What is Pelvic Floor Physical Therapy? How it Helps and What to Expect.

Written By Samantha Chilson

What Is the Pelvic Floor?

The pelvic floor is a group of muscles located at the base of the pelvis. These muscles support vital organs such as the bladder, uterus (in women), prostate (in men), and rectum. When these muscles are too tight, weak, or not functioning properly, it can lead to a range of issues, including:

  • Urinary or fecal incontinence

  • Pelvic pain or pressure

  • Pain during intercourse (dyspareunia)

  • Constipation

  • Postpartum recovery issues

  • Prolapse (organ dropping)

What Conditions Can Pelvic Floor Physical Therapy Treat?

At Vital Physical Therapy, we treat a variety of pelvic floor dysfunctions in women, including:

  • Prenatal and postpartum pain

  • Diastasis recti

  • Painful intercourse

  • Urinary urgency or leakage

  • Pelvic organ prolapse

  • Bowel dysfunction

  • Interstitial cystitis

  • Endometriosis-related pain

  • Tailbone (coccyx) pain

What to Expect at Your First Appointment

Your comfort and privacy are our top priorities. During your initial visit, a licensed pelvic floor physical therapist will:

  1. Conduct a comprehensive medical and lifestyle history

  2. Perform a postural and movement assessment

  3. If appropriate and with your consent, complete an internal pelvic floor muscle exam

  4. Create a customized treatment plan tailored to your goals

We take a whole-body approach, addressing not just the pelvic floor but also the surrounding muscles, joints, and habits that may contribute to dysfunction.

How Pelvic Floor Therapy Works

Treatment may include:

  • Manual therapy (internal and external)

  • Myofascial release

  • Biofeedback

  • Guided exercises to strengthen or relax pelvic muscles

  • Education on posture, toileting habits, and breathing techniques

Why Choose Vital Physical Therapy?

Located in Lake Saint Louis, MO, we specialize in orthopedic and pelvic health. Our team is trained in trauma-informed care, and we welcome patients of all genders, backgrounds, and identities.

We collaborate with OB/GYNs, urologists, gastroenterologists, and other providers to ensure a comprehensive plan of care that gets results.

Common Questions About Pelvic Floor PT

Is pelvic floor physical therapy painful?
No. Some discomfort may occur, but your therapist will work within your comfort level and always with your consent.

Do I need a referral?
In Missouri, you do not need a referral to start seeing a pelvic floor physical therapist. We will require a script from your physician before 30 days after your initial visit to comply with the State of Missouri’s law.

How many sessions will I need?
It depends on your condition, but most patients start noticing improvements within 4–6 sessions.

Ready to Feel Like Yourself Again?

Don’t let pelvic discomfort keep you from living life fully. Contact Vital Physical Therapy today to schedule a consultation with a licensed pelvic floor physical therapist.

Serving Lake Saint Louis, MO and surrounding areas
Call us at (636) 226 - 1755 or book online.

Samantha Chilson