The Benefits of Pelvic Floor Therapy for Men After Prostate Surgery: Regaining Control, Strength, and Confidence

The Benefits of Pelvic Floor Therapy
for Men After Prostate Surgery: Regaining Control, Strength, and Confidence

Recovering from prostate surgery can bring relief and hope but it can also come with unexpected challenges. Many men are surprised to experience urinary leakage, urgency, pelvic discomfort, or changes in sexual function after surgery. These symptoms are common, but they do not have to become your “new normal.”

Pelvic floor therapy for men after prostate surgery is a highly effective, evidence based way to support healing, restore function, and improve quality of life. At Klein Physical Therapy, we provide personalized, respectful care to help men regain confidence and return to the activities they enjoy.

Why Prostate Surgery Can Affect the Pelvic Floor

The pelvic floor is a group of muscles, connective tissues, and nerves located at the base of the pelvis. These muscles help support the bladder and bowel, assist with urinary control, contribute to sexual function, and work with your core muscles for stability.

During a prostatectomy or other prostate procedures, the surrounding tissues may be affected by surgery itself, post operative swelling, scar tissue, or changes in nerve signaling. As a result, some men experience difficulty coordinating or strengthening the pelvic floor muscles during recovery.

This is why symptoms such as urinary incontinence after prostate surgery are common and why specialized rehabilitation can make a meaningful difference.

Common Symptoms After Prostate Surgery

Every recovery is different, but many men experience one or more of the following:

• Urinary leakage when standing, coughing, sneezing, or exercising

• Dribbling after urination

• Frequent urges to urinate

• Difficulty delaying the urge to urinate

• Getting up often at night to urinate

• Pelvic tension or discomfort

• Weakness with exercise or lifting

• Fear of movement or returning to activity

• Changes in erectile function or sexual confidence

These issues can impact work, travel, exercise, sleep, and relationships. Fortunately, men’s pelvic floor physical therapy is designed to address these exact concerns.

How Pelvic Floor Therapy Helps After Prostate Surgery

Pelvic floor therapy is a comprehensive approach to retraining the muscles, breathing patterns, posture, and movement strategies that support recovery.

1. Improved Bladder Control

One of the most common reasons men seek pelvic floor therapy after prostatectomy is urinary leakage. Therapy can help you:

• Improve pelvic floor strength and endurance

• Coordinate muscles at the right time

• Reduce stress incontinence (leaking with movement)

• Improve control during daily activities

• Decrease dependence on pads or protective garments

For many men, targeted therapy helps them feel more comfortable leaving the house, returning to work, or exercising again.

2. Faster, More Efficient Recovery

Healing after surgery takes time, but having a guided plan can reduce frustration and help you progress safely. Rather than guessing what exercises to do, therapy provides individualized strategies based on your symptoms, healing stage, and goals.

This often leads to more efficient recovery and greater confidence throughout the process.

3. Better Core Strength and Stability

The pelvic floor works closely with your diaphragm, abdominal muscles, and back muscles. After surgery, many men feel weak through the core or uncertain about returning to lifting, golfing, yard work, or workouts.

Physical therapy helps rebuild strength in a coordinated way so you can move with more confidence and less strain.

4. Support for Sexual Function

Changes in erectile function can occur after prostate surgery. While recovery may involve multiple factors, pelvic floor rehabilitation can support blood flow, muscle awareness, and coordination that contribute to sexual health.

Many men appreciate having a knowledgeable provider who can guide them through this part of recovery with professionalism and respect.

5. Reduced Pelvic Pain or Tension

Not all pelvic floor muscles need strengthening. Sometimes muscles become tense, guarded, or overactive after surgery. This can contribute to discomfort, urgency, or difficulty relaxing.

Therapy may include relaxation strategies, breathing retraining, mobility work, and gentle movement techniques to reduce tension and improve comfort.

Pelvic Floor Therapy Is More Than Kegels

Many men are told to “just do Kegels,” but without guidance, this can be confusing or even unhelpful if muscles are already tense or if technique is off.

At Klein Physical Therapy, treatment focuses on what your body needs. That may include:

• Correct pelvic floor activation

• Relaxation training

• Breathing mechanics

• Pressure management during movement

• Scar mobility after surgery

• Core strengthening

• Bladder habit education

• Safe return-to-exercise progressions

• Posture and movement retraining

The goal is not simply stronger muscles, it is better function.

What to Expect at Pelvic Floor Physical Therapy

Many men are unsure what happens in therapy and may feel hesitant to schedule an appointment. Our approach is private, professional, and patient centered.

Your evaluation may include:

• Discussion of symptoms, surgery history, and goals

• Education about normal healing and recovery timelines

• Assessment of breathing, posture, core function, and movement patterns

• Guidance on bladder habits and fluid strategies

• Customized home exercises

• A progressive plan to return to work, fitness, and hobbies

We tailor treatment to your comfort level and individual needs every step of the way.

When Should You Start Therapy?

In many cases, pelvic floor therapy can begin before surgery to teach muscle awareness and prepare for recovery. This is often called prehabilitation.

After surgery, therapy can be helpful once your surgeon clears you for rehabilitation. It is also never “too late” to seek help. Even if you had surgery months or years ago and still experience leakage or pelvic symptoms, improvement is often possible.

If you are wondering whether therapy is right for you, it likely makes sense to schedule an evaluation.

Why Men Often Wait Too Long to Get Help

Many men assume leakage or pelvic symptoms are simply something they must live with after surgery. Others feel embarrassed discussing these concerns.

The truth is that these issues are common and treatable. Seeking care is a proactive step toward recovery not something to be ashamed of.

You deserve support that helps you feel strong, capable, and confident again.

Why Choose Klein Physical Therapy?

At Klein Physical Therapy in Denver, Colorado, we take a whole body, individualized approach to healing. We understand that recovery after prostate surgery is not just about one symptom, it is about getting your life back.

Our care is:

• Evidence based and personalized

• Respectful, private, and compassionate

• Focused on real life function and long term outcomes

• Designed to help you move forward with confidence

Whether your goal is to stop leaking, return to exercise, improve comfort, or feel like yourself again, we are here to help.

Take the Next Step in Your Recovery

If you are dealing with urinary incontinence after prostate surgery, pelvic discomfort, or changes in function, you do not have to navigate it alone.

Pelvic floor therapy for men after prostate surgery can help you regain control, strength, and confidence.

Contact Klein Physical Therapy today to schedule an evaluation and start your recovery with expert support.

Pelvic Floor Therapy After Pregnancy: What to Expect

Pelvic Floor Therapy After Pregnancy:
What to Expect

Pregnancy and childbirth place significant stress on the pelvic floor muscles. After delivery, many women experience symptoms like pelvic pain, bladder leakage, pressure, or discomfort during daily activities.

Pelvic floor physical therapy can help restore strength, coordination, and function to these muscles so you can return to normal movement and daily life with confidence.

In this article, we’ll explain what pelvic floor therapy after pregnancy involves, common symptoms it treats, and what to expect during treatment.

Why the Pelvic Floor Changes After Pregnancy

The pelvic floor is a group of muscles that support the bladder, uterus, and bowel. During pregnancy and childbirth, these muscles stretch significantly.

Factors that can affect the pelvic floor include:

• vaginal delivery

• prolonged labor

• tearing or episiotomy

• cesarean delivery

• hormonal changes

• postural changes

• increased pressure from pregnancy

Because of these changes, many women experience pelvic floor dysfunction after childbirth.

These symptoms are common, but they are treatable, and you don’t have to navigate them alone. Pelvic floor therapy can help restore normal muscle function and support your postpartum recovery.

Common Postpartum Pelvic Floor Symptoms

Many women seek pelvic floor therapy after pregnancy to treat symptoms such as:

• urinary leakage when coughing, sneezing, or exercising

• pelvic pressure or heaviness

• painful intercourse

• pelvic pain

• lower back or hip pain

• difficulty returning to exercise

• diastasis recti (abdominal separation)

If these symptoms persist after delivery, pelvic floor therapy can help improve muscle coordination and support healing.

When You Should Start Pelvic Floor Therapy After Birth

Many women begin pelvic floor therapy around six weeks postpartum, once cleared by their healthcare provider. However, you do not always need to wait until the six week check if you are experiencing symptoms such as pelvic pain, pressure, or bladder or bowel concerns.

In many cases, pelvic floor therapy can begin earlier with gentle, appropriate treatment focused on:

• pain relief

• breathing and core connection

• education on safe movement and healing

We work in coordination with your healthcare team to ensure care is safe and aligned with your recovery.

Pelvic floor therapy can be beneficial after:

• vaginal delivery

• cesarean section

• tearing or episiotomy

• persistent pelvic pain

• urinary or bowel leakage

• difficulty returning to exercise

Early treatment can help prevent symptoms from becoming long term problems.

What Happens During a Pelvic Floor Physical Therapy Visit

Your first visit typically includes a comprehensive evaluation to understand how your pelvic floor muscles are functioning.

Your therapist may assess:

• posture and movement patterns

• breathing mechanics

• core strength

• pelvic floor muscle coordination

• scar tissue from delivery or surgery

This evaluation helps create a personalized treatment plan based on your symptoms and recovery goals.

Treatments Used in Postpartum Pelvic Floor Therapy

Treatment plans vary depending on the patient and symptoms.

Pelvic floor therapy may include:

Targeted Exercises
Exercises help strengthen weak muscles or relax muscles that are too tight. These exercises also coordinate the pelvic floor with the core and breathing muscles.

Manual Therapy
Hands on treatment helps reduce muscle tension, improve mobility, and decrease pain.

Scar Tissue Treatment
If you experienced tearing or a C-section, therapy can help improve scar mobility and reduce discomfort.

Bladder and Bowel Training
Your therapist may provide strategies to improve bladder control and reduce urgency.

Return to Exercise Guidance
Patients often receive guidance on safely returning to running, lifting, and other physical activities.

Pelvic Floor Biofeedback
Real time visual or auditory feedback to help you learn how to properly contract and relax your pelvic floor muscles. (Read more about it in our recent blog post)

How Long Does Pelvic Floor Therapy Take?

The length of treatment depends on the severity of symptoms and recovery goals.

Many postpartum patients attend therapy for 6 to 12 sessions over several weeks.

Many patients notice improvements in symptoms such as bladder control, pelvic pain, and core strength during treatment.

When to Seek Help for Postpartum Pelvic Floor Issues

You may benefit from pelvic floor therapy if you experience:

• bladder leakage after pregnancy

• pelvic pressure or heaviness

• pain during exercise or daily activities

• difficulty returning to exercise

• pain with intercourse

• Fecal urgency and/or leakage

These symptoms are common after childbirth, and they can often be improved with the right treatment.

Pelvic Floor Therapy in Denver

If you are experiencing postpartum pelvic floor symptoms, pelvic floor physical therapy can help restore strength, function, and confidence in your body.

At Klein Physical Therapy, Our pelvic health specialists provide personalized care to support recovery after pregnancy and childbirth.

Schedule a Pelvic Floor Evaluation
If you’re experiencing pelvic floor symptoms after pregnancy, early treatment can help speed recovery and prevent long term issues.

Contact Klein Physical Therapy today to schedule a pelvic floor evaluation and begin your recovery.

FAQ

Is pelvic floor therapy necessary after pregnancy?
Many women benefit from pelvic floor therapy after pregnancy, especially if they experience symptoms such as bladder leakage, pelvic pain, or difficulty returning to exercise.

Can pelvic floor therapy help bladder leakage after childbirth?
Yes. Pelvic floor therapy is one of the most effective treatments for postpartum urinary incontinence.

How soon after birth can you start pelvic floor therapy?
Most women begin pelvic floor therapy around six weeks postpartum, once cleared by their doctor.

Does pelvic floor therapy hurt?
Pelvic floor therapy is typically gentle and focused on restoring normal muscle function. Many patients experience symptom relief during treatment.

Schedule a Pelvic Floor Evaluation

If you’re experiencing postpartum pelvic floor symptoms, the team at Klein Physical Therapy can help.

Our pelvic health specialists provide personalized care to support recovery after pregnancy and childbirth.

Contact us today to schedule an evaluation and begin your recovery.

Biofeedback for Pelvic Floor Therapy: A Breakthrough for Pelvic Floor Dyssynergia and More

Biofeedback for Pelvic Floor Therapy: A Breakthrough for Pelvic Floor Dyssynergia and More

At Klein Physical Therapy, we’re always advancing how we support your healing and we’re excited to now offer specialized biofeedback therapy for pelvic floor dysfunction, led by Klein Physical Therapy’s Ciarra Batterton PT, DPT, who brings advanced training in this technique.

If you’ve been told you have pelvic floor dyssynergia, struggle with chronic constipation, or feel like your body just “won’t coordinate” properly when it comes to pelvic function, biofeedback may be a game changer.

What Is Biofeedback in Pelvic Floor Therapy?

Pelvic floor biofeedback is a treatment that uses real time visual or auditory feedback to help you learn how to properly contract and relax your pelvic floor muscles. It’s especially helpful when your muscles aren’t working together as they should, a condition known as dyssynergia.

Think of it like physical therapy with a mirror for your muscles, so you can actually “see” what your body is doing, and retrain it with guidance.

What Is Pelvic Floor Dyssynergia?

Dyssynergia refers to a lack of coordination between the pelvic floor muscles and the rest of the core during bowel movements or muscle activation. Instead of relaxing during a bowel movement, for example, the pelvic floor may contract making it difficult or even painful to go.

Common symptoms of dyssynergia include:

• Chronic constipation or straining

• A sensation of incomplete emptying

• Painful bowel movements

• Rectal pressure or pelvic pain

It’s often misdiagnosed or overlooked, but biofeedback can be one of the most effective treatments available.

Who Benefits from Biofeedback Pelvic Floor Therapy?

Biofeedback can support patients experiencing:

• Pelvic floor dyssynergia

• Chronic constipation

• Urinary incontinence or urgency

• Pelvic pain or vaginismus

• Difficulty coordinating pelvic floor movements postpartum

It’s also incredibly beneficial for those who struggle to feel or control their pelvic floor muscles whether due to nerve dysfunction, trauma, or disuse.

What Happens During a Biofeedback Session?

At Klein Physical Therapy, your session will always be private, respectful, and guided step-by-step by a highly trained specialist.

During biofeedback:

1. Sensors (external or internal, depending on your comfort and needs) are placed to detect pelvic floor muscle activity.

2. You’ll receive visual or audio feedback on a screen, showing when you’re contracting, relaxing, or bearing down.

3. Your therapist will help you retrain your body to coordinate properly, using this feedback to guide precision and confidence.

No electrical stimulation is involved, just your own muscle activity and the feedback to understand it better.

Why Biofeedback Works

Many people with pelvic floor dysfunction think they’re doing the right exercises, but without proper feedback, they may be strengthening the wrong patterns.

Biofeedback:

• Improves body awareness

• Corrects faulty movement patterns

• Reduces frustration for patients who haven’t seen progress through exercises alone

• Supports lasting improvement in muscle coordination and function

It’s evidence-based, non-invasive, and empowering.

Meet Our New Specialist in Biofeedback Therapy

We’re thrilled to welcome pelvic floor PT, Ciarra Batterton, who brings advanced training and deep compassion for patients dealing with complex pelvic health issues. Her expertise in biofeedback therapy is changing lives and helping patients finally feel in control of their bodies again.

Why Klein Physical Therapy?

Our clinic specializes in women’s pelvic health, postpartum recovery, and complex pelvic floor dysfunctions. With a whole body, hands on approach, we combine tools like biofeedback with manual therapy, dry needling, and education so your treatment is always comprehensive and personalized.

Could Biofeedback Help You?

If you’ve been dealing with:

• Long standing constipation or straining

• Unexplained pelvic pain or pressure

• Trouble doing Kegels correctly or knowing if you’re doing them at all

• No relief from typical exercises or therapy

…you might be an excellent candidate for biofeedback pelvic floor therapy.

Serving the Denver, Colorado area
Appointments available this month!

How to Find a Pelvic Floor Physical Therapist That Fits Your Needs

How to Find a Pelvic Floor Physical Therapist
That Fits Your Needs

If you’ve been googling “pelvic floor PT near me” and feeling overwhelmed by the options, you’re not alone.

Whether you’re navigating postpartum healing, dealing with incontinence, or managing persistent pelvic pain, finding the right pelvic floor physical therapist can feel confusing, intimidating, and more personal than most healthcare decisions.

So let’s break it down.

Why Pelvic Floor Therapy Feels So Hard to Find

Here’s the truth:

Most people don’t even realize pelvic floor therapy is an option until they’re already struggling.

And once they do start looking, they often run into:

• Generic clinics that barely mention pelvic health

• Providers who treat symptoms, not root causes

• Or worse, dismissive care that leaves them feeling unheard or even ashamed
  

If you’ve ever thought “I wish someone told me this sooner”, you’re exactly who we’re here for .

What to Look for in a Pelvic Floor PT

You deserve more than a 10 minute consult and a printout of kegels.

Here’s what actually matters when choosing a pelvic floor physical therapist:

1. Specialization in Pelvic Health

Not all PTs are trained in internal pelvic floor work. Look for a licensed provider who specializes, not just dabbles, in pelvic health, especially if you’re dealing with prolapse, pain, or postpartum recovery.

2. Whole Body Approach

Your pelvic floor doesn’t operate in isolation. It’s connected to your breath, posture, spine, hips, and even your emotional well being. A skilled therapist will assess and treat your body as a system, not just a symptom.

3. Comfort and Consent

Pelvic floor therapy can be intimate. You should never feel rushed, pressured, or uncertain about what’s happening. Look for someone who explains clearly, asks for consent, and makes space for your questions and boundaries.

4. Education Focused Care

You deserve to understand what’s going on in your body, and how to heal it. The right PT will empower you with tools, language, and clear guidance for recovery .

Questions to Ask Before Booking

Not sure how to vet your options? Here are a few questions we wish more people knew to ask:

• Do you specialize in pelvic floor therapy, or is it just one of many services?

• Will my sessions be 1:1 and fully private?

• How do you handle internal exams and are they always required?

• What’s your approach to postpartum healing?

• How do you include education in your care?
  

If a provider can’t answer these confidently (and kindly), keep looking.

What Makes Care at Klein PT Different

At Klein Physical Therapy, we’ve created the kind of care we wish more people had access to:

• Full body assessments that treat the root, not just the symptom

• One on one sessions in a calm, private setting

• Evidence based treatment with deep empathy and dignity

• Faith informed care for clients who value that lens
  

We specialize in pelvic health, women’s wellness, and spine care, helping you reclaim confidence, comfort, and clarity in your body.

You’re Not Alone, And You Deserve Better

Pelvic pain, incontinence, or postpartum struggles may feel isolating, but they’re incredibly common.

And with the right care, they’re also incredibly treatable.

You don’t have to settle for being dismissed, confused, or told “this is just part of motherhood.” or “this is just part of being a woman”

Ready to Heal with Clarity and Care?

If you’re in the Denver area and looking for pelvic floor therapy that truly meets you where you are, we’d love to support you.

 Book your first session at Klein PT

Or reach out with questions, we’re here to help you feel seen, supported, and strong again.

The Rise of “Prehab”: Preparing Your Body for Pregnancy, Birth, or Menopause

The Rise of “Prehab”
Preparing Your Body for Pregnancy, Birth, or Menopause

Prehab, short for preventive rehabilitation, is a proactive approach to physical therapy that helps strengthen and prepare your body before major physical or hormonal changes like pregnancy, childbirth, or menopause.

Traditionally, physical therapy is something women turn to after an injury, birth, or the onset of menopausal symptoms.

But lately, you may have seen the term “prehab” gaining traction on TikTok and social media, and for good reason.

What if your body didn’t have to play catch up?
What if you could prepare it, intentionally and proactively, for the transitions ahead?

That’s the heart of prehab: strengthening, supporting, and educating your body before it’s tested by major physical or hormonal changes.

At Klein Physical Therapy, we’re encouraged to see women’s health care moving toward more proactive, well rounded, whole body treatment plans, an approach that’s been at the heart of our practice from the start.

Why Prehab Matters for Every Stage of Womanhood

Your body constantly adapts - to hormones, stress, activity, and life’s many seasons. Over time, those changes can create subtle imbalances in your posture, breathing, and pelvic alignment.

Our whole body approach looks beyond isolated symptoms to see how these systems work together. “Prehab” addresses those shifts early, helping you build strength, mobility, and awareness before discomfort or dysfunction appear.

Whether you’re planning for pregnancy, preparing for childbirth, or approaching menopause, prehab allows you to stay one step ahead, supporting your body proactively instead of waiting for pain to start.

Preparing for Pregnancy: How Prehab Helps You Prepare for Pregnancy

Just as athletes train before a marathon, your body benefits from intentional preparation before pregnancy.

Benefits of Prehab for Pregnancy:

• Improve posture and core coordination

• Release restrictions that may affect pelvic or uterine mobility

• Support healthy breathing and abdominal pressure management

• Build strength for carrying and delivering your baby

Think of it as training your muscles and nervous system for the physical and hormonal changes to come. When your foundation is strong, your pregnancy and postpartum recovery becomes more comfortable, confident, and resilient.

Prehab for Birth: Supporting the Body Through Change

During pregnancy, your body transforms daily. Your center of gravity shifts, ligaments loosen, and your pelvic floor carries increasing demand.

Prenatal pelvic physical therapy focuses on keeping your body balanced through these changes. At Klein PT, we use gentle manual techniques, targeted movement, and breath retraining to:

• Reduce back, hip, and pelvic pain

• Improve pelvic mobility for labor

• Support optimal baby positioning

• Promote easier recovery after delivery

Every pregnancy is unique, which is why we tailor each session to your specific body, lifestyle, and goals.

Preparing for birth isn’t just about the baby, it’s about your body’s ability to move, open, and recover with ease.

Preparing for Menopause: Strength, Stability, and Connection

Menopause marks another major transition in a woman’s life, one that deserves preparation, not reaction.

Physical therapy during perimenopause helps maintain pelvic muscle tone, bladder control, and joint mobility while supporting hormonal and bone health. 

It’s about helping your body age with grace and strength so you can stay active and confident in every season of life.

Our whole body approach may include:

• Visceral mobilization to improve circulation and organ mobility

• Myofascial decompression to release tension and restore alignment

• Tailored exercise programs to build strength and maintain muscle mass

You don’t have to wait for symptoms like leakage, prolapse, or pain to begin. Preventive care now can make the next chapter far more comfortable and empowering.

The Science of Prevention: Why Early Care Works

You don’t have to wait for pain to start to begin healing.

Research continues to show that when part of a comprehensive approach, early and targeted physical therapy may reduce long term pain, improve function, and enhance quality of life. (source) (source)

By supporting the way your body moves and restores itself before problems develop, preventative care may help prevent chronic issues, saving both time and emotional energy later.

At Klein Physical Therapy, our clinicians take a whole body approach to care, using evidence based techniques such as dry needling, joint mobilization, and guided exercise, all tailored to your unique needs, to help your body do what it’s designed to do.

The Klein PT Approach: Proactive, Personalized, and Empowering

No matter what stage of life you’re in, preparing for pregnancy, navigating birth, or approaching menopause, your body deserves care that helps you thrive, not just recover.

At Klein PT, we partner with you to create a plan that aligns with your goals, lifestyle, and stage of life.

Ready to Begin Your Journey?

You don’t have to wait until your body asks for help, give it the care and preparation it deserves now.

Schedule a consultation to learn how pelvic floor physical therapy can support your next stage of wellness.

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FAQ: Prehab and Women’s Health

What is Physical Therapy Prehab?
Prehab, or preventive rehabilitation, is a proactive approach to physical therapy that helps strengthen and prepare your body before major life transitions like pregnancy, birth, or menopause.

When should I start Physical Therapy prehab?
You can begin prehab at any stage, before conception, during pregnancy, or throughout perimenopause or menopause. The goal is to prepare your body before symptoms arise.

Is prehab only for athletes or active women?
Not at all. Prehab is for every woman who wants to move comfortably, stay active, and feel confident in her body through each stage of life.

7 Surprising Triggers for Lichen Sclerosus Flares and What You Can Do About Them

7 Surprising Triggers for Lichen Sclerosus Flares and What You Can Do About Them

If you’re managing lichen sclerosus (LS), you know flare ups can feel unpredictable. But what if you could identify your triggers and reduce their impact?

At Klein Physical Therapy, we specialize in pelvic floor therapy and work closely with clients navigating chronic conditions like lichen sclerosus. And while LS is complex and still not fully understood, there are certain patterns we see over and over especially when it comes to what sets off a flare.

In this article, we’re highlighting 7 lesser known triggers of LS flares, why they matter, and what you can start doing differently today to protect your skin, your comfort, and your confidence.

What Is a Lichen Sclerosus Flare Up, Exactly?

Lichen sclerosus is a chronic inflammatory skin condition that primarily affects the vulva and perineum (though it can appear elsewhere). Symptoms often include:

• Intense itching or burning

• Fragile, tearing skin

• Discoloration or white patches

• Pain with intercourse or inserting a tampon

• Urinary changes or pain with urination
  

Flares refer to periods when these symptoms suddenly worsen, often due to internal or external triggers.

1. Stress (Yes, Emotional Stress Can Trigger Physical Symptoms)

This is one of the most underestimated flare triggers. Emotional stress can raise your body’s inflammation levels, compromise immune function, and even affect how your pelvic floor muscles behave, leading to more pain, itching, and tissue sensitivity.

What can help:

• Deep breathing or grounding exercises

• Gentle movement or walks

• Sleep hygiene (7–9 hours of quality sleep)

• Seeing a mental health provider or support group
  

Stress isn’t “all in your head”, it can show up in your skin, too.

2. Friction from Clothing or Daily Movement

Tight jeans, thong underwear, synthetic fabrics, and even bike seats can create micro irritation, especially when your tissue is already fragile. Friction also raises heat and moisture levels, making the area more prone to inflammation.

What can help:

• Wear loose fitting, breathable cotton underwear and bottoms

• Avoid prolonged sitting on hard or high friction surfaces

• Consider using a barrier cream if you know you’ll be active or sweating

3. Hygiene Products with Harsh Ingredients

Soaps, wipes, bubble baths, and even certain laundry detergents often contain chemicals that disrupt the skin barrier. This can lead to increased irritation or a prolonged healing time after a flare.

What can help:

• Use warm water only to cleanse the vulva

• Choose unscented, pH balanced cleansers

• Avoid scented detergents and dryer sheets

• Pat dry instead of wiping

4. Hormonal Shifts (Especially Menopause or Postpartum)

LS often worsens when estrogen levels drop, like during menopause, breastfeeding, or postpartum. Lower estrogen can cause the skin to become thinner, drier, and more prone to tearing.

What can help:

• Ask your physician about localized estrogen therapy

• Use a vulvar moisturizer daily

• Soak in a warm Sitz bath and apply a barrier cream afterward

• In our office, we also offer a feminine rose balm, a gentle, soothing option designed to support hydration and comfort for sensitive skin
  

5. Sexual Activity Without Support

For many with LS, intercourse can trigger flares due to friction and loss of tissue flexibility. That said, sex can still be comfortable with the right preparation and treatment.

What can help:

• Use a high quality lubricant. We often recommend Slippery Stuff, Good Clean Love, or UberLube, since they’re clean products without the additives and irritants that can make LS symptoms worse

• Soak in a Sitz bath after intercourse to soothe tissues
  

6. Diet and Gut Health

While research is ongoing, many patients report improvements when they reduce inflammatory foods. Gluten, dairy, sugar, and alcohol are common culprits.

What can help:

• Keep a food and symptom journal

• Prioritize gut friendly foods like leafy greens, healthy fats, and fermented options
  

7. Prolonged Moisture or Sweaty Clothing

Moisture creates the perfect environment for irritation. Staying in a wet swimsuit, workout clothes, or even sweaty underwear can lead to a flare.

What can help:

• Change out of wet clothing as soon as possible

• Use breathable fabrics during exercise

• Air-dry or use a cool hair dryer on low after showering

• Avoid pantyliners unless necessary, they can trap moisture
  

How Pelvic Floor Physical Therapy Can Help

At Klein Physical Therapy, we offer evidence-based care tailored to each person. If you’re struggling with:

• Painful sex

• Tissue scarring or tightness

• Bowel or bladder changes

• Chronic itching, burning, or tension
  

…we can help. Our pelvic floor therapists use gentle manual therapy, scar tissue mobilization, relaxation techniques, and education to help restore comfort, improve mobility, and reduce flare frequency.

You Deserve Relief. And We’re Here to Help.

Lichen sclerosus can feel isolating, but you’re not alone. With the right care, awareness, and support, you can manage symptoms and take back control of your body and your life.

If you’re in the Denver, Colorado area, we’d love to walk this journey with you.

Click Here to Book an appointment with our pelvic health specialists

Looking for more information on Lichen Sclerosus?

What Causes Lichen Sclerosus to Flare Up? And What Can Help?

Constipation and Physical Therapy: A Natural, Lasting Solution

Constipation and Physical Therapy
A Natural, Lasting Solution

Constipation is more than just an occasional inconvenience it can significantly impact your daily life, comfort, and overall health. While many turn to over the counter remedies for relief, few realize that physical therapy, particularly pelvic floor therapy, can offer a long term, natural solution for chronic constipation.

At Klein Physical Therapy, we specialize in addressing the root causes of constipation through a whole-body, evidence-based approach that empowers your body to function optimally.

What Is Constipation?

Constipation is generally defined as having fewer than three bowel movements per week, but it can also involve straining, hard stools, or a sense of incomplete evacuation. While diet and hydration play a big role, muscular dysfunction, especially of the pelvic floor, can often be the underlying culprit.

What is The Pelvic Floor’s Role in Bowel Movements?

The pelvic floor muscles are responsible for supporting your abdominal organs and coordinating with the rectum and anus during bowel movements. If these muscles are too tight (hypertonic) or too weak (hypotonic), they can interfere with your ability to have regular, complete bowel movements.

Pelvic floor dysfunction may cause:

• Difficulty initiating a bowel movement

• Straining during defecation

• The feeling of incomplete evacuation

• Abdominal bloating and discomfort
  

This is where physical therapy for constipation becomes a game changer.

How Physical Therapy Helps Constipation

A skilled pelvic floor physical therapist can identify and treat the muscular, neurological, and behavioral patterns contributing to your constipation. At Klein Physical Therapy, our approach includes:

Pelvic Floor Muscle Retraining
Through biofeedback, manual therapy, and guided exercises, we teach you how to properly coordinate the pelvic floor muscles during bowel movements.

Visceral Manipulation
This gentle, hands-on technique helps improve mobility and function of the abdominal organs, including the colon, promoting better motility and digestion. As part of your personalized care, we also teach you simple, effective abdominal massage techniques you can use at home, giving you tools to feel better beyond the clinic.

Myofascial Release & Joint Mobilization
Tension or misalignment in the spine, hips, or abdomen can influence bowel function. Releasing these restrictions can significantly improve symptoms.

 Breathing and Posture Education
Proper diaphragmatic breathing and posture support healthy digestion and reduce straining, which can worsen pelvic floor dysfunction.

Whole Body Lifestyle Guidance
We consider your entire system nutrition, hydration, movement, stress, and sleep to create a personalized care plan that promotes regularity and wellness.

Low Pressure Fitness (LPF)
Low Pressure Fitness uses postural training and specific breathing techniques to reduce intra-abdominal pressure, improve core strength, and support pelvic floor function.  This fitness technique also naturally provides deep movement to the viscera, which acts as a deep intestinal massage, excellent for motility.  

Our expert pelvic floor therapist, Lea, is LPF-certified and brings over 20 years of experience to each session. She leads a weekly LPF class right here at our clinic in Denver’s South Downing Business District.

Low Pressure Fitness with Lea
Every Wednesday | 1:30–2:15 PM
Klein Physical Therapy – Denver, CO
For more info or to join, email Lea

Why Choose Physical Therapy Over Laxatives?

While laxatives might offer temporary relief, they don’t address the underlying musculoskeletal or neuromuscular dysfunction that may be causing constipation. Overuse of laxatives can also lead to dependency or worsen the problem.

Physical therapy is a natural, sustainable solution that promotes lifelong health by empowering you with tools, awareness, and strength to manage your bowel health independently.

Who Can Benefit from Physical Therapy for Constipation?

• Pregnant and postpartum individuals experiencing hormonal or structural changes

• Individuals with a history of chronic constipation or straining

• Children or teens with functional constipation

• Adults with pelvic organ prolapse or pelvic floor dysfunction

• Athletes with core and pelvic floor imbalances

• Individuals recovering from abdominal or pelvic surgery
  

Real Relief Through a Compassionate, Personalized Approach

At Klein Physical Therapy, we take pride in offering compassionate, evidence based care rooted in integrity and whole body wellness. We understand how personal and frustrating constipation can be, and we’re here to help you feel heard, supported, and empowered every step of the way.

Ready to Find Relief?

Don’t let constipation control your life. With a customized physical therapy plan, relief is not just possible, it’s within reach.

Call us today or schedule an appointment online to learn how physical therapy can help you.

5 Pelvic Floor Tips Every Pregnant and Postpartum Mom Needs to Know

5 Pelvic Floor Tips Every Pregnant and Postpartum Mom Needs to Know

Whether you’re expecting your first baby, navigating early postpartum recovery, or several years into motherhood, your pelvic floor health matters. At Klein Physical Therapy, in Denver Colorado, we believe that women deserve expert, compassionate care that honors the whole body, not just symptoms.

Here are five essential pelvic floor tips every mom should know, because thriving, not just surviving, is the goal.

1. Leaking Is Common, But Not Normal

If you’re experiencing bladder or bowel leakage, or even trouble controlling gas, it’s a sign of pelvic floor dysfunction. This can happen during everyday activities like coughing, sneezing, laughing, jumping, or working out.

Here’s the good news: leaking is treatable. You don’t have to live with it or chalk it up to “just part of having kids.” Through targeted pelvic floor therapy, we can help you restore control and confidence, without pads or surgery.

2. Pain With Intimacy Is a Warning Sign 

If you’re having pain during intimacy, discomfort with penetration, or a sense that “something just isn’t right,” your pelvic floor may need support. This can show up right after birth or even years later.

These symptoms are common but absolutely treatable. You deserve to feel safe, connected, and comfortable in your body. With a personalized treatment plan, we’ll work together to address the underlying issues and help you reclaim comfort and intimacy.

3. That “Heavy” Feeling Down There, Might Be Pelvic Organ Prolapse

A sense of heaviness, bulging, or dragging in the pelvic area could be a sign of pelvic organ prolapse. It often feels worse at the end of the day or during physical activity, and many moms describe it as a “falling out” sensation.

Prolapse is manageable and you don’t have to stop doing the things you love like running, hiking, or carrying your little ones. At Klein Physical Therapy, we’ll guide you with specific exercises and education specific to you, to help you safely support your body.

4. Hip, Tailbone, or Back Pain That Won’t Go Away? It Could Be Pelvic Floor Related

If you’ve been dealing with chronic low back pain, tailbone pain, or hip pain that hasn’t responded to traditional treatments, your pelvic floor might be the culprit.

The pelvic floor connects with your entire core and spine, so when it’s not functioning well, your whole body feels it. We specialize in identifying these connections and helping you find lasting relief, not just short term fixes.

5. “Waiting It Out” Isn’t a Treatment Plan

We know moms are often told to “give it time” but research shows that if symptoms like leaking, pain, or heaviness aren’t resolving within 6 to 12 weeks postpartum, they’re unlikely to go away on their own.

Your body deserves support, not silence. Kegels alone are not a treatment plan, and won’t fix deep pelvic dysfunction. We’re here to provide real solutions tailored to your body, your goals, and your life.

Most importantly: your health matters. You are not selfish for seeking care, you are wise, brave, and worthy.

Ready to Feel Like Yourself Again?

At Klein Physical Therapy, we offer gentle, hands on, whole body care to support your healing journey through pregnancy, postpartum, and beyond. Whether you’re a new mom or years into motherhood, we’re here for you every step of the way.

Book your consultation today and take the first step toward achieving lasting results and rediscovering your best self.

Curious about what pelvic floor physical therapy really involves? These recent blog posts offer a deeper look into how it can support your health:

Why Every Woman Should Know About Pelvic Floor Therapy - Even If You’re Not Postpartum
Postpartum Pelvic Floor Rehabilitation
Understanding Pelvic Floor Dysfunction: Signs, Symptoms, and Solutions

What Is Visceral Mobilization and How Can It Help You Heal?

What Is Visceral Mobilization and How Can It Help You Heal?

At Klein Physical Therapy, we’re passionate about whole body healing. That means looking beyond just your muscles and joints, we care about how every system in your body works together. One technique we use to support this approach is visceral mobilization. It might sound complex, but it’s a gentle, effective therapy that can make a big difference, especially when you’re dealing with pelvic pain, digestive discomfort, or post surgical tightness.

Let’s explore what visceral mobilization is, how it works, and who can benefit from it.

What Is Visceral Mobilization?

Visceral mobilization is a hands-on manual therapy technique focused on the internal organs, also known as your viscera, such as the bladder, uterus, intestines, and liver. These organs are connected to each other and to your musculoskeletal system through connective tissues called fascia. When those tissues become restricted, due to surgery, inflammation, trauma, or even chronic stress, they can cause pain, limit movement, and disrupt organ function.

Through gentle, precise movements, visceral mobilization helps release these restrictions. The goal is to restore your body’s natural mobility and improve the function of the organs and surrounding tissues.

How Does It Work?

During a visceral mobilization session at Klein Physical Therapy, one of our trained therapists uses their hands to assess the movement and positioning of your internal organs. Using subtle, therapeutic techniques, we encourage these tissues to move more freely, improve circulation, and support your body’s natural healing processes.

The technique is non-invasive and typically very gentle, but it can have powerful effects, especially when integrated into a personalized treatment plan.

Who Can Benefit from Visceral Mobilization?

This therapy can support healing in many areas, including:

• Pelvic pain (especially when caused by organ tension or scar tissue)

• Postpartum recovery (helping realign the uterus and support bladder and bowel health)

• Constipation, bloating, or IBS

• Painful intercourse

• Urinary frequency or urgency

• Scar tissue mobility after abdominal or pelvic surgery (like C-sections or hysterectomies)

• Lower back or hip pain that hasn’t responded to traditional therapy

• Endometriosis and related pelvic tension or organ adhesions

• People trying to conceive, especially those managing pelvic or abdominal restrictions that may impact reproductive health
  

Because your organs and musculoskeletal system are so interconnected, even subtle restrictions can have a ripple effect throughout your body. Visceral mobilization is one way we help bring balance back.

Why We Use Visceral Mobilization at Klein PT

We believe in treating the whole person, not just the symptoms. Visceral mobilization fits perfectly with our philosophy of care. It allows us to look beyond the obvious and uncover the deeper, often hidden restrictions that might be contributing to your pain or dysfunction.

Our team is specially trained in this technique, and we often integrate it with other therapies such as dry needling, myofascial decompression, and pelvic floor therapy for a more complete healing experience.

Ready to Feel the Difference?

If you’re struggling with lingering pelvic discomfort, digestive issues, or endometriosis, visceral mobilization might be the missing piece in your healing journey.

We’re here to answer your questions, listen to your concerns, and build a personalized care plan that fits your body and your life.

Schedule a consultation today and let’s talk about how we can support your whole-body wellness.

Interested in learning more about how physical therapy can support your wellness from every angle? Check out these related articles:
Does Physical Therapy Help for Endometriosis?

Common Reasons Women See Physical Therapists

Why Every Woman Should Know About Pelvic Floor Therapy - Even If You’re Not Postpartum

Why Every Woman Should Know About Pelvic Floor Therapy - Even If You’re Not Postpartum

When most people hear “pelvic floor therapy,” they immediately think of postpartum care, and it’s true, pelvic PT is incredibly helpful after birth. But here’s the truth: pelvic floor therapy is for all women, whether you’ve had a baby or not.

From unexplained back pain to bladder leakage when laughing or running, pelvic floor dysfunction often hides in plain sight and too many women are told to “just live with it.” At Klein Physical Therapy, we want to change that. It starts with understanding what your pelvic floor is, what it does, and how therapy can help you thrive at every stage of life.

What Is the Pelvic Floor, Anyway?

The pelvic floor is a group of muscles and connective tissues that support your bladder, uterus, rectum, and bowel. These muscles help control urination, bowel movements, sexual function, and even posture.

When the pelvic floor is either too weak or too tight, it can lead to a wide range of symptoms, some of which may surprise you.

Common Signs of Pelvic Floor Dysfunction (That Often Go Ignored)

• Urinary leakage when you laugh, sneeze, run, or jump

• Constipation or difficulty fully emptying your bowels

• Pain with intercourse

• Pelvic pressure or a feeling of heaviness (“like something is falling out”)

• Lower back, hip, or tailbone pain

• Urgency to urinate, even when the bladder isn’t full

• Painful periods or endometriosis-related pain

• Discomfort with tampon use or pelvic exams
  

If any of these sound familiar, you’re not alone and you’re not overreacting. These symptoms are common, but they’re not normal, and you don’t have to live with them.

You Don’t Have to Be Postpartum to Benefit

Pelvic floor dysfunction can occur at any point in life whether or not you’ve had children. In fact, research shows that:

• 1 in 3 women experience pelvic floor disorders

• Nearly 50% of women will have some form of pelvic organ prolapse in their lifetime

• Up to 25% of young female athletes experience urinary leakage during sports

• Up to 80% of women with back pain have pelvic floor muscle involvement
  

Still, many go years without a diagnosis, partly because pelvic health isn’t routinely discussed in general wellness settings or even during routine OB/GYN visits.

When Should You Seek Care?

You don’t need a referral to come see us—and you certainly don’t need to wait until symptoms get “bad enough.” If something feels off in your core, pelvis, or hips, pelvic PT could be the missing piece.

It’s especially beneficial to seek care if:

•  You’re experiencing any of the symptoms listed above

•  You’ve had a pelvic surgery (like hysterectomy)

• You’re navigating perimenopause or menopause

• You’re preparing for childbirth or considering pregnancy

• You’re simply curious and want a proactive approach to pelvic health

What Treatment Looks Like at Klein Physical Therapy

We take a whole-body, evidence-based approach combining hands-on techniques like:

• Dry needling

• Visceral manipulation

• Myofascial decompression (cupping)

• Joint mobilization

• Kinesiotaping and movement retraining
  

Our sessions are one-on-one, in a private and supportive environment. We treat the person, not just the diagnosis and we empower you with knowledge so you can take charge of your health.

You Deserve to Feel Strong and Confident

Pelvic health is foundational. It affects how you move, how you function, and how you feel in your body. Whether you’re an athlete, a mom, or just someone tired of feeling “off,” pelvic floor therapy can restore comfort and confidence.

You’re not “too young,” “not bad enough,” or “just hormonal.” You’re worthy of care and we’re here to help.

Ready to learn more?

Book an appointment with one of our pelvic health specialists

Hip Impingement & FAI: How Physical Therapy Can Help You Find Relief

Hip pain can slow you down - whether you’re an athlete, a weekend warrior, or just trying to sit comfortably at your desk. One often-overlooked cause of chronic hip pain is Femoroacetabular Impingement (FAI), or hip impingement. It affects both men and women, and unfortunately, it’s often misunderstood or dismissed until symptoms become more severe.

 If you’re experiencing groin discomfort, hip stiffness, or pain with sitting or movement, you may be dealing with FAI and physical therapy can play a key role in helping you recover.

What Is Femoroacetabular Impingement (FAI)?

Femoroacetabular impingement (FAI) occurs when there’s abnormal contact between the ball (femoral head) and socket (acetabulum) of the hip joint. This causes friction that can damage cartilage and limit joint movement over time. FAI can lead to pain during activity or even while sitting still, and is a major contributor to chronic hip discomfort.

Types of FAI:

CAM impingement – Excess bone on the femoral head
Pincer impingement – Extra bone on the acetabulum (socket)
Combined impingement – A mix of both types

These structural changes can lead to stiffness, catching, or sharp pain in the hip, especially during deep movements like squatting or lunging.

Symptoms of Hip Impingement

Hip impingement can cause a variety of symptoms, including:

• Sharp or aching hip or groin pain

• Pain with sitting, squatting, or twisting

• Decreased hip mobility

• Clicking or catching sensation in the hip

• Pain that radiates into the lower back or pelvic region
  
  In many cases, people with FAI also experience pelvic floor dysfunction, which often goes unrecognized.

How Hip Impingement Affects the Pelvic Floor

Because the hips and pelvis work as a unit, chronic hip dysfunction can lead to compensations in the pelvic floor muscles. This is true for both men and women.

You may notice:

• Groin or pelvic pain

• Urinary urgency

• Tailbone pain or tension

• Discomfort with prolonged sitting

• Pain with intimacy or sexual activity
  

At Klein Physical Therapy, our team is uniquely trained to identify and treat these overlapping symptoms through pelvic floor physical therapy, giving you a more complete and lasting recovery.

Physical Therapy for Hip Impingement (FAI)

There isn’t a one-size-fits-all approach to FAI, which is why personalized care is key. At Klein Physical Therapy, we take the time to assess how your hip, pelvis, and whole body are working together, and build a treatment plan just for you.

Your FAI Physical Therapy Treatment May Include:

Manual therapy including hip mobilizations to improve joint mobility and relieve tightness
Dry needling and myofascial release to reduce muscle tension and restore movement
Pelvic floor physical therapy to address related pelvic dysfunction
Hip and core strengthening exercises for better stability and alignment
Movement retraining to restore natural function and prevent further irritation

We focus on treating the root cause of your pain—not just the symptoms—so you can get back to doing the things you love.

Why Choose Klein Physical Therapy?

At Klein Physical Therapy, we provide compassionate care for a variety of conditions, specializing in pelvic health (for both men and women), women’s health, spine physical therapy, and whole-body wellness. Our evidence-based, hands-on approach allows us to address hip impingement through the lens of pelvic floor physical therapy - a highly effective approach.

Our team works with all genders, and we are passionate about creating a welcoming space where you feel heard, supported, and empowered.

Ready to Get Started with Hip Impingement Physical Therapy in Denver?

If you suspect you’re dealing with hip impingement or femoroacetabular impingement (FAI), don’t wait for the pain to get worse. Our team at Klein Physical Therapy is here to help you move with confidence again.

Located in Denver, Colorado’s South Downing Business and Wellness District

Postpartum Pelvic Floor Rehabilitation

Postpartum Pelvic Floor Rehabilitation

The postpartum period is a transformative time in a person’s life, filled with joy, challenges, and adjustments. Amidst the excitement of welcoming a new baby, it’s easy to overlook the physical toll pregnancy and childbirth take on the body. One crucial aspect of recovery often underestimated is pelvic floor health. Pelvic floor rehabilitation postpartum is not just beneficial—it’s essential for long-term well-being.

What is the pelvic floor?

The pelvic floor is a group of muscles and connective tissues between the tailbone and pubic bone that support vital organs such as the bladder, uterus, and rectum. These muscles play a critical role in core stability, urinary and bowel control, and sexual function. Pregnancy and childbirth, whether vaginal or cesarean, can weaken or damage the pelvic floor, leading to a variety of issues if left unaddressed.

Common Postpartum Pelvic Floor Issues

Postpartum individuals may experience a range of pelvic floor-related concerns, including:

1. Urinary Incontinence

Leaking urine during activities like coughing, sneezing, or exercising is a common postpartum issue (stress incontinence). Another form is urge incontinence when urine is leaked during a strong urge.

2. Pelvic Organ Prolapse

This occurs when pelvic organs shift downward due to inadequate support, often resulting in pressure or discomfort.

3. Pain and Discomfort

Pain during intercourse, lower back or SIJ pain, or a sensation of heaviness in the pelvic area can stem from pelvic floor dysfunction.

4. Diastasis Recti

A separation of the abdominal muscles, which often coincides with weakened pelvic floor muscles and affects core stability.

The Importance of Rehabilitation

Pelvic floor rehabilitation focuses on restoring strength, flexibility, and function to the pelvic muscles. Here’s why it’s crucial:

1. Improved Bladder and Bowel Control

Strengthening and improving the coordination of the pelvic floor can alleviate or prevent incontinence and improve overall quality of life.

2. Prevention of Long-Term Issues

Addressing pelvic floor dysfunction early can reduce the risk of chronic pain, pelvic organ prolapse, urinary incontinence and other complications later in life.

3. Enhanced Core Stability

A strong pelvic floor contributes to overall core strength, which supports posture and reduces the risk of injury.

4. Better Sexual Health

Rehabilitation can address pain or discomfort during intimacy and improve sexual satisfaction.

Tips for Initial Healing of Perineal Tearing

Over 85% of women who deliver vaginally will have some degree of perineal tearing, and proper care is essential for healing. Here are some tips to promote recovery:

1. Practice Good Hygiene

Keep the area clean by using warm water to rinse the perineal area after using the bathroom. Use a peri bottle for gentle cleansing.

2. Apply Cold Compresses

Ice packs or chilled pads (padsicles) can reduce swelling and provide pain relief in the initial days postpartum.

3. Use Pain Relief Options

Over-the-counter pain relievers, as recommended by your healthcare provider, can help manage discomfort. Topical anesthetics may also be beneficial.

4. Rest and Avoid Strain

Minimize activities that put pressure on the perineal area, such as heavy lifting or prolonged sitting.

5. Consider Sitz Baths

Soaking in a warm, shallow bath can soothe the area and promote healing. Add Epsom salt for added relief if approved by your provider.

6. Stay Hydrated and Eat Fiber-Rich Foods

Prevent constipation by drinking plenty of water and consuming a high-fiber diet. Straining during bowel movements can worsen discomfort.

7. Consult Your Healthcare Provider

Follow up with your healthcare provider to monitor healing and address any concerns, such as signs of infection or severe pain.

What Does Pelvic Floor Rehabilitation Involve?

Rehabilitation typically begins with an assessment by a specialized physical therapist who can tailor a program to your specific needs. Common elements include:

• Pelvic Floor Exercises: Are kegels right for you? Learning how to coordinate the pelvic floor with breathing and functional activities is key and often involves learning how to lengthen and relax your pelvic floor first.Your PT will help determine if pelvic floor contractions, also known as Kegels, will be a part of your plan of care.

• Breathing Techniques: Proper breathing can help coordinate the diaphragm and pelvic floor, enhancing muscle function.

• Whole body strengthening and improving posture: Your PT will guide you on returning to exercise which may include a return to running program. Generally your medical provider will clear you for all activity at 6 weeks postpartum which you may not be ready for. PT will include integrating core and pelvic floor with your entire system in order to prepare your body for higher impact activities like running or HIIT exercise. Running is not typically recommended until 12 weeks postpartum.

• Manual Therapy: Hands-on techniques may be employed to release tension or address scar tissue from tears, cesarean section scars or episiotomies. Dry needling may also be used.

When to Start Rehabilitation

If you are having pain or would like to have guidance on exercise in the first few weeks after having a baby, you can start any time postpartum- even before 6 weeks! An internal pelvic exam would be held until 6 weeks so that a medical provider can provide clearance that tissues have healed. It is never too late to seek help. Even years after giving birth, addressing pelvic floor health can yield significant benefits.

Conclusion

Pelvic floor rehabilitation is an investment in your health, enabling you to recover fully and enjoy your postpartum journey without unnecessary discomfort or limitations. Prioritize this aspect of self-care—your body will thank you for it. All of our therapists at Klein Physical Therapy specialize in postpartum rehabilitation. We offer hour-long sessions to have time to address your entire body and provide one-on-one care. Book your appointment today!

Does Physical Therapy Help for Endometriosis?

We frequently treat patients with endometriosis here at Klein Physical Therapy, we want to bring some awareness to what endometriosis is, what are the symptoms, what treatments are available and lastly, how physical therapy can help. Consider making an appointment if you live near Denver, Colorado. You can book by clicking here.

Article by Dr. Kimberlie Landers

What is Endometriosis?

Endometriosis is a condition where cells similar to the lining of the uterus start to grow outside of the uterus. These cells are affected by estrogen which is why many symptoms begin at puberty. It is classified as an inflammatory disease and it is estimated to affect 1 in 10 women.

Symptoms of endometriosis can vary person to person. Research has found that symptoms don’t always correlate to the severity of the condition. Someone can have 10/10 pain and have mild endometriosis while others may have low pain and advanced endometriosis.

Common endometriosis symptoms include: 

• Painful periods

• Pelvic pain

• Pain with sexual intercourse

• Pain with urination and/or bowel movements

• Excessive bleeding

• Infertility

• Fatigue

• Digestive Issues

• Irritated bladder symptoms 

How is it diagnosed? 

The gold standard in diagnosing and treating endometriosis is with laparoscopic excision surgery. Finding a skilled surgeon is key because the success of the surgery is determined by the skill level of the surgeon. It is best to find someone with years of special training on endometriosis excision (not ablation) and is FMIGS (fellowship in minimally invasive gynecological surgeries) trained.

Common Myths and Facts

Myth: You can diagnose endometriosis with a pelvic ultrasound or MRI

Fact:  Although they are making strides in research, most providers are unable to diagnose endometriosis via imaging at this time. An MRI may show a deep infiltrating endo, but not many doctors/radiologists are trained in reading the results and seeing this on the scan.

Myth: Hysterectomy or menopause will cure endometriosis

Fact: Removing the uterus and ovaries will not remove the endometrial implants that are already outside of the womb and causing symptoms. Additionally, it is thought that the lesions may make their own estrogen or even the small amount of estrogen an ovary produces in menopause may still cause symptoms.  

Myth: Hormonal treatments (birth control, lupron) or pregnancy cure endometriosis

Fact: These drugs or becoming pregnant may temporarily suppress symptoms, but they do not treat or slow the disease process. The only treatment is excision surgery.

A great resource for educating yourself and for finding a list of the top skilled excision surgeons is Nancy’s Nook Endometriosis Education Group on Facebook. Another site for looking up a surgeon is https://icarebetter.com/.

What can be done other than surgery?

If you are still having pain after endometriosis surgery or if you are looking to avoid surgery temporarily, it is important to look at other pain drivers. Some other causes of pain could be hormonal changes at the vaginal tissue, musculoskeletal pain (pelvic floor dysfunction) or nervous system upregulation/central sensitization.

How can physical therapy for endometriosis help?

• Assessing for other pain drivers such has pelvic floor dysfunction or central sensitization

• Manual therapy for improving modulating pain and improving tissue mobility of abdominal, hip and pelvic floor muscles 

• Individualized exercise plan

• Education on nutrition, use of dilators/wands, and bowel, bladder and sexual health

• Help you find the right medical provider and surgeon

At Klein PT, our PTs are trained to perform a comprehensive evaluation which includes a whole body assessment of posture, strength, range of motion, palpation and movement analysis. We can perform manual therapy techniques to help mitigate neuromuscular or musculoskeletal pain including dry needling, cupping, soft tissue release, joint mobilization etc.

We will teach you nervous system down-regulation techniques if needed, as well as prescribe therapeutic exercises that are individualized to meet your needs.  Patient education topics may include nutrition, self care techniques, use of dilators or pelvic wands, and normalizing bladder, bowel and sexual health.

The goal of your physical therapist is to listen to your story, help you find the right doctors, be on your team, and support your recovery so that you can get back to doing the things you love!

Dr. Kimberlie

Landers

Dr. Kim is passionate about all things related to pelvic health, but especially loves treating endometriosis and its accompanying pelvic pain and symptoms.

She is a certified pregnancy and postpartum corrective exercise specialist (PCES). This certification adds to her knowledge and understanding of the pregnant and postpartum body, and assists in her “whole body” approach to care.

When she is not treating patients at Klein Physical Therapy in Denver, you can find her enjoying the great state of CO with her 2 kiddos, 2 dogs and her husband.