Greater Boston Urology Blog

How Dr. Johnson Uses Pelvic Floor Physical Therapy in Her Practice

Greater Boston Urology is proud to offer patients pelvic floor physical therapy, which is considered the first-line treatment for many conditions.

To help illustrate how and when our doctors might recommend this service, we asked Dr. Angel Marie Johnson, Director of our Women's Health Centers, to share how she uses pelvic floor PT in her practice.

How and when you might recommend pelvic floor physical therapy to patients?

 Pelvic floor physical therapy is one of those foundational, first-line treatments for many conditions. Let's use overactive bladder as an example. With OAB, if the pelvic muscles are in spasm, then the bladder won't function properly, and the patient will feel that urgency, frequency, and increase urine leakage.

If they're constipated, that can also be a pelvic floor issue that can throw off bladder and vaginal health as well as other pain conditions, like bladder pain syndrome or interstitial cystitis, or pain with intercourse, or just vaginal pain in general.

Other common indications involve some of my patients who are either over-exercising or need to be taught relaxation techniques. On the other end of the spectrum, some older patients might need to work on pelvic floor coordination and strengthening.

Any final thoughts you want to convey to readers regarding pelvic floor PT?

DR. JOHNSON: By optimizing first-line therapies, we can improve everyone's outcomes. Pelvic floor PT helps me achieve the goal of making the patient better in a minimally invasive, cost-effective way, with minimal side effects. Pelvic floor PT is covered and reimbursed by insurance.

To learn more, check out some of the following articles:

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