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Pelvic Pain & Incontinence Management

Pelvic floor dysfunction includes both pelvic pain and incontinence. They occur in individuals of all ages but are most prelevant in women of child bearing years and men in their 50s with prostate problems.

Pelvic Floor Disorders

Pelvic pain occurs mostly in the lower abdomen area, below your belly button and between your hips.

Pelvic floor pain can interfere with your ability to sit for prolonged periods of time and may potentially affect your ability to work or perform activities of daily living. Some women can’t even tolerate wearing fitted pants and underwear.

Pelvic pain may also limit your ability to participate in sexual relations with your partner and cause undue strain on personal relationships.

Pelvic pain is not a hopeless condition and is manageable with the appropriate treatment, followed by a home exercise program.

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Ask Us Anything

• I have been experiencing pelvic pain since last year. Is there a test to diagnose my pelvic pain? Dr. Ali Ghomi responds.

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Incontinence

Incontinence is the involuntary loss of bladder or bowel control and the inability to predict when and where urination or bowel movements will occur. It is not a part of normal aging.

Incontinence is usually a result of weakness in the pelvic floor muscles. It is a common disorder experienced by millions of women and men of all ages. Often, it seems difficult to manage, and many maintain the mistaken belief that nothing can be done to correct the problem.

In women, incontinence can be present throughout a pregnancy and remain after delivery, or can begin after menopause. It is most common in men after prostate surgery or prostate problems.

Commonly Treated Conditions

The following conditions related to pelvic floor pain may be treated with therapy:

• Episodic rectal pain, caused by spasm of the levator ani muscle (Levator ani Syndrome)
• Pain around the tailbone (Coccydynia)
• Painful vaginal penetration / painful intercourse (Dyspareunia)
• Painful ejaculation
• Painful or difficult urination or defection
• Chronic vulvar pain (Vulvadynia / Vulvar vestibulitis)
• Chronic inflammation of the bladder wall (Interstitial cystitis)
• Pelvic pain during or after pregnancy

The following conditions related to incontinence may be treated with therapy:

• Urinary incontinence 
• Overactive bladder
• Strong, sudden need to urinate due to bladder spasms or contractions (Detrusor instability)
• Bowel incontinence
• Prolapse, a condition in which organs slip out of place

Physical Therapy Services

Through the Partners In Rehab Pelvic Floor Dysfunction program, specific external and internal techniques can help release the pain.

Physical therapy treatments aimed at managing pelvic pain and incontinence include:

• muscular retraining using biofeedback to regain control of the pelvic floor muscles; muscular retraining may include kegel exercises
• electrical stimulation
• manual techniques, including myofascial release, craniosacral therapy, visceral manipulation, trigger point release and joint mobilization
• musculoskeletal services
• behavior modification treatment 

Pregnancy

• Pain Management

Physical Therapy Facilities

Your treatment is provided in a private, relaxing atmosphere at:

• Partners In Rehab West Seneca
• Partners In Rehab Sisters Hospital in the Piver Center (Buffalo)

Becoming a Patient

In most cases, patients can receive physical therapy without a physician referral. Please call the office to schedule an appointment.

A physician referral is required for patients with:

• Medicare
• Medicaid
• Workers Comp.
• No Fault insurance

If you do not have a physician, click here to find a Catholic Health primary care facility near you or search our physician directory.

Minimally Invasive Surgery for Urinary Incontinence

Urinary incontinence in women can be caused by a variety of medical conditions.

One condition called vesicovaginal fistula is caused by a tear in the wall separating the vagina and bladder. The condition can have a devastating psychological impact, especially in young women. Often caused by surgical complications (more than 50% of these fistulas occur after hysterectomy), radiation treatment, or childbirth, vesicovaginal fistulas usually require surgery to repair the opening.

Minimally invasive surgery provides women with an alternative to conventional abdominal or vaginal surgery and results in less pain, less scarring, shorter hospital stays and quicker recoveries.

Click here for more information.

More Information

  Call our HealthConnection line at (716) 706-2112, 7:30 a.m. to 6 p.m., Monday - Friday
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