IC PT 8A265 PDF

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The pelvic floor is a shorthand term for the muscles, ligaments, and tissue that support the bladder. Stretching across the bottom of the pelvis like a hammock, the pelvic floor is the setting for interstitial cystitis.

The pelvic floor has four main functions, all of which are interrelated with interstitial cystitis:. Sphincteric — The pelvic floor muscles contract to make sure you hold in urine, and must relax in order to allow a stream to start.

With IC, these muscles are often severely overworked and strained. Supportive — The pelvic floor physically supports the organs, including the bladder, ensuring they stay in the correct position to function.

Stabilizing — The pelvic floor also provides additional stability to the low back and across the pelvis. Many patients with IC experience low back, hip, groin, or tailbone pain — they may not even realize these are related to their IC. Sexual — For both genders, the pelvic floor is responsible for sexual arousal, function, and orgasm.

Pain with arousal or intercourse is a common symptom of interstitial cystitis, manifesting as pain with entry and intercourse with women and erectile dysfunction, groin pain, and penile pain following ejaculation in men. While many patients—and even some doctors—may think of IC as primarily a bladder condition, the truth is more complicated.

Researchers have shown that at least 80 percent of patients have pelvic floor involvement in their condition. The symptoms of interstitial cystitis can be due to the bladder, the pelvic floor, or—most likely—a combination of both. Simply put, the goal of physical therapy is to eliminate the pelvic floor component of IC symptoms. This can be the primary cause of symptoms in some patients, or only a part of the puzzle for others. Releasing the trigger points and tension in the pelvic floor allows the entire region, including the bladder, to relax and begin to function normally again.

Physical therapy can release trigger points in the pelvic muscles that are referring pain throughout the pelvic region. Inflammation, which can gather in the pelvis and around the bladder, is cleared out to restore normal blood flow and function.

Stress is released from the muscles, which are able to return to their normal length and begin working properly again. Several controlled, randomized clinical trials have been conducted by researchers from renowned institutions like Stanford, the University of Michigan, University of Pennsylvania, Loyola University, the Cleveland Clinic, and the University of California, San Diego. These studies consistently show that pelvic floor physical therapy is the only treatment for IC clinically proven to sustainably benefit a majority of patients.

In these trials, approximately 85 percent of patients with IC reported some benefit from ten weeks of manual physical therapy. Learn more about how your organization can become a corporate partner with ICA. Skip to content. What is the Pelvic Floor? The pelvic floor has four main functions, all of which are interrelated with interstitial cystitis: Sphincteric — The pelvic floor muscles contract to make sure you hold in urine, and must relax in order to allow a stream to start.

Finding a Pelvic Floor Physical Therapist Look for clinics that specialize in pelvic floor physical therapy. Only several hundred PTs nationwide have this credential, however, so be aware that there may not be one in your area—and many experienced practitioners do not have the credential. Ask questions: Some pelvic floor physical therapists focus largely on pregnancy and postpartum conditions. Does the physical therapist specialize in a broad range of pelvic pain conditions?

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The Most Proven IC Treatment: Pelvic Floor Physical Therapy

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The pelvic floor is a shorthand term for the muscles, ligaments, and tissue that support the bladder. Stretching across the bottom of the pelvis like a hammock, the pelvic floor is the setting for interstitial cystitis. The pelvic floor has four main functions, all of which are interrelated with interstitial cystitis:. Sphincteric — The pelvic floor muscles contract to make sure you hold in urine, and must relax in order to allow a stream to start.

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