MultiCare Health System

Pelvic Medicine

Women's Health Physical Therapy

Women’s health is a specialized area in physical therapy that addresses the lifelong health of a woman’s musculoskeletal system, including the pelvic floor. Our comprehensive Pelvic Floor Dysfunction and Incontinence Treatment program is an integral part of MultiCare Women’s Pelvic Medicine & Reconstructive Surgery. This physical therapy program addresses the underlying musculoskeletal origin of pelvic floor dysfunction. Many patients can benefit from this non-surgical approach.

Issues addressed in therapy include:

  • Stress Incontinence: Leakage of small amounts of urine during physical movement (coughing, sneezing, and exercising).
  • Urge Incontinence: Leakage of large amounts of urine at unexpected times, including during sleep
  • Overflow Incontinence: Unexpected leakage of small amounts of urine because of a full bladder
  • Overactive Bladder: Urinary frequency and urgency, with or without urge incontinence
  • Functional Incontinence: Untimely urination because of physical disability, external obstacles, or problems in thinking or communicating that prevent a person from reaching a toilet.
  • Vulvodynia: Chronic vulvar pain
  • Low Back Pain
  • Pregnancy/Postpartum Pain
  • Pelvic Pain
  • Menstrual Pain
  • Painful Intercourse
  • Endometriosis

Treatment is specialized and focused on each patient’s particular needs and can include various specialized techniques:

  • Behavioral remedies to include bladder retraining and kegel exercises
  • Exercise instruction to address pelvic floor, hip and abdominal weakness
  • Biofeedback to improve patient awareness of correct muscle use – using measuring devices to help a person become more aware of body function.
  • Education in relaxation and proper breathing
  • Pain management techniques