Pelvic Floor ~ BodyWorkSolutions

Your Recovery Begins Here

Lisa Trunzo has extensive experience in all areas of physical therapy with a specialty in men and women's pelvic health. She addresses issues related to:

  • Pelvic pain
  • Hysterectomy
  • Post-surgical
  • Diseases of the bowel and bladder
  • Pelvic floor dysfunction

The environment is private, calming and compassionate. Your treatment plan is devised based on your individual needs and Lisa will work closely with your physician to incorporate holistic well-being.

FAQ for Pelvic Floor

What is the pelvic floor?

The pelvic floor muscles are part of the inner unit core musculature. Specifically, they are a sling of muscles that attach from the pubic bone to the sacrum, supporting the bladder, uterus, and the rectum. 

What causes pelvic floor dysfunction?

Pelvic floor dysfunction is caused by weak or tight pelvic floor muscles, or some combination thereof. When these muscles are too weak (hypotonic), they contribute to incontinence and organ prolapse. When these muscles are too tight (hypertonic), they may cause pelvic pain or frequency of the bladder and/or bowels. 

Do I need to Kegel?

Kegel exercises have long been the classic prescription for pelvic floor dysfunction. However, they are not necessarily the right answer, especially when pelvic floor muscles are too tight, rather than unresponsive and weak. 

How do I know my muscles are too tight?

You may have muscles that are too tight if you have some of the following symptoms:

  • Urinary frequency, urgency, or hesitancy
  • Stopping and starting of the urine stream
  • Painful urination
  • Incomplete emptying
  • Constipation, straining or pain with bowel movements
  • Pain during or after intercourse
  • Uncoordinated muscle contractions causing the pelvic floor muscles to spasm

If you have the above symptoms, Kegel exercises may not be the answer! Consultation with a pelvic health physical therapist will help to provide you with appropriate treatments and exercises. 

What is pelvic health physical therapy?

Specialized physical therapy is indicated as the first line of defense for a range of pelvic floor dysfunctions. The research presented by the Crochrane Collaboration (2010) concluded that specialized training in pelvic floor rehabilitation, which specifically uses internal examination and treatment, should be considered prior to surgical consultation for symptoms of unusual urgency and mixed incontinence. 

Do I need a referral from my doctor for pelvic floor consultation?

Pelvic floor physical therapists work with other members of your healthcare team, including your family physician, obstetrician, and urogynecologist. A doctor's referral is required for consultation with a pelvic floor physical therapist.