Pelvic Floor Rehabilitation

Did You Know?:

• 25% of young women, 44-57% of middle-aged and post-menopausal women experience urinary incontinence.  (UI New Hope 2012)
• up to 80% of female athletes experience urinary continence (Thais Regina de Mattos Lourenco et al. 2018) *Factors included amount of exercise performed and amount of impact during exercise.
• 1 in 7 American women aged 18-50 have pelvic pain (www.pelvic pain.org)

Up to one in three women experience pelvic floor dysfunction, a collective term that represents conditions, such as:  incontinence, constipation, pelvic organ prolapse, and pelvic pain.  Fortunately, pelvic floor rehabilitation has been proven to provide long term solutions for pelvic floor dysfunction.  At SW Physical Therapy, physical therapist Dr. Sandra Hilton, PT, DPT specializes in pelvic floor rehabilitation of all ages and genders. To make an appointment, call the office in Tigard, Oregon, or book online today.

Pelvic Health Physical Therapy
We treat incontinence, pain, and sexual dysfunction for all genders. The aim of treatment is to
help you to have control and to manage independently. “Supported Independence” is the goal,
we are here to help you not need us, and to be a resource if things get out of your control.
Why come to physical therapy for these life changing conditions?

Pregnancy
o Pelvic Girdle Pain
o Incontinence
o Diastasis Recti assessment, treatment, and education
o Return to activity post-pregnancy

Pain with Periods (Menstrual Pain)
o Education (It doesn’t have to hurt)
o Self-treatment training to manage period pain
o Individualized education to manage sport/exercise

Pre and post prostatectomy
o Pelvic muscle assessment and training
o Breath control
o Bladder training

Pain management based on current evidence and the evolving science of treating pain
o Sensory Integration Techniques
o Manual Therapy including spinal segments and internal work
o Neurodynamic Techniques
o Biofeedback
o TENS with the current evidence
o All of the above are taught for self-treatment
o Individualized care to return to patient goals for function

Post-void incontinence
o Pelvic muscle evaluation and training
o Down-regulation of overactive pelvic muscles
o Restoration of coordination of bladder/pelvic muscles
o Bladder training
o Constipation assessment and education

Sexual Dysfunction

o Coordination with sex counselors/therapists

o Pelvic muscle evaluation and training

o Pain management

o Internal pelvic examination as needed (always with consent)

o Sensory dysfunction evaluation and treatment

Constipation
o Education for bowel training and normal function
o Coordination with MDs or Nutritionist
o Pelvic muscle evaluation and treatment
o Education for self-treatment of abdominal and pelvic structures

Fecal Incontinence (Loss of stool)
o Education for bowel training and normal function
o Pelvic Muscle evaluation and treatment
o Rectal balloon catheter testing and training for self-treatment
o Biofeedback
o Education for self-treatment of pelvic muscles

Sandra Hilton PT, DPT
30 years Men’s Health
International speaker and educator
Author: Why Pelvic Pain Hurts, Self-Care for Pelvic Pain: A Sensory Integration Toolkit