Internal examinations, involving the use of a gloved finger in the vagina or rectum, are a key component of a comprehensive pelvic floor assessment. This type of examination provides the most thorough evaluation of the pelvic floor muscles, allowing us to identify sources of pain, assess muscle function (such as contraction and mobility), and evaluate the range of motion in the pelvic area. While this examination offers valuable insights, your comfort and sense of safety are our primary concerns. Prior to the exam, your therapist will carefully explain each step, ensuring you understand the process. You are welcome to bring a support person or request the presence of another physical therapist during the examination. Additionally, you have the right to decline any part of the examination at any time.

Yes, you can still come to physical therapy during your menstrual cycle. Many women continue with their regular physical therapy sessions while menstruating. However, it's important to listen to your body. If you're experiencing discomfort, bloating, or fatigue, you may want to adjust the intensity or focus of your session. Let your therapist know about your symptoms so they can tailor the treatment accordingly. Physical therapy can even help alleviate menstrual-related pain, such as cramps or lower back discomfort. If you're feeling unwell or in significant pain, it's okay to reschedule, but generally, there's no reason to avoid therapy during your cycle.

At SetPT, we empower you to take control of your own care. Our team is committed to listening to your story and creating a personalized treatment plan tailored specifically to you. We are dedicated to providing the time and expertise needed to fully understand and address your concerns. Pelvic health recovery can be a long-term journey, and we are here to walk with you every step of the way toward a successful outcome. Our clinical approach combines rehabilitative ultrasound imaging, manual therapy, targeted exercises, and lifestyle adjustments to promote healthy movement, rebuild trust in your body, and guide you back to optimal health.

Many women, regardless of age, will experience some form of pelvic floor symptoms. While these issues are often linked to childbirth, they are not exclusive to it. Symptoms such as pain, bowel concerns, and urinary leakage can arise for a variety of reasons. Even chronic back or hip pain may have connections to pelvic floor dysfunction. At SetPT, we take a comprehensive approach to understand your symptoms and help uncover solutions for often overlooked concerns.

The pelvic floor examination is not intended to cause pain. However, certain procedures may be used to replicate the pain you are experiencing in order to better understand your condition. We always strive to choose examination techniques carefully to minimize any risk of significantly worsening your discomfort. The entire examination and treatment process will be conducted at a pace that is comfortable for you.

Simply doing kegels on their own is like going to the gym and only doing bicep curls. Pelvic floor physical therapy is a much more comprehensive approach, involving a thorough examination to create a treatment plan tailored specifically to you. For many patients, kegels may not even be part of the treatment plan. For those who would benefit from them, however, not all kegels are the same. Just as there are different variations, frequency, duration, and application of bicep curls, kegels require a nuanced approach depending on your unique needs. Working closely with a pelvic floor therapist is the best way to understand your specific symptoms and develop a personalized plan to help you return to a normal, active life.