Evaluation and Treatment of the Pelvic Floor Muscles
The pelvic floor is comprised of several muscles which span the bottom of the pelvis from the pubic bone to the coccyx (tailbone) and provide support to the pelvic organs. These organs include the bladder, bowl and uterus.  These muscles also support the spine and pelvis (sacrum, sacroiliac joints, coccyx), as well as influence sexual function and satisfaction.  Just as any muscle in our body, the pelvic floor muscles play an important role in stability, mobility and important body function.  If the pelvic floor muscles are tight or weak, for example, various conditions can evolve that influence bladder and bowel functions, sexual function and activities of daily living.    

Click here for a video detailing pelvic floor anatomy.
Methods of Evaluation
Evaluation will include a review of your medical history and a discussion of your pelvic floor function and/or current symptoms. Assessing the body as a whole, evaluation may also include postural observation, joint alignment and movement to identify actions that influence symptoms. 
 
External observation and palpation of pelvic floor muscles
  • Identify areas of muscle tension 
  • Identify the grade of muscle contraction and/or relaxation

Examination of strength from the core (abdominals and trunk musculature) to the complete lower extremities (legs).

​Internal vaginal examination (if needed based on patient problems; internal rectal exams for males)
  • Performed to evaluate the pelvic floor muscles.  This is different than a yearly examination experienced at a physician office. 
  • Identify organ positioning within the pelvis (Women)
  • Identify muscle strength, symmetry, tone and ability to contract and relax the muscles

Biofeedback (if needed) 
  • Sensors are used to monitor the activity of the pelvic floor muscles