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Pain, incontinence and pelvic floor disorders

Pelvic health services

Expertise in women's health

The pelvis is the area of the lower abdomen that holds the reproductive organs and the end of the digestive system. When the organs in the region do not work correctly or there is pain, specialists can help diagnose and treat the problems. Incontinence, bladder and pelvic pain and pelvic floor disorders are some of the issues most commonly treated.

Pelvic floor disorders (PFDs) happen when the muscles and connective tissues of the pelvic area are injured or weak. PFDs are more common in older women and can cause pelvic organ prolapse and fecal incontinence. 

On the opposite end of the spectrum, younger women who have been through childbirth may experience issues with incontinence or repeated urinary tract infections.

Incontinence

Do you leak when you sneeze, laugh or exercise? This condition, called stress incontinence, can be caused by childbirth, heavy exercise or other factors that weaken the pelvic floor muscles holding the bladder, uterus and other pelvic organs in place. Urinary incontinence is not a natural part of aging and can often be successfully treated through physical therapy.

For more persistent cases of incontinence, Legacy Medical Group–Urogynecology and Legacy Meridican Park Pelvic Floor Program offer thorough evaluation and both surgical and nonsurgical treatment options.

If you are concerned about bladder control, call for an evaluation: 503-305-4723.


Interstitial cystitis (bladder pain syndrome)

This chronic condition causes a combination of uncomfortable bladder pressure, bladder pain and sometimes pain in the pelvis ranging from mild to severe. Although there's no treatment that reliably eliminates interstitial cystitis, a variety of medications and other therapies offer relief. A gynecologist or urogynecologist is trained to recognize, treat and manage these conditions and symptoms.

Pelvic pain

Pain related to muscle strain, weakness, imbalance, or caused by a tailbone (coccyx) injury can be treated with physical therapy. Treatments may include relaxation training, soft tissue mobilization, exercises, ultrasound, electrical stimulation and biofeedback.

Other common causes of pelvic pain are fibroids, cysts or endometriosis, which can also result in heavy or irregular bleeding. If you are suffering from these symptoms, consult your doctor about treatment options.

Prenatal and post-partum conditions

Pregnancy can be physically demanding for even the fittest moms. In addition to treating muscle-joint problems associated with pregnancy, Legacy's physical therapists are skilled in facilitating the post-partum or post-cesarean healing process, and addressing pelvic floor issues, such as incontinence, caused by childbirth.

Recurring urinary tract infections

A urinary tract infection (UTI) limited to the bladder can be painful and annoying, but when treated promptly and properly it rarely leads to complications. However, if left untreated a UTI can lead to kidney damage. Also, women who experience three or more urinary tract infections are likely to continue experiencing them.

If you have recurring UTIs, it may be time to consult a urogynecologist or urologist to determine if urologic abnormalities are causing the infections.

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