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A physical therapist who is trained in disorders of the pelvic floor will first have a consultation with the patient to determine the nature of the patients complaint. A common diagnosis seen by a pelvic floor physical therapist is urinary or fecal incontinence. They also treat a variety of pelvic pain disorders and many treat both men and women. There will likely be an external evaluation of the spine, hips and legs including flexibility, strength and muscle tone. This usually is followed by an internal pelvic exam performed vaginally or rectally on a female - depending on the diagnosis or rectally for a male. The internal exam is necessary to evaluate strength of the pelvic floor as well as to identify any tender or trigger points in the pelvic muscle that may be contributing to the patient's pain or condition. If the condition identified is a weakness, the therapist will prescribe certain exercises to help strengthen the pelvic floor. If the condition is pain due to a tight pelvic floor or a trigger point in the pelvic floor, the therapist will do soft tissue massage, myofascial release or trigger point release on the pelvic floor internally as well as address any tight or painful muscle extenally along the hips, back, or abdomen.

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