Pelvic Floor Dysfunction

Spokane and Liberty Lake

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What is Pelvic Floor Dysfunction

Pelvic Floor Disfunction (PFD) is a common syndrome that typically develops as a result of various circumstances or triggers. PFD is a large umbrella term that encompasses a broad range of clinical scenarios, including incontinence (both urinary and bowel), overactive bladder, pelvic organ prolapse, and sexual disorders. Emotional triggers are commonly associated with an increase in pelvic pain symptoms.

At Lighthouse Physical Therapy, we utilize evidence-based treatments to restore your pelvic health and eliminate your symptoms, along with other services such as Massage Therapy and Blood Flow Restriction Therapy. Our practitioners will assess each patient’s individual symptoms to design a unique treatment plan for each patient. Our office utilizes biofeedback, pelvic floor stimulation and muscle energy techniques to correct pelvic floor asymmetry and improve pelvic girdle stability.

Stop telling yourself that your pain/symptoms are normal! Schedule and appointment and let us restore your pelvic health!



Who Most Commonly Suffers From PFD?

Who most commonly suffers from PFD?

PFD affects women primarily, however it also commonly affects men! PFD is also very commonly linked to back pain in all genders. It is also very common to experience pelvic pain before delivery and/or postpartum. Nearly every pregnant woman experiences pelvic floor pain, however several factors about your delivery method can increase your chances of developing PFD:

  • Mode of delivery (natural bath or cesarean)
  • Use of forceps
  • interventions including episiotomy
  • length/weight of your newborn
  • interventions including episiotomy
  • BMI prior to and following pregnancy.

Pelvic Floor Dysfunction Symptoms


  • Pain with intercourse
  • Strong or frequent urge to urinate
  • Burning during urination
  • Vaginal burning
  • Painful mensuration
  • Chronic pain that radiates to the groin, abdomen and lower back
  • Difficulty with defecation and constipation


Treatments Provided

1. Pelvic Floor Therapy

  • Research-based exercise progression: “Beyond Legal Roll for Control”
  • Biofeedback and pelvic floor stimulation
  • biomechanics analysis of the trunk and lower extremities for assessment of pelvic/sacroiliac symmetry, scoliosis, and other dysfunctions for normalization of forces through the pelvic floor
  • Strain counterstain releases for the muscles about the lumbar spine, piriformis, hip adductors, and other associated lumbopelvic muscles for normalization of muscular tone about the lumbopelvic girdle
  • Core stabilization exercises for assistance in pelvic symmetry
  • patient training for scar tissue massage if indicated


2. Pregnancy and postpartum care, including sciatica, lumbopelvic pain, thoracic pain, carpal tunnel, and plantar fasciitis

  • Core stabilization exercise progression with specific pregnancy appropriate exercise
  • Biomechanical analysis of trunk and lower extremities for assessment of supination/pronation of the feet, scoliosis, pelvic/sacroiliac asymmetry, and thoracic kyphosis.
  • Work and ADL ergonomic training for back protection
  • postural strengthening to reduce forward-head, thoracic kyphosis, and lumbar hyperlordosis
  • Muscle energy techniques for pelvic asymmetry corrections
  • Soft tissue work performed by our licensed massage therapist


We always encourage prophylactic prenatal care so that we can start the process towards a healthy pelvic floor prior to delivery!