Pelvic floor physiotherapy aims to treat a weak pelvic floor through lifestyle modifications, exercise, and treatment. The physician examines a group of muscles involved in bowel movements, urinary and sexual functions. A dysfunctional pelvic floor can cause increased urge to urinate, incontinence, pelvic pain, and waste retention in the bowels. You may be wondering what a pelvic physical therapist does to you on your first appointment. Don’t be nervous even if you have a hundred questions because this post will ease some of your burning concerns.

On the First Appointment

It is good to arrive early to take care of any paperwork and have valuable time with the doctor. Expect a detailed interview concerning your symptoms, lifestyle, and medical history. Carry prescriptions you might be using, an insurance card, and any test records you think might be relevant. Pelvic floor physiotherapists are qualified to handle patients with emotional distress, so don’t be afraid to speak about intimate issues.

Your therapist will examine your hips, back, and posture. They should explain the results and importance of starting physical therapy. They might also assess the flexibility and strength of your pelvic floor. If you are having incontinence issues, your doctor will recommend pelvic physiotherapy to treat:

• Stress urinary leaking prompted by physical movements, laughing, or coughing
• Urgent strong desire to pee
• Fecal incontinence
• Mixed incontinence

Many times, fecal incontinence happens when the pelvic and sphincter muscles become weak. Part of the assessment can involve biofeedback, whereby a therapist uses a sensor in the vagina or rectum. They might also use external sensors. Don’t worry about pain because you won’t feel anything in the process. Only a gloved finger is used, not a speculum. Since you are dealing with a professional, they will respect your privacy and never force things on you. Answer the questions correctly when asked about the frequency of incontinence and their trigger factors. Let your physiotherapist know if you’ve ever had a C-section. They will educate you on the anatomy of organs, muscles, connective tissues, and joints around the pelvis.

Pelvic therapy has been around for almost three decades, so there is nothing to worry you if you haven’t heard of it. If you have suffered a weak pelvic floor for some time, the best approach is to see a therapist trained in pelvis functions and anatomy. Don’t postpone your appointment to save your connective tissues, reproductive organs, muscles, nerves, and joints that are causing you abdominal pain.