The Pelvic Floor Rehabilitation Program at Cleveland Clinic includes treatment for men and women with urinary or fecal incontinence, urgency/frequency of urination, and/or pain in the pelvic region. This includes: pain in the abdominals, buttocks, pelvic floor, tailbone, vagina, rectum, penis or testicles. The pelvic floor muscles may become weak, tight or spastic as a result of disuse, surgery or trauma. Our therapists are also part of the comprehensive care for our transgender patients undergoing gender-affirming surgery. Physical therapists at Cleveland Clinic are specially trained to rehabilitate the pelvic floor muscles. The therapist evaluates each individual and develops a plan of care.

Who is pelvic pain and incontinence rehabilitation for?

Many people, regardless of gender, experience pain or incontinence of urine or stool during their lifetime.

Some women develop:

  • increased tension in pelvic floor muscles causing pain
  • vaginal pain with intercourse, tampon use or annual Ob/Gyn check-ups
  • incontinence of urine or feces

Many men have problems with:

  • chronic genital or groin pain
  • frequent urination
  • burning with urination (diagnosed as chronic prostatitis)

What does pelvic pain and incontinence rehabilitation involve?

Evaluation and Non-Surgical Treatment:

  • flexibility and strength assessment
  • pelvic floor muscle surface EMG (or biofeedback)
  • pelvic area internal and external muscle assessment and treatment
  • postural exercises
  • myofascial release
  • relaxation techniques and diaphragmatic breathing
  • development of an individualized home exercise program

How long will pelvic pain and incontinence rehabilitation take?

The plan of care is developed specifically to the individual’s needs and goals defined by the patient and evaluating therapist.