Problems with poos, wees or sex? Maybe you need to see the Pelvic Health Physical Therapist at Pro Physio Bozeman.

Pelvic Health Physical Therapy

Pelvic health physical therapy is a specialized branch of physical therapy that evaluates and treats dysfunction in men and women within the pelvis pertaining to the pelvic floor muscles as well as dysfunction to the lumbopelvic and hip complex. Pelvic health can improve changes to the urinary, bowel, or sexual systems through education and muscular retraining to the pelvic floor. Pelvic health also radically improves the way patient’s understand and activate their core system, transforming simple and complex movement as well as exercise and fitness.

Results from pelvic health Physical Therapy include:

  • Maximal independence with bladder and bowel
  • Improved sexual outcomes
  • Decreased pain
  • Improved mobility
  • Extensive training and knowledge in the deep core system

Wonderful TED Talk on Pelvic Health!!!!

Prenatal/Postpartum Physical Therapy

Pelvic health physical therapy is critical for maintaining movement and protecting the pelvis in a woman’s body during pregnancy, optimizing delivery and decreasing challenges in the postpartum chapter. Pelvic physical therapy can teach and educate mom’s on efficient and pain-free mobility and learn key strategies as they progress towards delivery to promote the best delivery experience. Common symptoms in pregnancy or postpartum that can be improved with pelvic health include:

  • Urinary incontinence
  • Pelvic organ prolapse
  • Painful intercourse
  • Low back pain, SI pain, pubic symphysis pain and rib pain

Men’s Health Physical Therapy

Pelvic health physical therapy is critical for males. Men have a pelvis too and they can be faced with symptoms halting their activity levels, their sexual performance or their ability to be independent. The pelvic floor muscles support men’s ability to maintain erections, to hold their bladders and protect their pelvis and spine during any functional movements. Common dysfunctions that can be improved with pelvic health include

  • Hernias
  • Bladder changes that can be independent or tied to prostate changes
  • Genital pain or sexual pain
  • Abdominal/groin/hip/or back pain.


Pelvic health physical therapy for the oncology patient provides life-preserving care to combat and reduce side effects and dysfunctions that can result from cancer treatment. Radiation, chemotherapy, surgical interventions and hormone replacement therapies all can create change to the musculoskeletal system making what was once routine duties and bodily functions now taxing and even painful. Physical therapy can help create positive tissue changes by reducing loss of elasticity and mobility through the muscles and fascia as well as provide education for patients on behaviors and strategies to optimize independence with all activities of daily living.

  • What Pelvic Health Physical Therapy Can Treat For Cancer Patients:
  • Urinary/fecal incontinence
  • Urinary frequency/urgency/hesitancy
  • Bladder pain
  • Pelvic pain including genital pain and rectal pain
  • Constipation/difficulty emptying
  • Sexual dysfunction-ED, dyspareunia, vaginismus, vaginal stenosis, painful orgasm
  • Scar tissue from abdominopelvic surgeries including prostatectomy, hysterectomy or lung resection

In 2015 the Centers for Disease Control and Prevention (CDC) recognized lung and colorectal cancer to be the top 2nd and 3rd most prevalent in both men and women and these diagnoses can be associated with changes to bladder and bowel control.

Current Literature supports pelvic physical therapy to improve pelvic muscle strength affecting urinary incontinence and sexual functioning of gynecological cancer survivors.

Pelvic Health Physical Therapy seeks to identify musculoskeletal dysfunction within the pelvis through the pelvic floor muscles and identify dysfunction of the pelvis as it relates to the rest of the kinematic chain. It is foundational for sustaining balance in both basic and complex body movements, and it is critical for ensuring wellness with urinary, bowel, and sexual systems. The pelvis is the base from which movement flows and it must interrelate with the upper and lower body rhythmically to create optimal function. Our deep core system has to engage in a way that ensures alignment, thereby inducing stabilization and preservation of best movement patterns.