What can I expect during a pelvic floor evaluation?

A pelvic floor evaluation will start similar to any physical therapy visit. First we will discuss relevant medical and surgical history including any examinations or referrals from your physician.

Next, I typically perform a movement assessment, examining range of motion and strength throughout the spine, hips and abdominals as relevant to your concerns.

Lastly and if appropriate, a formal pelvic floor exam is the last step in the evaluation. I always provide my patients with options as I want you to feel as comfortable as possible during your session. A pelvic floor exam includes evaluation of the tissues of the vulva, assessing the first layer of pelvic floor muscles externally, and observing the movement of the pelvic floor. This portion of the exam can include palpation of the tissues or can be completely hands off.

An internal exam may be performed which includes a single gloved finger inserted into the vaginal canal to assess for strength, endurance and relaxation of the pelvic floor muscles. The internal exam may involve either the vaginal opening or the rectum (sometimes both) depending on your concerns and goals.