Referring Practitioners

This video was created to demonstrate 3 tests that can be useful in determining which patients with CPP would benefit from further examination and treatment by a specialized pelvic physical therapist for musculoskeletal dysfunction.

PDF Document Describing the 3 tests in the Video with References

REFERRAL PAD in Adobe PDF Format

Facing Pelvic Pain: Video, Book

“UR-CHOICE Pelvic Floor Disorders Risk Calculator” – taking into account many factors, this calculator provides guidance as to the risk of pelvic floor trauma during birth and enhances decisions patient and clinical decision making.

  • Pelvic Physical Therapy
    • Weakness of pelvic floor muscle – urinary / fecal incontinence, prolapse, male and female, elderly and pediatric
      • Complete evaluation of PFM function and causes of symptoms
      • Specific PFM strengthening with and without biofeedback (EMG, imaging ultrasound)
      • Proper abdominal muscle contraction and training
      • Body mechanics and posture
      • Bladder, bowel training, fluid and food education
      • Electrical stimulation for OAB
    •  Pelvic floor muscle tension myalgia – spasm & pain, levator ani, vaginismus, vulvodynia, dyspareunia, coccygodynia, IC, endometriosis
      • Complete evaluation of primary & secondary musculoskeletal pelvic dysfunction
      • Treatment of joint dysfunction – lumbar, SI, pubic, coccyx, hip
      • Relaxation training for PFM with and without feedback (EMG)
      • Exercise for trunk and leg muscles to stretch and strengthen
      • Manual techniques to scars and tight tissues – pelvis, vagina, rectum – internal and external
      • Vaginal dilators with and without biofeedback
      • Pain reducing modalities – TENS, HP, CP, US
      • Education on self management, relaxation, decrease stress response
    • PFM Incoordination – Obstructed defecation, urinary retention
      • Biofeedback – EMG, imaging ultrasound
      • Pain reducing modalities
      • Exercise to increase functional activity level
  • Swelling management and lymphedema
    • Manual lymphatic drainage
    • Multilayer compression bandages
    • Pneumatic, gradient, sequential pump
    • Measurement and fitting of compression garments
    • Patient education on self care
    • Orthopedic, peripheral vascular, wounds and lymphedema
  • Obsterical physical therapy
    • Prenatal and postpartum musculoskeletal pain (sciatica, low back, pubic symphysis, neck, wrist – carpal tunnel syndrome)
      • Therapeutic exercise to stretch tight muscles
      • Manual stretching of specific muscle spasms
      • Joint mobilization
      • Heat packs
      • Education on body mechanics, posture and self care
      • Support binders and straps
    • Mastitis
      • Ultrasound
      • Massage to open milk ducts
      • Myofascial stretching of pectorals
      • Education on nursing positions
    • High risk OB (can help patients adhere to bed rest longer)
      • Pain treatment as above
      • Establish maintenance exercise program