Pelvic Floor Therapy Guides

Internal Pelvic Floor Treatment

Internal Pelvic Floor Treatment

Internal pelvic floor treatment is a therapeutic intervention aimed at addressing imbalances, dysfunction, and pain in the pelvic floor muscles. The pelvic floor is a complex group of muscles, ligaments, and tissues that provide support to the organs in the pelvic region. When these muscles become weakened, imbalanced, or injured, it can lead to a myriad of symptoms and health issues. In this comprehensive guide, we will delve into the specifics of internal pelvic floor treatment, its importance, and how it can help restore your pelvic health. So, let's get started!

Understanding Internal Pelvic Floor Treatment

Internal pelvic floor treatment involves the direct manipulation and release of the pelvic muscles using a combination of digital (using fingers) and other specialized tools like dilators or wands. This intervention is typically performed by experts specializing in pelvic health such as pelvic floor physiotherapists, occupational therapists, or specialized physicians. The main goal of this treatment is to target and correct imbalances, contributing to various symptoms such as pain, incontinence, and sexual dysfunction.

Techniques Involved in Internal Pelvic Floor Treatment

Manual Therapy

This involves the use of hands-on techniques, such as muscle relaxation, gentle stretching, and trigger point release to improve the function and health of the pelvic muscles.


Biofeedback is an informative diagnostic tool that helps patients become more aware of their muscle activity, facilitating the learning process of pelvic floor relaxation and contraction. This can be done using sensors that display the muscle activity on a screen or via an internal vaginal or rectal electrode during the treatment process.

Myofascial Release

Myofascial release is a technique that targets the connective tissue surrounding the muscles, nerves, and organs. This approach involves applying gentle pressure to the tight tissues and stretching them to release tension.

Dilator Therapy

This method involves using a set of gradually increasing sized dilators to help stretch and relax the pelvic muscles, which can be especially beneficial for those experiencing pain with vaginal penetration or difficulties in sexual activities.

Therapeutic Exercise

Alongside the internal treatment methods, targeted pelvic floor exercises, such as Kegels and stretches, can be prescribed by your therapist to further address muscle imbalances and improve coordination and strength.

A Internal Pelvic Floor Treatment Example of Someone Benefiting from Internal Pelvic Floor Treatment

A 35-year-old woman has been experiencing pelvic pain, painful intercourse, and recurrent urinary tract infections (UTIs) for the past year. After regular visits to her primary care provider without significant relief of her symptoms, she is referred to a pelvic health specialist.

During the initial consultation, the therapist performs a comprehensive assessment, including an internal pelvic floor examination, and identifies tightness, trigger points, and imbalances within the pelvic muscles. Over several sessions, the therapist uses various manual therapy techniques, biofeedback, and myofascial release to address the muscle dysfunctions and provide relief for the patient's pain.

In addition to the internal treatment, the woman is prescribed a tailored home exercise program that includes Kegels, stretching, and relaxation exercises. A few months into the treatment, she starts noticing a significant improvement in her pelvic pain and sexual function. After several months, she reports a complete resolution of her symptoms and a renewed sense of well-being.

In conclusion, internal pelvic floor treatment is a powerful therapeutic intervention that targets the root cause of various pelvic health issues. By addressing the imbalances and dysfunctions within the intricate pelvic muscles, this treatment method can restore pelvic health and improve one's quality of life. So, if you or someone you know is having pelvic floor concerns, don't hesitate to explore internal pelvic floor treatment as a viable solution—make sure to share this post and check out the wealth of information available on Pelvic Floor Therapy to embark on the journey to recovery.


About Annie Starling

Annie Starling, MD, is a respected authority in gynaecology and women's health with over 15 years of enriching experience. Her expansive knowledge and compassionate approach have been instrumental in transforming countless lives. Alongside her medical career, Annie has an impressive acting background, bringing a unique blend of expertise and empathetic communication to her work. She's not just a doctor; she's an educator, an advocate, and a trailblazer, deeply committed to empowering women through health education. Her blog posts reflect her passion for the field, offering a wealth of insights drawn from her vast professional experience. Trust Annie to guide you on your journey to better pelvic health.

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