Tips for Pelvic Floor PT?
I started pelvic floor PT last week. I was referred by both my colorectal surgeon (for rectal muscle weakness after hemorrhoid treatment) and my OBGYN (also for colorectal issue and for prep for Hysterectomy).
My goals are basically to improve my muscle strength, particularly my rectal muscles.
I had an initial evaluation. My Physical Therapist was easy to talk to and thorough. Evaluation included going over medical history, internal and external strength tests, and finally she showed me breathing & pelvic floor exercises to do at home.
Everything went well, it should have been a good experience. I gave suffered a long time with issues surrounding my hemorrhoids and very much look forward to relief- in fact am excited to take on any treatment to help myself with a vengance. I just finished a round of PT to rehab my ACL- it went well and I am familiar with PT in general.
I broke down after my 1st appointment, I was overwhelmed by the amount of work this is that I am taking on- and I am quite unfamiliar and uncomfortable with the exercises. I will be going to appointments 2x week and have 20 min of home exercises to do every day.
I very much dislike the exercises. I need help with my mindset, I guess. I work out regularly but the pelvic floor exercises just don't feel as easy or natural as weightlifting movements. I am hoping this makes sense to someone because I need help motivating myself to keep doing them until they feel natural.
My exercises include: supine diaphragmatic breathing, supine brace (& w pelvic floor activation), and pelvic tilt and seated pelvic floor activation. Very simple, mostly involve breathing. I hate doing them and am struggling very much to make them feel comfortable. Having to count on top of focusing on breathing is also very difficult for me.
My PT has an app, I have it on my phone with my program. But there is no way to properly visualize pelvic floor activation so I have no example other than a description and it's very hard for me to learn that way.
I just need to connect my body and mind and make them behave here. How do I accomplish that?
If anyone has done pelvic floor PT and has any tips for making it a good experience I would be grateful to hear them!!
Posted Apr 9, 2025, 8:21 PM UTC