Pelvic Floor Rehabilitation

Millions of men and women suffer from incontinence, pelvic pain or other pelvic floor disorders that affect every aspect of their lives—physically, socially, and emotionally.

We are uniquely qualified to help, offering one of the state’s most comprehensive and innovative array of services and therapies—each designed to help you regain a healthy and active life, free of embarrassment, pain or limitation.

Our integrative and holistic approach combines the most effective non-surgical options, including pelvic floor strengthening, myofascial release, biofeedback training, Pfilates, manual therapy, electrical muscle and nerve stimulation, and soft tissue mobilization. The result is highly individualized treatment in a healing environment.

If you suffer from incontinence, pain, or another pelvic floor disorder, talk to your doctor—or call us—to learn how we can help at (714) 578-8720 ext. 2310.

Bladder Disorders

Incontinence is very common among men and women of all ages. The good news is, whether caused by pelvic floor weakness or cancer treatment, incontinence is highly treatable. We also successfully treat overactive bladder, urinary urgency and frequent urination at night (nocturia).

While common, urinary incontinence and other bladder disorders are never normal, even as you age. The St. Jude Pelvic Floor Rehabilitation Program offers comprehensive evaluation and treatment by experienced physical therapists dedicated to pelvic floor issues.

The pelvic floor is a combination of muscles, ligaments and connective tissues that support the bladder and other pelvic organs. Weakness or too much tone in these muscles, as well as a variety of medical conditions, can create a loss of bladder control. Fortunately, the pelvic floor muscles, like any other muscles, can be retrained to function normally, allowing you to leave behind symptoms, limitations and embarrassment.

Conditions we treat:
  • Incontinence
  • Urinary hesitancy
  • Urinary urgency
  • Overactive bladder
  • Interstitial Cystitis (chronic inflammation of the bladder lining)
  • Prolapse of the bladder (cystocele)
  • Post-prostatectomy incontinence
  • Neurogenic bladder
  • Nocturia (waking more than 1-2 times to urinate at night)
  • Urinary frequency (urinating more than every 2-3 hours)
A comprehensive, integrated approach:
  • Therapeutic exercise to restore muscle strength and control of pelvic floor
  • Manual therapy and massage to increase tissue flexibility, scar mobility and muscle relaxation
  • Body mechanics and postural correction to improve muscle function and reduce pain
  • Myofascial Release techniques specific to the pelvis, to reduce tightness or restrictions that lead to incontinence and pain
  • Biofeedback to help “re-educate” muscles and improve pelvic floor coordination
  • Pfilates (Pelvic Floor Fitness Program) is available in group or individuals sessions, designed for all fitness levels that uses simple Pilates-inspired exercises to rebuild pelvic floor strength and function
  • Electrical muscle and nerve stimulation to help strengthen weak muscles and decrease pain
  • Relaxation techniques to restore normal tone and calm hyperactive pelvic floor
  • Nutritional support and education

Bowel Disorders

Many Americans experience chronic constipation and the accidental leakage of stool (fecal incontinence-and far too many suffer in silence. We can help.

Muscle damage, surgery, rectal prolapse, nerve damage from constipation, childbirth and stroke are frequent causes of bowel disorders, as is the stiffening or scarring of the rectal walls from radiation treatment or inflammatory bowel disease.

Regardless of the diagnosis, we offer the complete range of evidence-based therapies and interventions available today - allowing us to provide the individualized care necessary to restore your quality of life.

Conditions we treat:
  • Fecal or flatulence incontinence
  • Chronic constipation
  • Irritable Bowel Syndrome (IBS)
  • Prolapse of the rectum (Rectocele)
  • Dyssynergia (the failure of pelvic floor muscles to relax or to paradoxically contract during defecation)
  • Neurogenic bowel dysfunction (common among those with spinal cord or brain injuries, including MS, Parkinson’s, stroke and spinal cord trauma)
A comprehensive, integrated approach:
  • Therapeutic exercise to restore muscle strength and control of pelvic floor
  • Manual therapy and massage to increase tissue flexibility, scar mobility and muscle relaxation
  • Body mechanics and postural correction to improve muscle function and reduce pain
  • Myofascial Release techniques specific to the pelvis, to reduce tightness or restrictions that lead to incontinence and pain
  • Biofeedback to help “re-educate” muscles and improve pelvic floor coordination
  • Electrical muscle and nerve stimulation to help strengthen weak muscles and decrease pain
  • Relaxation techniques to restore normal tone and calm hyperactive pelvic floor
  • Pfilates, a group class fitness program that uses simple Pilates-inspired exercises to rebuild pelvic floor strength and function
  • Nutritional support and education

Men's Pelvic Health

Using today’s best evidence-based therapies, we routinely help men with post-prostatectomy incontinence, chronic prostatitis, and rectal pain eliminate their symptoms.

Chronic prostatitis
The swelling, pain and inflammation of non-bacterial prostatitis affect over 10 percent of all men and is the most common prostate problem in men under 50. Sometimes called chronic pelvic pain syndrome, chronic prostatitis often responds to a combination of treatments that include physical therapy, myofascial trigger point release, and progressive relaxation. By partnering with your physician, our physical therapists can help relieve the discomfort and symptoms of prostatitis.

Post-prostatectomy incontinence
Urinary incontinence is a common side effect of prostate cancer treatment. Removing the prostate through surgery or treating it with radiation disrupts the way the bladder holds urine and the frequent result is incontinence: some men only dribble urine while others experience total leakage.

Our experienced therapists help men successfully regain bladder control and their quality of life. Therapy begins before cancer treatment and continues for several weeks afterward, creating more rapid improvement. This evidence-based approach has been shown to offer better outcomes and a faster reduction in incontinence symptoms.

Rectal pain
Anal pain-pain in and around the anus or rectum-is a common complaint. Although most causes of anal pain are benign, the pain itself can be severe because of the many nerve endings in the perianal region. Frequently, rectal pain is the result of abnormally rigid or tense muscles (muscle hypertonicity), constant muscle spasms (Levator Ani Syndrome), or scarring from radiation treatment or hemorrhoid surgery. We are experts in alleviating the many musculoskeletal causes of rectal pain, helping men regain an active, pain-free lifestyle.

A comprehensive, integrated approach:

  • Therapeutic exercise to restore muscle strength and control of pelvic floor
  • Manual therapy and massage to increase tissue flexibility, scar mobility and muscle relaxation
  • Body mechanics and postural correction to improve muscle function and reduce pain
  • Myofascial Release techniques specific to the pelvis, to reduce tightness or restrictions that lead to incontinence and pain
  • Biofeedback to help “re-educate” muscles and improve pelvic floor coordination
  • Electrical muscle and nerve stimulation to help strengthen weak muscles and decrease pain
  • Relaxation techniques to restore normal tone and calm hyperactive pelvic floor

Pelvic Pain

Whether your pain is in the lower abdomen, rectum, vagina or tailbone-with or without a clinical cause or diagnosis-we offer the expertise and care you need.

We will work with your doctor to ensure comprehensive treatment to strengthen or relax the muscles of the pelvic floor, help restore normal function and flexibility to the soft tissues, and eliminate pain.

The muscles, joints and nerves in the pelvis can be injured just like any other part of your body. For instance, tissues can be overstretched, torn or cut in childbirth or surgery; muscles can weaken or tighten from disuse and injury; and habitual postures and movements can slowly stretch or compress structures in the pelvis, leading to pain and dysfunction.

The pelvic muscles, joints and nerves may be the sole cause of pain or just a piece of the problem. Medical conditions such as endometriosis, irritable bowel syndrome and fibromyalgia can also cause pelvic pain, as can adhesions or scar tissue created by infection or surgery.

For some, the pain may be recent or present only during certain activities; for others, the pain has been a constant fixture for years, often destroying their quality of life. Here, our highly experienced therapists specialize in offering patients the skilled and compassionate care needed to rediscover a life free of pain.

Conditions we treat:

  • Painful intercourse (dyspareunia or vaginismus)
  • Rectal pain (Levator Ani Syndrome)
  • Vulvar burning and pain (vulvodynia)
  • Tailbone pain (coccydynia)
  • Endometriosis
  • Chronic Pelvic Pain Syndrome
  • Pelvic adhesions and fascia restrictions
  • Pudendal nerve entrapment

A comprehensive, integrated approach:

  • Therapeutic exercise to restore muscle strength and control of pelvic floor
  • Manual therapy and massage to increase tissue flexibility, scar mobility and muscle relaxation
  • Body mechanics and postural correction to improve muscle function and reduce pain
  • Myofascial Release techniques specific to the pelvis, to reduce tightness or restrictions that lead to incontinence and pain
  • Biofeedback to help “re-educate” muscles and improve pelvic floor coordination
  • Electrical muscle and nerve stimulation to help strengthen weak muscles and decrease pain
  • Relaxation techniques to restore normal tone and calm hyperactive pelvic floor
  • Pfilates, a group class fitness program that uses simple Pilates-inspired exercises to rebuild pelvic floor strength and function

For those diagnosed with Chronic Pelvic Pain Syndrome, we offer a nationally-recognized Chronic Pain Program. One of just two in the state, this multidisciplinary program targets not only the physical effects of chronic pain, but also the emotional effects, such as depression and anxiety. A personalized program of physical and occupational therapy, clinical psychology and support, interventional procedures, medication management, nutrition, and pain-reducing strategies has allowed those with chronic pain to return to active, fulfilling lives. Click here for more information about St. Jude’s Chronic Pain Program or call (714) 578-8716.

Pelvic Prolapse

Up to 40 percent of women experience some type of prolapse, which literally means “to fall or slip out of place.”

Pelvic prolapse occurs when the connective tissues and normal support of the pelvic floor are weakened, causing the uterus, bladder, bowel, rectum or vagina to slide from their positions. Pregnancy, childbirth, obesity, constipation, trauma and surgery are all common causes.

We offer today’s most successful approaches to regaining pelvic floor strength and normal pelvic functioning, making us a leader in restoring health and quality of life.

A comprehensive, integrated approach:

  • Therapeutic exercise to restore muscle strength and control of pelvic floor
  • Manual therapy and massage to increase tissue flexibility, scar mobility and muscle relaxation
  • Body mechanics and postural correction to improve muscle function and reduce pain
  • Myofascial Release techniques specific to the pelvis, to reduce tightness or restrictions that lead to incontinence and pain
  • Biofeedback to help “re-educate” muscles and improve pelvic floor coordination
  • Electrical muscle and nerve stimulation to help strengthen weak muscles and decrease pain
  • Relaxation techniques to restore normal tone and calm hyperactive pelvic floor
  • Pfilates, a group class fitness program that uses simple Pilates-inspired exercises to rebuild pelvic floor strength and function

Children and Adolescents

Over one-quarter of pediatrician visits are for incontinence, bedwetting or constipation. We specialize in treating these and other common pelvic floor conditions in children.

When a child’s pelvic floor muscles are weak, in spasm, or too tight, a wide range of pelvic floor problems can result: children can have difficulty urinating, frequent bladder infections, constipation, or leakage during the day.

Typically, children are toilet-trained by age 4 with only occasional accidents. After age 4, childhood bowel and bladder dysfunction is considered a significant medical problem and can greatly affect quality of life for the entire family.

Our experienced therapists can help relax and retrain your child’s pelvic floor muscles, ending the embarrassment and discomfort. In addition to consulting with your child’s physician, our therapists will offer a holistic approach in working with your child, looking at diet, sleep patterns, and other behavioral issues that could be contributing to the current problem - and personalizing therapies to meet the unique needs of your child.

Conditions we treat:

  • Bedwetting
  • Chronic constipation
  • Urinary incontinence
  • Urinary frequency (urinating over eight times in a 24-hour period)
  • Urinary retention (not fully emptying bladder)
  • Fecal urgency, frequency or retention
  • Painful urination or defecation
  • Vesicoureteral reflux (the backward flow of urine from the bladder into the kidneys) due to hypertonic pelvic floor muscles

A comprehensive, integrated approach:

  • Therapeutic exercise to improve muscle strength and control of pelvic floor
  • Manual therapy and deep tissue massage to increase tissue flexibility and muscle relaxation
  • Biofeedback to help your child learn how to both strengthen and relax the pelvic floor muscles
  • Myofascial Release techniques specific to the pelvis, to reduce tightness or restrictions that lead to incontinence and pain
  • Electrical muscle and nerve stimulation to help strengthen weak muscles and decrease pain
  • Nutritional support and education

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