Pelvic Health Physical Therapy
Common Diagnoses We Treat
· Constipation and obstructed defecation
· Pain with sex or insertion
· Physical aspects of sexual dysfunction
· Urge incontinence
· Functional incontinence
· Mixed incontinence
· Fecal incontinence
· Over active bladder
· Pre/post affirmation surgery
· Pain/dysfunction around affirmation practices (binding, tucking, etc)
· Dilation post MTF bottom surgery
· Bottom surgery induced urinary incontinence
· Bottom surgery induced pelvic pain
· Post top surgery mobility
· Interstitial cystitis/painful bladder syndrome
· Low back pain
· Hip pain
· SI joint pain
· Scar mobilization (Cesarean, episiotomy/laceration, and abdominal surgery scars)
· Central sensitization
· Chronic pain
· Coccyx pain and dysfunction
· Anal fissures
· Pelvic dysfunction from menopause
· Chronic Prostatitis/Chronic Pelvic Pain Syndrome
· Abdominal pain
· Irritable bowel syndrome
· Pudendal Neuralgia
Our Pelvic Health Specialist, Dr. Tyler Kornblum, PT, DPT, ATC, is a pelvic health physical therapist who treats all genders and sexual orientations through a trauma informed treatment approach. As a pelvic health physical therapist, she helps you address symptoms involving urinary, bowel, and sexual function, as well as anything else related to the pelvic floor structures. Below is a list of common things that she works with. If you are experiencing something that is on this list, reach out to Dr. Tyler to determine if pelvic health physical therapy is right for you.
Frequently Asked Questions
What is Pelvic Health/Pelvic Floor Physical Therapy?
Pelvic Health/Pelvic Floor Physical Therapists have extensive post-graduate training and focus on how the pelvic floor structures influence the function and movement of the body. While this primarily focuses on urinary, bowel, and sexual dysfunctions, we often treat other dysfunctions like low back, hip, and SIJ pain, as well as anything else that can be caused by or is contributing to a pelvic floor dysfunction.
What can I expect in my first pelvic health/pelvic floor physical therapy appointment?
Our pelvic health specialist will take you through a thorough history (a series of questions) that dive deep into the cause of your symptoms. Since the pelvic floor plays a large part in urinary, bowel, and sexual function, you can expect questions related to these topics. This allows your therapist to get a good idea as to how the pelvic floor is functioning and to determine if the symptoms you are experiencing are in fact stemming from the pelvic floor or from somewhere else. Another unique part of the pelvic health evaluation is the internal assessment. In most cases, it is appropriate to perform an internal examination in order to directly assess how the pelvic floor muscles and structures are functioning. This assessment involves one gloved finger inserted in the vagina or rectum and the appropriate assessment of the pelvic floor structures.
Do I have to have the internal examination during a pelvic health/pelvic floor appointment?
We understand the internal examination can bring on anxiety and fear for a lot of people. Our pelvic health specialist determines the appropriateness of the internal examination on a case-by-case basis, and does so in a “trauma informed” way. The internal examination does provide vital information as to how the pelvic floor is functioning, since it is the only way to determine exactly what is happening. However, your comfort and safety are most important to us. Talk with your pelvic health physical therapist to determine whether or not an internal examination is appropriate for you.
What does it mean to be “trauma informed”?
Our pelvic health physical therapist has had trauma informed training and has worked with individuals who have experienced various forms of abuse, PTSD, and anxiety/depression. Her goal is to improve your experience by allowing you to feel safe and comfortable, in order to address your symptoms and improve your quality of life.
Will Pelvic Health/Pelvic Floor physical therapy help my back/hip/SI joint pain?
In most cases, YES! It has been reported that 93-95% of those with low back pain also have a pelvic floor dysfunction. We’ve found that often, the pelvic floor is the “missing puzzle piece” for things like chronic low back pain, hip pain, SI joint pain, pubic symphysis pain, and so much more. The pelvis/pelvic floor is the center of the whole body, which means it has a lot of influence on how other structures work! We always suggest that if you have any type of aches/pains anywhere in the body AND you have pelvic floor related symptoms, it is best to visit a pelvic health physical therapist for an in-depth evaluation.
How many visits will it take to see improvement in my pelvic health/pelvic floor condition?
This completely depends on your symptoms and the findings of the initial evaluation. Some people see improvements in as little as 4 visits, some need much more time for their body to adapt and learn the new patterns taught during our sessions. With that being said, the average amount of visits it takes to treat someone with pelvic floor dysfunctions is around 8 visits, with 6 visits for less complex cases and 10 or more for more complex cases.
Do you only treat women?
Our pelvic health specialist has been trained to treat everyone with a pelvic floor (AKA, everyone!). While It is more common for pelvic floor dysfunction to occur in women/individuals who have a vagina, pelvic floor dysfunction can absolutely happen to anyone. One goal of Tyler’s is to increase awareness of pelvic floor dysfunctions in men,non-binary individuals and the LGBTQ community.
Should I stop all activity while going through the pelvic health/pelvic floor program?
At Absolute Kinetics, we believe in helping you find ways to continue doing what you love. Even if that means we modify the activity, we understand that maintaining involvement in your passion is vital for physical and mental wellbeing. One of the main benefits in working with our therapists is that we have the flexibility and time to tailor your sessions to exactly what you need to reach your goals.
What is the benefit of an out-of-network/private pay model for pelvic health?
There are many benefits to looking for an out-of-network physical therapist. For pelvic health, it is even more beneficial because a lot of what we treat (painful sex, painful or inability to orgasm, etc) is often not covered by insurance. By practicing under an out-of-network model, we are able to work on your goals the way they should be addressed, not based on whether or not an insurance company will approve. Another benefit is that we have one-on-one sessions where you are with our pelvic health physical therapist the entire time. In this setting, you truly get what you pay for and care can 100% be tailored to exactly what you need.
Why is the Initial Evaluation longer than the follow up visits?
As previously mentioned, the pelvic floor is the center of the body and can be influenced by many different parts of the body. It is because of this, that a pelvic health evaluation takes longer than a general orthopedic assessment. It is very important to us to understand the “big picture” in how all things are working together, so we can narrow down the true cause of your symptoms.