Physical Therapy for Pelvic Pain and Incontinence

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Make an Appointment

To schedule an appointment, please call a location below. In most cases, patients can receive physical therapy without a physician referral. A physician referral is required for patients with Medicare, Medicaid, workers comp. and no-fault insurance.


M. Steven Piver M.D. Center for Women's Health & Wellness
2121 Main Street
Suite 100
Buffalo, NY 14214

Partners In Rehab West Seneca
550 Orchard Park Road
West Seneca, NY 14224

Pelvic Floor Disorders

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

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.


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 Techniques

Specific external and internal techniques can help release 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