)
    • Pudendal Neuralgia