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Physical Therapy Myths and Facts

by | Oct 16, 2023 | Wellness

address physical therapy myths

When you are dealing with pelvic pain, bladder leaks, or postpartum core weakness, asking for help can feel incredibly daunting. Many women avoid seeking treatment simply because they don’t know what to expect. The idea of a pelvic floor evaluation sounds intimidating, leading too many active women to just accept their discomfort as “normal.”

At PRO Therapy, our goal is to completely demystify this process. Seeing a women’s health physical therapist shouldn’t be scary or mysterious.

It is a highly clinical, empowering experience designed to give you back control of your body. Here is exactly what happens behind closed doors during a consultation, and how we help you return to the active life you love.

What Actually Happens During a Pelvic Floor Evaluation?

Your initial assessment is entirely focused on uncovering the root cause of your symptoms. We move at your pace, and you are always in the driver’s seat regarding your care.

Here is the three-step process you can expect during your first visit:

Step 1: The Conversation. We start by simply sitting down and talking. We want to know your health history, when your symptoms flare up (like leaking during double-unders or pain while running), and what your specific athletic or lifestyle goals are.

Step 2: The External Assessment. Your pelvic floor does not operate in isolation. We perform a full-body movement assessment to check your breathing mechanics, hip mobility, core stability, and spinal alignment to see how they impact your pelvis.

Step 3: The Internal Assessment (With Consent). With your explicit permission, we may perform an internal musculoskeletal exam. This is the gold standard for accurately diagnosing whether your pelvic floor muscles are too weak, too tight, or lacking coordination.

When Should You See a Women’s Health Physical Therapist?

You do not have to wait until your symptoms are severe to seek help. Professional physical therapy is highly effective for both active rehabilitation and injury prevention.

It is time to book an assessment if you are experiencing:

Leaking during impact: Losing urine when you sneeze, cough, run, or lift heavy weights.

Pelvic or pain with intercourse: Experiencing a deep, aching pain in your pelvis, hips, or lower back, or pain during sex (dyspareunia).

Heaviness or pressure: Feeling a dragging sensation or a noticeable “bulge,” which are common signs of pelvic organ prolapse.

Postpartum recovery issues: Struggling with abdominal separation (diastasis recti), core weakness, or painful C-section scar tissue.

physical therapist guiding a patient through a pelvic floor exerciseQuick Answers About Pelvic Floor Physical Therapy

Does a pelvic floor exam hurt?
No, a pelvic floor exam should not be painful. While you may feel some light pressure or muscle tenderness when the physical therapist assesses tight trigger points, the evaluation is gentle and always guided by your comfort and explicit consent.

Do I have to have an internal exam at pelvic floor PT?
No, an internal exam is never mandatory. While it provides the most accurate clinical picture of your pelvic floor muscle strength and coordination, our physical therapists can also successfully assess and treat your core using highly effective external evaluation techniques.

How long after birth should I see a pelvic floor physio?
You can typically begin specialized pelvic floor physical therapy around four to six weeks postpartum, once cleared by your physician. However, even if you gave birth years ago, it is never too late to start rehabilitating your core and resolving pelvic dysfunction.

Take the First Step Toward Confidence

You deserve to train, run, and live your life without constantly mapping out the nearest public restroom or worrying about pelvic pain.

If you are ready to take control of your core health, our doctoral-level specialists are here to help. Book a discreet, 1-on-1 evaluation for specialized pelvic health physical therapy in Minneapolis or schedule with a women’s health physio in Coon Rapids today.

Let’s face it: there are a lot of myths about physical therapy. From being unclear on when to start or if to start at all, to an unnecessary expense or something one thinks they can “just do on their own.” Today, we’re tackling these myths head on, to give you honest answers.

Myth: I Need a Referral from My Doctor to See a Physical Therapist

Fact: You Do Not Need a Referral to See a PT

This is an understandable myth since you typically need a referral to see a specialist, and you may need a referral if you want to use your insurance (you will need to contact your insurance provider to find out if that’s a requirement). However, the state of MN does not require a doctor’s referral to see a physical therapist.

If you go directly to a physical therapist, you can work outside of your insurance. This may seem counterintuitive, but it’s often the less expensive route for patients to receive the best care. Insurance companies often will put restrictions on your PT care – you may not have control over when you’re seen, how often, and what treatment options are available. When you go directly to a physical therapist, you work with them and have no restrictions and full price transparency.

Either way, it’s worth contacting PRO Therapy directly to discuss your options and what’s best for your situation and budget.

Read Now: I’ve Got Some Pain, But Not Enough To Justify A Visit To The Doctor

Myth: PT is Only for Post-Injuries or Post-Surgeries

Fact: PT is Beneficial for More Than Just Recovery

When we think of physical therapy, often we think of extreme cases – like someone learning to walk again after a spinal injury. While post-injury and post-surgical recovery is a crucial part of physical therapy, it’s beneficial for a much wider group of people.

If you’re experiencing pain, it may not be because of a direct 1:1 situation like a clear injury – it could be because of any number of overlapping causes. Physical therapy is designed to help anyone experiencing pain – not just those in recovery.

Additionally, when working with PRO Therapy it doesn’t have to be a direct reaction to pain at all – we offer a huge benefit for prevention. To stay healthy and injury free is a huge benefit – especially to those who are active and/or participate in sports.

Read Now: The Benefits of Regular Physical Therapy

Myth: PT is Just Exercise and Stretches – I Can Do That at Home!

Fact: Our Doctors of Physical Therapy Have The Highest Form of Education and Specialized Training

It’s true that exercise and stretches are often a part of our physical therapy treatments, it’s not accurate to say that’s – all physical therapy is. We will likely provide you with exercises and stretches to do at home as part of your overall plan with us. These will be prescribed based on movements and goals we are targeting to get you to your desired outcomes. Using just any exercise may trigger or injure/reinjure you – creating a whole new concern!

Our Doctors of Physical Therapy will go beyond the symptoms you’re experiencing to truly identify and target the sources of your pain – which oftentimes, are several different factors. We then create a customized treatment plan that’s specific to you, your day to day movements and your desired outcomes – inclusive of both active and passive treatments, including:

Read Now: Why Physical Therapy Is Your Ticket To A Pain-Free Life

Myth: PT is Expensive and Elective

Fact: It’s Cheaper Than Surgery

Let’s be blunt – talking about insurance is messy, because it’s hard to say anything definitively. Some insurances will cover physical therapy treatments and some won’t – it’s impossible to say without looking at your specific situation. However, what’s always true is that physical therapy is much cheaper than surgery in the long run.

While surgery is sometimes unavoidable, it also can often be delayed or avoided entirely with an effective physical therapy treatment plan with PRO Therapy. In addition to the financial costs associated with surgery, surgery has a large emotional and physical toll as well. Before investing in surgery, it’s worth exploring all of the options we have to offer to help guide you down the right path.

Read Now: How to Manage Back Pain Without Surgery

Myth: If My Pain Isn’t Gone After a Few Sessions, PT Isn’t Working

Fact: Bodies Are Complex, It Can Take Some Time

While most patients will notice a reduction in pain after just one of our sessions, that’s not always the case. It can be discouraging when you don’t have those immediate results!

The truth is that bodies are complex. It can take several sessions or even longer before you notice a clear change. Our Doctors of Physical Therapy will set clear expectations and check in with you at each session. And remember – our goal is to reduce your pain, no matter what it takes! Sometimes that means that a treatment plan needs to be changed in order to best serve you.

Read Now: How Do I Know if Physical Therapy is Working?

These myths can dissuade patients from exploring physical therapy – we hope that by exploring these head on, you now know the facts about physical therapy and its effectiveness. If you’re experiencing pain, don’t let any of these myths stand in the way of your recovery – give us a try!

Dr. Kevin Spahr has extensive expertise in post-surgical rehab, work-related injuries, sports injuries and motor vehicle accidents. He has clinical experience in treating all regions of the body including neck, back, shoulder, elbow, hand/wrist, hip, knee, and ankle/foot orthopedic conditions.
Dr. Kevin Spahr

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Elise W.
My experience with Dr. Grace was fantastic! She listened to the entirety of my concerns, even those that didn’t directly relate to physical therapy, and developed a treatment plan based on the full picture. Each session I learned something new, and I left with the resources I need to continue on my own. Highly recommend!
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Loved my experience at Pro therapy and so happy I found them! Grace was wonderful to work with. She is so kind and she answered all my questions thoroughly! She made sure to follow up on issues we had discussed in previous weeks and was always patient as we worked through things. Highly recommend!!
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This was my first time doing PT and I had a wonderful experience. I went from not being able to walk at all from my right foot to having full mobility and extension and it's as if I never lost function in my right foot. I would like to thank the PT grace for my full recovery and if you can, you should pick her because she did incredible work and it really did not take long. I highly recommend this place because they'll get in and out of the door with your happiness and mobility back.
Mark S.
Dr. Lily is the best! Great office, great environment, and great collaborators in the healing process.
Kate E.
Dr. Grace was wonderful to work with!
Taylor L.
The folks at pro therapy were so helpful and kind. This was my first PT experience and they were very empowering and understanding and encouraged me to continue with my hobbies while also giving me clear and impactful exercises to manage my pain. The dry needling with Dr. Lily was amazing, highly recommend!