International Urogynecology Journal

, Volume 14, Issue 4, pp 261–268

Rehabilitation of the short pelvic floor. I: Background and patient evaluation

Authors

    • Division of Female Pelvic Medicine and Reconstructive SurgeryLoyola University Medical Center
  • R. Kotarinos
    • Division of Female Pelvic Medicine and Reconstructive SurgeryLoyola University Medical Center
Original Article

DOI: 10.1007/s00192-003-1049-0

Cite this article as:
FitzGerald, M.P. & Kotarinos, R. Int Urogynecol J (2003) 14: 261. doi:10.1007/s00192-003-1049-0

Abstract

Pelvic floor physical therapists have traditionally focused on rehabilitation of the weak pelvic floor of normal length. With the recognition that many urogynecologic symptoms arise from the presence of a short, painful pelvic floor, the role of the physical therapist is expanding. Clinically, the pelvic floor musculature is found to be short, tender, and therefore weak. There are associated trigger points and characteristic extrapelvic connective tissue abnormalities. We report the characteristic patterns of myofascial and connective tissue abnormalities in 49 patients presenting with this syndrome.

Keywords

Pain Pelvic floor Physical therapy Rehabilitation

Abbreviations

PFM

Pelvic floor muscles

TP

Trigger point

IC

Interstitial cystitis

LUT

Lower urinary tract

UTI

Urinary tract infection

SPF

Short pelvic floor

CT

Connective tissue

OI

Obturator internus

Copyright information

© International Urogynecological Association 2003