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Medical Services

Typically, a doctor’s referral is needed to have Pelvic Floor Disorders physical therapy procedures covered by insurance. Contact your family medicine provider to determine if PVD therapy is appropriate for your condition and to receive a referral.

Meet Our Physical Therapists
Kelly Wieman, PT, DPT, OCS

Physical therapy evaluation for pelvic floor disorders is indicated for several medical diagnoses, including incontinence, pelvic organ prolapse, and pelvic pain. Some example medical diagnoses include:

Example Urinary Dysfunction Diagnoses:

  • Urinary Incontinence (Stress, Urge, or Mixed)
  • Overactive Bladder
  • Nocturia

Example Pelvic Floor Dysfunction Diagnoses

  • Pelvic Organ Prolapse
    • Uterine Prolapse
    • Cystocele
    • Rectocele
    • Others

Example Female Pelvic Pain Diagnoses

  • Chronic Pelvic Pain
  • Dyspareunia
  • Vaginismus
  • Dysmenorrhea
  • Endometriosis
  • Vulvar pain
  • Pudendal neuralgia
  • IC/PBS

Physical therapy evaluation for patients referred for any of these diagnoses will generally include:

  • Subjective evaluation/Patient history
  • Objective evaluation including musculoskeletal exam; posture, gait, and movement analysis; specific pelvic muscle exam including internal evaluation of pelvic muscle tone, pain/trigger points, strength, muscular coordination, etc.
  • Assessment of patient;s presentation
  • Plan for treatment based on specific evaluation findings and overall assessment

Physical therapy treatment of pelvic floor disorders may include:

  • Neuromuscular reeducation and strengthening of the pelvic floor musculature
  • Pelvic floor internal trigger point techniques
  • Biofeedback for Pelvic floor muscles (strengthening or down-training of overactive muscles)
  • Electrical stimulation (intravaginal, for strengthening or relaxing overactive muscles)
  • Perineal soft tissue mobilization and massage
  • Vaginal dilators, weights, or cones
  • Bladder training

Call 712-265-2500 today to learn more about our services and tour our facilities.