Pelvic Floor

Is Pelvic Floor Physical Therapy right for me?

At ProActive Physical Therapy, we recognize that many types of conditions can impact your ability to live an active and enjoyable life. These conditions are sometimes very common and obvious to others. However, in some cases, patients can suffer in silence from conditions that greatly limit the quality of life and impact personal relationships with others. For those patients, we offer an innovative approach, supportive environment, and compassionate understanding of the sensitive nature of the condition.

ProActive offers physical therapy services for female and male patients suffering from a wide variety of conditions, including but not limited to: incontinence, pelvic pain, postpartum weakness/laxity, pre and post surgical care, and pelvic organ prolapse. Molly Mikles, PT, DPT is a certified pelvic floor specialist who, along with her pelvic floor expertise, has a background in many common orthopedic and movement disorders that may overlap with your condition and be impacting your quality of life.

The goal of physical therapy is to normalize the pelvic floor and surrounding lumbopelvic muscle function/tone, control, and coordination. Your therapist will work specifically with you on motor control and neuromuscular awareness during functional activities, including specific exercises to ensure appropriate muscular strength and length as well as exercises for pelvic and core stability. Additionally, patient education plays a key role in modification of habits, diet, movements, and positions that contribute to the condition.

Frequently Asked Questions

  • Is Pelvic Floor Physical Therapy right for me?

    Pelvic pain and incontinence are likely due to muscle imbalances, weakness, and joint misalignment. Physical therapists have extensive training in these areas and are well qualified to assess and treat these problems.

  • What should I expect at my pelvic floor physical therapy evaluation?

    Your examination and treatment will be performed by a licensed physical therapist with specialized training in the area of pelvic floor muscle dysfunction. The examination and follow-up treatments will take place in a private and secure treatment room.

    You will be asked to describe the nature and history of your condition and your current symptoms. Often this includes talking about personal issues such as bowel and bladder habits. If your symptoms are related to sexual intercourse, then you will be asked about that also.

    Next, your therapist will perform a musculoskeletal examination. The purpose of this is to assess the alignment of your pelvis and to check the length and strength of the muscles in your legs and abdominals.

    Following the musculoskeletal portion of the examination, the therapist will ask you to undress from the waist down and provide draping for privacy. The pelvic floor muscle examination will then be performed. This is tailored to your specific symptoms but often includes external palpation of the pelvic floor muscles and internal assessment of the pelvic floor muscles to check for tender points and muscle control.

    Using the examination findings, your physical therapist will design a specialized treatment plan and discuss the plan with you.

  • Do all physical therapists provide this service?

    Pelvic floor physical therapy is a highly specialized designation in physical therapy. In fact, there are very few pelvic floor specialists, even in large metropolitan areas.

    Tucson residents are fortunate to have access to the expertise of Molly Mikles, PT, DPT, located at the ProActive location on Thornydale Road. She is an expert in the evaluation and treatment of many conditions and has received highly specialized training in the treatment of the pelvic floor.