Does getting older ever feel like going through puberty again? It’s not in your imagination: Women experience changes in hormones, muscle strength, and overall health as they age. Unfortunately, these changes can affect daily life in unexpected ways.

One area that can be particularly affected is your pelvic floor. These muscles support the bladder, bowel, and uterus, and when they weaken, you may find yourself dealing with a host of unpleasant symptoms, from incontinence to pelvic pain.

Because these symptoms are often embarrassing or difficult to discuss, many women will stay silent about these concerns. But they aren’t something you have to live with, nor do you necessarily need to wait to see a gynecologist to find relief. Pelvic floor physical therapy at Innovative Physical Therapy Solutions can help address your concerns with a blend of exercise, hands-on techniques, and other effective approaches.

The Relationship Between Aging and Changes to the Pelvic Floor

Several age-related factors contribute to pelvic floor changes that can lead to challenging symptoms. Your pelvic floor is like other muscles in your body in that it can become weak with age if not exercised. However, menopause can compound the issue, as reduced estrogen can weaken pelvic tissues and lower muscle tone.

Another factor? Childbirth. Earlier pregnancies and deliveries often influence pelvic strength, even if the symptoms don’t appear until decades later.

Common Pelvic Floor Symptoms to Watch Out For

Stress Incontinence 

  • Leakage when coughing, sneezing, laughing, or exercising.

Urgency Incontinence 

  • Feeling the need to urinate often or rushing to the bathroom.

Pelvic Organ Prolapse

  • A sense of heaviness or pressure in the pelvis, sometimes with tissue visibly bulging into the vaginal opening.

Pelvic or Lower Back Pain

  • Discomfort linked to muscle tension or weakness.

Painful Intercourse

  • Often due to muscle tightness or tissue changes.

Targeted Treatment Strategies That Work

There is good news, however: pelvic floor therapy can help improve strength, coordination, and endurance no matter your age. At Innovative Physical Therapy Solutions, we’ve found that the best outcomes come from a combination of approaches:

Pain Management

Gentle hands-on manual therapy techniques can release tight tissues, improve blood flow, and reduce pain. Electrical stimulation is another effective pain management tool. It uses low-level electrical impulses to activate weak muscles and improve pelvic control.

Strengthening and Relaxation Exercises

Strengthening your pelvic floor muscles while also working on relaxation helps with leakage and pelvic pain. We’ll guide you through each exercise to ensure you’re performing them correctly, using biofeedback technology to ensure you’re activating the right muscles.

Core and Hip Stability Work

The muscles in your abdomen, hips, and lower back help support pelvic function. Strengthening these areas creates a stronger foundation to improve pelvic floor function.

Behavioral Strategies

Guidance on bladder habits, fluid intake, bowel health, and safe lifting techniques reduces strain on pelvic tissues, helping with long-term relief. We can also show you how to properly engage pelvic muscles during daily activities such as standing, coughing, or lifting, preventing symptom flare-ups.

Restore Your Quality of Life Without the Wait

Pelvic floor health directly affects confidence, independence, and overall well-being. Unfortunately, OB-GYNs are often overwhelmed with appointments, and many patients have to wait months until they get in.

However, New York law allows you to visit a physical therapist without a physician’s referral, making pelvic floor PT an effective way to address several common concerns quickly and effectively.

The sooner you begin treatment with the Innovative Physical Therapy Solutions team, the sooner you may begin experiencing benefits like:

  • Less worry about leakage during social events or exercise
  • Reduced discomfort and pain in daily life
  • Improved sexual health and intimacy
  • Greater strength and control for years to come
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“I was referred here for help with pelvic pain. Ashley was my physical therapy , she was amazing in pinpointing the issues and helping with the pain. I been coming here for a few weeks now and my pelvic pain has improved a lot , I no longer feel the pain I originally arrived with. Plus everyone here is super nice , the receptionists up front are always the best at greeting you.” — J. R.

“I’ve been coming to Innovative Physical Therapy to see Dr. Ashley for 3 months now and I’ve been doing extremely better. The staff is super friendly and they ensure that you are comfortable and in a welcoming environment. They took the time understand what I was going through and work with me and my schedule. Highly recommend!!” — A. P.

Stand tall with your feet hip-width apart and your hands resting on a chair or countertop for support. Slowly rise up onto the balls of your feet, lifting your heels off the ground. Hold briefly at the top, then lower back down with control. 3 Sets, 10 Reps. (Materials needed: chair or countertop for balance)

  • 2 apples, any variety
  • 1/4 cup creamy nut butter
  • Toppings of your choice (granola, shredded coconut, caramel, slivered almonds, raisins, etc.)
  1. Slice apples thinly and arrange on a plate.
  2. Melt nut butter in the microwave (30-60 seconds). Stir.
  3. Drizzle nut butter over the apples.
  4. Top with a sprinkling of your choice of toppings.
  5. Serve immediately.