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Pelvic floor physical therapy: Enhancing patient outcomes
Mollie Francis1, Michaela Thielen, Cailin Austin
1At the time this article was written, Mollie Francis , Michaela Thielen , and Cailin Austin were PA students at Mayo Clinic in Rochester, MN. Now, Mollie Francis works as a hospitalist PA at Regions Hospital in St. Paul, MN; Michaela Thielen as a dermatology PA at OakLeaf Clinics Dermatology in Chippewa Falls, WI; and Cailin Austin as a nephrology PA at Mayo Clinic in Phoenix, AZ. Brittany Strelow is an assistant professor of medicine in the Division of Community Internal Medicine, Geriatrics, & Palliative Care at Mayo Clinic in Rochester, MN. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Abstract:
Pelvic floor disorders are a wide-ranging group of conditions arising due to abnormalities of the musculature of the pelvic floor. These conditions can include constipation, pelvic pain, urinary incontinence, and dyspareunia. This article first provides an overview of key anatomy of the pelvic floor muscles before discussing pelvic floor physical therapy (PFPT), highlighting the goals of treatment and tactics used by physical therapists to achieve these goals. The article then explores the definition, diagnosis, and treatment of constipation, pelvic pain, and urinary incontinence caused by pelvic floor dysfunction. It is meant to help reduce the gap in this underdiagnosed and undertreated condition and identify key patient populations that may significantly benefit, including through improvements to quality of life, from PFPT.
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