What is pelvic floor dysfunction?

Pelvic floor dysfunction describes a wide-range of problems associated with one or more of the three systems in the pelvic floor, (the urinary system, genital system, and colorectal system).

Incontinence
Pelvic pain, including pain with intercourse; generalized heaviness of the tissues around the urethra; and pain/burning in the around the urethra/vagina
Irritable bladder, including an overactive bladder and urinary frequency and/or urgency
Interstitial cystitis, which involves pain and frequent urination, small volume with urination, and pain with intercourse
Bowel incontinence
Rectal pain or spasm

Long term relief of pelvic floor dysfunction requires proper assessment and treatment.

The first step for people concerned that they may be suffering from the symptoms of this disorder is to visit their doctor for a comprehensive evaluation of all three of these systems. Once the scope of the problem is clear, the proper treatment can be prescribed. Generally, a doctor may choose from surgical, medical, or musculoskeletal treatments - whichever is appropriate for that specific patient.

Why does pelvic floor dysfunction fall into the area of physical therapy? All three of the systems are supported by the pelvic floor muscles and surrounded by the bony structures of the sacroiliac joint complex. If a doctor prescribes a musculoskeletal treatment approach, he or she will refer the patient to a physical therapist.

Muscles vs. Bones

The pelvic floor muscles are the keys to keeping the organs bladder, uterus, and rectum in place and working correctly. Muscle problems usually fall into two categories:

Weak muscles can result in leakage of the rectum read more