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  • Writer's pictureSusan Winograd PT

A Pelvic Floor Physical Therapy Evaluation What should I Expect? Part#2

Congratulations…… If you are reading this blog its probably because you had the aha moment of,” I do deserve the best care and most optimal long term recovery!

What can you expect on your first visit?

1. A detailed past and present medical history- This is a thorough conversation between the therapist and patient where we will discuss any symptoms, pain, bowel and bladder routine, diet and lifestyle habits, pregnancy history, medications, trauma, and anything that is concerning you. Pelvic floor issues are usually multi-factorial; a thorough history will allow us to put all of the piecesC of the clinical puzzle together to develop an effective plan of care.

2. The Physical Examination (External and Internal)-

The pelvic floor does not work in isolation. It functions in close coordination with the rest of our body.

External Exam- A head to toe postural assessment will be performed in sitting and standing. All joints will be assessed for symmetry, as joint alignment will affect the length tension relationship of muscles. Your abdominal wall, respiratory diaphragm, breathing patterns, back muscles, sacrum, pelvis, and hips will be assessed as they work closely with the pelvic floor.

Internal Exam-The pelvic floor will be evaluated internally either intra-vaginally or intra-rectally in order to assess the strength, tone, symmetry, and endurance of these muscles. This exam differs significantly from a doctor’s exam, there are no stir-ups or speculums. I will use a gentle touch and communicate with you every step of the way to ensure your comfort.

3. Patient Education- Pelvicore Rehab LLC focuses on patient education on every visit. We believe that knowledge is power and is critical for long-term benefits. You will be taught specific hands on strategies, breathing techniques, postural alignment, joint protection, body mechanics, stretches or exercises based on your individual needs and meant to empower you in the recovery process.

4. Plan of Care and Discussion of Findings- We will discuss the findings and formulate the plan of care together. You will be a part of the process every step of the way during our office treatments and with a home program. I will answer any remaining questions or concerns.

The line of communication is open at all times in order to ensure the best outcomes for your recovery.

For more information or to make an appointment go to

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