Pelvic Rehabilitation Services | MedStar Health
pelvic rehabilliation

MedStar Health offers pelvic rehabilitation services for people of all genders and ages. Our therapists work with patients to develop individualized treatment plans to address pelvic floor dysfunctions, which can be caused by tightness, weakness, or coordination problems within the pelvic floor muscles. Common conditions include urinary incontinence, pelvic pain, or bowel problems, such as fecal incontinence or constipation. We are also trained to assist with recovery for post-surgical patients, like those who have undergone prostatectomy, c-section, or any type of abdominal / pelvic surgery.

Pelvic Pain

Pelvic pain is a prevalent problem that affects people of all ages. Pelvic pain usually results from increased pelvic floor tension due to trauma in and around the pelvis, organs, abdomen, and back, as well as dysfunctional use patterns, diseases, or surgery. Symptoms include pain in the following regions: low back, pelvis, vagina, penis, testicles, rectum, abdomen, and coccyx.

The most common types of pelvic pain syndromes are:

  • Coccydynia: This condition is often a result of a fall or injury affecting the coccyx or sacroiliac joint. It can also be a result of muscle imbalances in the pelvic region. Symptoms include pain in the coccyx while sitting and pain while transitioning from sit to stand.

  • Dyspareunia: This can be caused by pelvic floor muscle tightness, scar adhesions, or decreased lubrication. Symptoms include pain during sexual intercourse.

  • Interstitial cystitis: The cause of this condition is unknown. Potential causes include chronic infection, unknown neurologic disorder, ulcerations of the bladder, and autoimmune disease. Symptoms may include bladder and abdominal pain, frequent voiding, sleep deprivation, dyspareunia, and often corresponds with vulvar pain.

  • Vulvodynia: Contributing factors to this condition include: infections, dermatological conditions, chemical reactions, and vulvar trauma or surgery. Symptoms may include severe pain, and burning and stinging in the vulvar region. Usually, the patient is unable to wear tight clothing or use tampons secondary to increased pain in vulvar/vestibular region.

Therapy may include:

  • Manual pelvic floor therapy (external and internal vaginal or rectal treatments)

  • Therapeutic exercise

  • Biofeedback

  • Patient education on dietary considerations, vestibular irritants, and lifestyle changes

  • Home exercise program prescriptions

  • Surface electromyography (EMG)

  • Ultrasound is a deep heating modality which, in combination with manual therapy techniques, can decrease muscle and pain tension in their perineal, inner thigh, buttocks, and low back region.

Continence Program

Bladder and bowel incontinence is a prevalent problem that affects people of all ages and levels of health. Incontinence or accidental loss of urine or feces is a symptom, not a disease. It is often a result of weakness or nerve damage of the muscles of the pelvic floor from child birth, prostatectomy, low estrogen levels during or after menopause, urinary tract infection, or some medications.

The most common types of urinary incontinence are:

  • Stress incontinence: Urine leaks out during exercise, while laughing, lifting, coughing/sneezing, or during any activity that suddenly increases abdominal pressure, thereby placing pressure on the bladder. This is common after pregnancy, pelvic surgery, and during menopause. Studies have demonstrated that approximately one in three people who have stress incontinence are unable to correctly contract their pelvic floor muscles.

  • Urge incontinence: There is a sudden uncontrollable urge to void and the individual is often unable to make it to the bathroom in time. Urge incontinence is often associated with urinary tract infections, certain medications, stress, spinal cord injuries, multiple sclerosis, and neurological diseases.

  • Mixed incontinence: This is a combination of stress and urge incontinence. Left untreated, urinary incontinence can get worse. However, it is estimated that a large percentage of urinary incontinence can be greatly reduced or cured using conservative measures.

Bowel dysfunctions include:

  • Constipation: This condition can occur due to pelvic floor muscle spasms resulting in the inability to have normal bowel movements. Spasms can be caused by surgery, injury, fissures, or hemorrhoids. Constipation can be treated using methods to relax pelvic floor muscles.

  • Fecal incontinence: Inability to control pelvic floor muscles can result in fecal incontinence. This can be a result of childbirth or anorectal surgery. This can be treated in similar ways as urinary incontinence.

Therapy may include:

  • Pelvic floor muscle exercises, in which the patient contracts and relaxes specific pelvic muscles learns how to re-train the pelvic floor muscles appropriately.

  • Bladder and bowel retraining and education on behavioral modification techniques to reduce bladder and bowel symptoms.


Our locations

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MedStar Franklin Square Medical Center

9000 Franklin Square Dr.
Baltimore, MD 21237

MedStar National Rehabilitation Hospital

102 Irving St. NW
Washington, DC, 20010

MedStar Health: Physical Therapy at Ellicott City

9501 Old Annapolis Rd.,
Dorsey Hall Medical Center
Ste. 125
Ellicott City, MD 21042

MedStar Health: Physical Therapy at Federal Hill

1420 Key Hwy.
Ste. 300
Baltimore, MD 21230

NRH Rehabilitation Network at K Street

2021 K St. NW
Ste. 215
Washington, D.C., 20006

MedStar Health: Physical Therapy at Oxon Hill

6196 Oxon Hill Rd.,
Ste. 450
Oxon Hill, MD 20745

MedStar Health: Physical Therapy at Perry Hall

5009 Honeygo Center Dr.,
Ste. 209
Perry Hall, MD 21128

NRH Rehabilitation Network at Rockville

14955 Shady Grove Rd.
Ste. 230
Rockville, MD 20850

MedStar Health: Medical Center at Mitchellville

12158 Central Ave.
Mitchellville, MD 20721

About our services

MedStar Health offers a highly individualized and holistic treatment approach to pelvic floor rehabilitation. Our team of pelvic floor therapists work closely with urologists, pain management specialists, gynecologists, urogynecologists, mental health therapists, gastroenterologists, and colorectal specialists to comprehensively evaluate and treat various pelvic floor conditions. All treatments are private, one-on-one sessions with a caring therapist and are designed to meet the specific needs of our patients to reduce chronic pelvic pain and improve bladder, bowel, and sexual function.