What happens in pelvic floor therapy? For some individuals, pelvic floor therapy will require a vaginal or rectal internal exam, in order to assess the length, strength, and control of the muscles of the pelvic floor. These exams are digital, meaning there is no speculum used, just your therapist’s palpation with one finger. For some, this is not the case- The pelvic floor is closely related to groups of other muscles around the trunk- abdominals, back, hips, and diaphragm. If there is any issue with these muscles OR the relationship between them, the assessment will focus more on things like breathing patterns or movement patterns in specific or global terms (think reaching, lifting, squatting, standing, etc). The pelvic floor is just a piece of your whole person, and it’s important to assess all of you in order to optimize your treatment plan.
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