Pelvic Floor Physical Therapy

Advanced Pelvic Surgery

Robert Gregory Owens, MD

Urogynecologist located in West Chester, OH

When your pelvic floor muscles weaken, you may experience incontinence, pelvic pain, and pelvic organ prolapse. Pelvic floor physical therapy is a customized treatment that restores the function of your pelvic floor muscles. Dr. Robert Gregory Owens and the physical therapists at Advanced Pelvic Surgery, the premier pelvic floor rehab center in Southern Ohio, have years of experience developing pelvic floor physical therapy plans designed to relieve your pain and treat the underlying problem. To learn more, call the friendly office staff in West Chester, Ohio or book an appointment online with Dr. Owens, who holds double board certification in female pelvic medicine and surgery and OB/GYN.

Pelvic Floor Physical Therapy Q & A

What is pelvic floor dysfunction?

The pelvic floor refers to a group of muscles and other soft tissues forming a sling-shaped structure that creates a “floor” for your abdomen. These muscles hold your uterus, vagina, bladder, urethra, and rectum in place and support their functioning.

Pelvic floor dysfunction occurs when the pelvic floor muscles can’t do their jobs because they’re weak or damaged. The three primary problems that develop due to pelvic floor dysfunction include:

  • Urinary incontinence: lack of bladder control, causing involuntary urine leakage
  • Fecal incontinence: lack of bowel control, causing stool leakage
  • Pelvic organ prolapse: one or more pelvic organs drop toward the vagina, causing a bulge in the vaginal canal

What causes pelvic floor dysfunction?

The most common causes of stretched, weakened, and damaged pelvic floor muscles include:

  • Vaginal childbirth
  • Pregnancy
  • Overweight
  • Age-related changes
  • Repeated heavy lifting
  • Straining during bowel movements
  • Surgery
  • Radiation treatment

What is pelvic floor physical therapy?

Pelvic floor physical therapy incorporates exercises and other treatments designed to strengthen pelvic floor muscles, improve their function, and relieve your pain. Your therapy includes at-home exercises and in-office treatments.

Your physical therapy may include one or more of the following:


Biofeedback uses sensors to monitor pelvic floor muscle activity as you relax and contract the muscles, providing immediate feedback that tells Dr. Owens whether you’re exercising the right muscles for an optimal length of time. This technique leads to improved function in more than 75% of patients with pelvic floor dysfunction.

Pelvic floor and core muscle exercise

Includes exercises to strengthen, relax, and retrain muscles so you can control your bowel or bladder incontinence.

Bladder retraining

Methods to retrain your bladder include scheduled bathroom visits, delayed urination, and exercises.

Therapeutic ultrasound

Sound waves promote tissue healing, improve scar tissue flexibility, and relieve pain.

Electric stimulation

This noninvasive and painless treatment activates the nerves and muscles of the pelvic floor. Electric stimulation rehabilitates weak muscles, relaxes involuntary bladder contractions, and reduces pain.

Dry needling

Trigger points — painful, sensitive areas of tight muscles — are relieved when Dr. Owens inserts a thin needle into the muscle to relieve tension.

Dr. Owens takes a practical approach that’s tailored to each woman’s individual needs. He creates a treatment plan to overcome pelvic floor dysfunction using functional therapies in addition to medicine and surgery.

If you struggle with incontinence or pelvic pain, call the compassionate staff at Advanced Pelvic Surgery or use online booking to schedule an appointment. With more than 20 years of experience in urogynecology, Dr. Owens proudly accepts even the most hard-to-treat cases.