Pelvic Myofascial Release Therapy: Benefits, Techniques, and Considerations

By Dr. Zarina Vitebsky, DPT, MSPT, PRPC, TPS, LPF, DN on 2/14/2024

Overview

Definition of Pelvic Myofascial Release Therapy

Pelvic myofascial release therapy is a specialized form of physical therapy that focuses on releasing tension and tightness in the muscles and connective tissues of the pelvic floor. This therapy involves gentle, hands-on techniques to stretch and manipulate the muscles, fascia, and other soft tissues in the pelvic region.

Purpose and Benefits of Pelvic Myofascial Release Therapy

The main purpose of pelvic myofascial release therapy is to alleviate pain and discomfort in the pelvic area. This therapy can also help improve pelvic muscle function, increase flexibility, and restore proper alignment of the pelvic structures. Additionally, pelvic myofascial release therapy can help with a variety of conditions, including pelvic pain, urinary incontinence, sexual dysfunction, and postpartum recovery.

Common Conditions Treated with Pelvic Myofascial Release Therapy

Pelvic myofascial release therapy can be beneficial for a wide range of conditions related to the pelvic region. Some of the most common conditions treated with this therapy include:

• Pelvic pain

• Urinary incontinence

• Sexual dysfunction

• Endometriosis

• Interstitial cystitis

• Chronic pelvic pain syndrome

• Postpartum recovery

By releasing tension and improving muscle function in the pelvic area, myofascial release therapy can help alleviate symptoms and improve overall quality of life for those suffering from these conditions.

Understanding the Pelvic Floor

Anatomy of the Pelvic Floor

The pelvic floor is a group of muscles, ligaments, and connective tissue that form a hammock-like structure at the bottom of the pelvis. It is made up of three layers: the superficial perineal layer, the deep urogenital diaphragm, and the pelvic diaphragm. The pelvic floor muscles attach to the pubic bone in the front and the tailbone in the back, and they support the bladder, uterus, and rectum.

Functions of the Pelvic Floor Muscles

The pelvic floor muscles have several important functions, including:

• Supporting the pelvic organs and maintaining continence

• Assisting in sexual function and pleasure

• Stabilizing the pelvis and spine

• Aiding in childbirth

These muscles also work in coordination with the abdominal and back muscles to provide core stability and support for the body.

Common Issues and Dysfunctions of the Pelvic Floor

Due to its important role in the body, the pelvic floor can experience a variety of issues and dysfunctions. These may include:

• Incontinence (urinary or fecal)

• Pelvic organ prolapse

• Pelvic pain

• Sexual dysfunction

• Constipation

• Difficulty with childbirth

These issues can be caused by a variety of factors, such as pregnancy and childbirth, chronic constipation, pelvic surgery, and aging. Pelvic myofascial release therapy can help address these issues by releasing tension and improving the function of the pelvic floor muscles.

Causes of Pelvic Myofascial Tension

Physical Causes

Physical causes of pelvic myofascial tension can include trauma, injury, or surgery. This can be due to direct trauma to the pelvic area, such as a fall or car accident, or from surgery in the pelvic region. These physical causes can lead to tension and tightness in the muscles and fascia of the pelvic floor, causing discomfort and pain.

Emotional Causes

Emotional causes of pelvic myofascial tension can be just as impactful as physical causes. Stress, anxiety, and trauma can all contribute to tension in the pelvic area. This is because the pelvic floor muscles are connected to the nervous system, and when we experience emotional distress, our muscles can become tense and tight. This can lead to pelvic pain and discomfort.

Lifestyle Factors

Our daily habits and movements can also play a role in pelvic myofascial tension. Poor posture, such as sitting for long periods of time or slouching, can put strain on the pelvic muscles and lead to tension. Repetitive movements, such as those performed in certain occupations or during exercise, can also contribute to pelvic tension. It is important to be mindful of our posture and movements to prevent and alleviate pelvic myofascial tension.

Techniques Used in Pelvic Myofascial Release Therapy

External Techniques

External techniques are used in pelvic myofascial release therapy to address tension and tightness in the muscles and connective tissue surrounding the pelvic region. These techniques may include massage, stretching, and gentle manipulation of the muscles and soft tissues. The goal of these techniques is to release tension and improve circulation in the pelvic area, which can help alleviate pain and discomfort.

Internal Techniques

Internal techniques involve the use of hands-on techniques to release tension and tightness in the muscles and connective tissue within the pelvic region. This may include trigger point release, where pressure is applied to specific points in the muscles to release tension, and myofascial release, which involves gentle stretching and manipulation of the fascia (connective tissue) to improve mobility and reduce pain.

Use of Tools and Equipment

In addition to hands-on techniques, tools and equipment may also be used in pelvic myofascial release therapy. Foam rollers, pelvic wands, and other specialized tools can be used to target specific areas of tension and tightness in the pelvic muscles and fascia. These tools can help to further release tension and improve mobility in the pelvic region, providing relief from pain and discomfort.

The Process of Pelvic Myofascial Release Therapy

Initial Assessment and Evaluation

The first step in pelvic myofascial release therapy is an initial assessment and evaluation. This involves a thorough review of the patient's medical history, as well as a physical examination to assess the pelvic muscles and surrounding tissues. The pelvic floor physical therapist will also ask the patient about their symptoms and any previous treatments they have tried.

Development of a Treatment Plan

Based on the assessment and evaluation, your pelvic floor physical therapist will develop a personalized treatment plan for you. This may include a combination of myofascial release techniques, such as manual therapy, stretching, and trigger point release. The treatment plan will also take into account the severity of the patient's condition and their individual needs.

Hands-on Therapy Sessions

The core of pelvic myofascial release therapy is hands-on therapy sessions. During these sessions, your pelvic floor physical therapist will use their hands to apply gentle pressure and stretching techniques to release tension and adhesions in the pelvic muscles and fascia. This can help improve blood flow, reduce pain and discomfort, and improve overall function of the pelvic area.

Home Exercises and Self-Care Techniques

In addition to hands-on therapy sessions, your pelvic floor physical therapist will also provide you with home exercises and self-care techniques to continue your progress outside of the clinic. These may include stretches, strengthening exercises, and relaxation techniques. Consistently practicing these exercises can help maintain the benefits of myofascial release therapy and prevent future issues.

Progress Monitoring and Adjustments to Treatment Plan

Throughout the course of treatment, the pelvic floor physical therapist will regularly monitor your progress and make adjustments to the treatment plan as needed. This may involve increasing or decreasing the frequency or intensity of therapy sessions, as well as modifying the home exercises. By closely monitoring progress, your pelvic floor physical therapist can ensure that you are receiving the most effective treatment for your specific needs.

Benefits and Considerations

Potential benefits of pelvic myofascial release therapy

Pelvic myofascial release therapy is a specialized form of physical therapy that focuses on releasing tension and tightness in the muscles and connective tissues of the pelvic region. This can provide a range of benefits, including:

• Relief from pelvic pain and discomfort

• Improved bladder and bowel function

• Reduced muscle tension and spasms

• Improved sexual function and satisfaction

• Increased flexibility and range of motion

Importance of finding a qualified and experienced therapist

Due to the sensitive nature of pelvic myofascial release therapy, it is crucial to find a pelvic floor physical therapist who is qualified and experienced in this specific form of treatment. Our team at Pelvic Health Physical Therapy is highly specialized and continually trained in myofascial release treatment along with many other modalities that can help you find relief.

Integration with other forms of therapy or treatment

Pelvic myofascial release therapy can be used as a standalone treatment or in conjunction with other forms of therapy or treatment. It may be recommended as part of a comprehensive treatment plan for conditions such as pelvic floor dysfunction, endometriosis, or interstitial cystitis. It is important to communicate with your pelvic floor physical therapist to determine the best approach for your individual needs.

Long-term maintenance and prevention strategies

While pelvic myofascial release therapy can provide immediate relief, it is important to also consider long-term maintenance and prevention strategies. This may include incorporating exercises and stretches into your daily routine, making lifestyle changes to reduce stress and tension in the pelvic region, and scheduling regular follow-up appointments with your pelvic floor physical therapist to address any recurring issues. It is also important to address any underlying causes of pelvic pain or dysfunction to prevent future flare-ups.

Reach Out to Us

If you’re experiencing pelvic floor dysfunctions associated with the issues above, please reach out to us at Pelvic Health Center in Madison, NJ to set up an evaluation and treatment! Feel free to call us at 908-443-9880 or email us at receptionmadison@pelvichealthnj.com.

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