Are you a candidate for pelvic floor rehabilitation?
Do you leak urine or feces...
Do you notice...
- During a cough or sneeze?
- When you stand up or get out of bed?
- With exercise or exertion?
- Before you can get to the toilet?
- After prostate surgery?
- After bladder surgery?
- After emptying bladder?
Do you have...
- Difficulty emptying your bladder?
- Difficulty starting your urine stream?
- Frequent urination day or night?
- Trouble with constipation?
- Difficulty controlling bladder movements?
- Painful urination?
- Painful bowel movements?
- Painful sexual activity?
- Pain with sitting?
- Pain in the genitals?
If you answered yes to any of these questions, ask your physician for a referral to the Tallahassee Memorial Pelvic Floor Rehabilitation program. For questions, please contact us.
Conditions We Treat
- Urinary Stress Incontinence
- Urinary Urge Incontinence
- Overactive Bladder
- Nighttime Frequency
- Incomplete Bladder Emptying
- Painful Bladder Syndrome
- Interstitial Cystitis
- Painful Urination
- Leakage after Prostate Surgery
- Post-surgery Dysfunction
- Pediatric Urinary Accidents
- Detrusor Sphincter Dyssynergia
Painful Bowel Movements
- Fecal Incontinence
- Puborectalis Dyssynergia
- Post-colorectal Surgery
Pelvic and Genital Pain
- Pelvic Organ Prolapse
- Cystocele, Rectocele
- Uterine Prolapse
- Pain following Prolapse Surgery
- Prevention of Future Surgery
- Pelvic Floor Tension Myalgia
- Sacroiliac and Coccyx Pain
- Levator Ani Syndrome
- Chronic Pelvic Pain
- Abdominal Adhesions
- Pain During or After Sex
- Pudendal Neuralgia
- Penile Pain/Testicular Pain
- Manual therapy techniques
- Patient education
- Neuromuscular stimulation
- Biofeedback interventions
Meet Our Team
Lisa Whiting, Physical Therapist
Lisa earned a Master’s degree in Physical Therapy from The University of Evansville. She has over 18 years of experience and over 10 years working strictly with pelvic floor patients. She is trained through the Herman & Wallace Pelvic Rehab Institute and is a member of the American Physical Therapy Association’s Section on Women’s Health.
Deidra Russell, Physical Therapist
Deidra earned a Doctorate of Physical Therapy degree from Florida A&M University. She has experience treating the pelvic floor and other orthopedic conditions. Deidra is trained through the Herman & Wallace Pelvic Rehab Institute and is a member of the American Physical Therapy Association’s Section on Women’s Health.
What to Expect
Many Patients are Anxious About What to Expect at Their Appointments
Your 1st Pelvic Floor Appointment
Below you will find a detailed outline of what you can expect during your initial pelvic floor evaluation. The initial evaluation is a 90-minute appointment that will typically consist of the following:
- Your therapist will obtain a detailed description of your current symptoms or problem(s). This will also include the history and progression of your issues and treatments to date.
- Your therapist will ask you questions regarding diet, bladder habits, bowel habits, urinary leakage, fecal leakage, painful sexual contact, childbirth history and prior trauma.
- A musculoskeletal evaluation will be completed to assess your posture, strength, flexibility, range of motion and overall mobility. Please wear comfortable clothes that allow for movement.
- An internal pelvic floor muscle evaluation: While undressed from the waist down, the therapist will palpate the pelvic floor muscles internally (no speculum will be used). This is done rectally with men and typically vaginally with women. Your therapist will determine if your muscles are too tight, too loose or of normal tone. Your therapist will ask you to perform a Kegel contraction several times to determine the strength of your muscles. Female patients will be assessed for pelvic organ prolapse (falling of the uterus, bladder, rectum or vaginal walls).
- Your therapist will review the information obtained during the evaluation and discuss the recommended treatment plan and duration.
- Your therapist will discuss future appointments and how to schedule them.
- Your therapist will typically issue homework: bladder/bowel diary, education/informational hand-outs or an at-home exercise to initiate.
Your 2nd Pelvic Floor Appointment
The focus of the second visit is typically Surface Electromyography (Semg) of the pelvic floor. This non-invasive test will measure the electrical activity of your pelvic floor muscles. Two electrodes are placed on either side of the anus and a third electrode is placed on the hip. You will not feel anything as a result of this test as Semg simply provides data and biofeedback. After obtaining data, the remaining session may be used for biofeedback training, if indicated.
Treatment will be dependent on your specific needs and may include:
- Education regarding healthy bladder habits
- Proper urination positioning for complete emptying
- Education regarding healthy bowel habits
- Proper defecation position and technique
- Education regarding diaphragmatic breathing
- Education regarding coordinating pelvic function with breathing
- Strengthening exercises
- Flexibility exercises
- Techniques for prolapse protection
- Urgency control techniques
- Pelvic relaxation techniques
- Trigger point releasing
- Myofascial release
- Soft tissue and connective tissue mobilization
- Postural education
- Dilator education
- Self massage techniques
We look forward to meeting you and hope the above information will answer any questions you may have or ease any anxiety about your upcoming appointment. If you are a pain patient who has experienced painful gynecological or pelvic exams in the past, the evaluation can be modified to minimize discomfort. If you are on your cycle, you can still attend your evaluation or treatment session and we will defer internal work. If you should have any questions regarding your upcoming visit, please feel free to contact us.
To get started, talk to your doctor about your or your child’s symptoms and ask for a referral to the Tallahassee Memorial Pelvic Floor Rehabilitation Program. Referrals can be accepted from your primary care physician, gynecologist, urologist, gastroenterologist or nurse practitioner. To schedule an appointment, please call 850-431-7115.
Tallahassee Memorial Pelvic Floor Rehabilitation Program
Ortho/Spine Outpatient Rehabilitation Center
1425 Village Square Blvd., Suite 3
Tallahassee, FL 32312
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