Pelvic Floor Physical Therapy

UC San Diego Health offers specialized rehabilitation services for women and men with pelvic floor dysfunction, pelvic floor disorders and pelvic pain.

Our program is staffed by physical therapists with advanced training and experience in helping people restore strength and function of the muscles that support the bladder, uterus/prostate, and other organs within the pelvic girdle.

Your physical therapist will work closely with your medical care team, including obstetricians, gynecologists, midwives and urologists, to improve wellness and quality of life. 

Conditions Treated for Pelvic Floor Dysfunction

We treat a range of male and female conditions and symptoms associated with the pelvis, including:

  • Abdominal diastasis ("mummy tummy," separation of the abdominal wall during pregnancy)
  • Lower back pain
  • Pain and dysfunction associated with pregnancy and childbirth
  • Painful intercourse (dyspareunia)
  • Pelvic pain, including coccyx pain, genital pain, groin pain, pelvic floor myalgia, perineal pain, pubic symphysis pain, sacroiliac (SI) joint pain and vulvar pain
  • Pelvic organ prolapse
  • Post-hernia weakness
  • Post-prostatectomy incontinence
  • Prostatitis
  • Urinary incontinence

Pelvic Floor Therapy Services

  • Internal and external pelvic muscle examinations
  • Pelvic girdle assessments
  • Post-partum abdominal screens and rehab for abdominal diastasis, also known as diastasis recti abdominus
  • Manual manipulation, including:
    •  Visceral manipulation
    •  Trigger point release
    •  Myofascial release
  • Surface electromyography (sEMG) biofeedback
  • Electrical stimulation

Treatment Plans for Pelvic Floor Dysfunction

After an evaluation, your treatment may include:

  • Advice on how to change behaviors that worsen symptoms
  • Training to improve your posture, biomechanics, body awareness and coordination
  • Exercises (such as Kegel exercises) to strengthen pelvic floor muscles
  • Exercises to strengthen and stretch muscles that may be contributing to pain or dysfunction
  • Manual therapy for sacroiliac (SI) joint dysfunction, a common cause of pain
  • Techniques for decreasing the urge to, and frequency of, urination
  • Biofeedback to understand and show you how your muscles are functioning
  • Electrical stimulation to activate muscle function
  • Education on foods and beverages that may irritate the bladder
  • An exercise routine to do on your own at home for lasting recovery