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UnityPoint Clinic - Express (North Crossing)

2134 Logan Avenue
Waterloo, IA 50703

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UnityPoint Clinic - Express (San Marnan)

1655 East San Marnan Drive
Waterloo, IA 50702

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UnityPoint Clinic - Express (Viking Road)

1000 Brandilynn Blvd
Cedar Falls, IA 50613

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UnityPoint Clinic - Express (Waverly)

101 Cedar River Pkwy 101
Waverly, IA 50677

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Pelvic Health Physical Therapy

There Are Many Kinds of Pelvic Floor Dysfunctions

Do you struggle with urinary or fecal incontinence? Painful scars after childbirth or surgery? Persistent pain in your lower back or buttocks? Perhaps pelvic pain combined with bowel, bladder or sexual function? If so, pelvic physical therapy could help to improve your strength, movement, pain control and ability to cope.

Issues in the pelvic floor (or the group of muscles in the floor of the pelvic area that support organs) are the result of muscle weakness, an overactive bladder, high tone or an overactive pelvic floor. They can be caused by age, trauma, surgeries, repeated strain, poor posture, childbirth and neurological conditions (such as spinal cord injury and multiple sclerosis).

Common Diagnoses Treated

  • Male/female under-active or overactive pelvic floor muscles
    • Male/female stress or urge urinary incontinence
    • Male/female increase in urinary frequency
    • Urinary retention or difficulty with urination/emptying bladder
  • Female pelvic organ prolapse
  • Bowel dysfunction
    • Including fecal incontinence, constipation, obstructive defecation
  • Pelvic Pain
    • Including Vaginismus, Vulvodynia, Pudendal Neuralgia, Endometriosis, Painful Bladder Syndrome, coccyx pain, sexual dysfunction
  • Pediatric pelvic floor dysfunction
  • Neurological pelvic floor dysfunction

What Can Physical Therapy Do?

We work with patients according to their specific needs, whether it's to improve strength and motor recruitment of the pelvic floor muscles, or to encourage relaxation of muscles due to pain or difficulty with urination or emptying the bladder. We'll improve engagement or relaxation of the pelvic floor muscles through education, strengthening, stretching, manual therapy, neurofascial release, ultrasound, electric stimulation, biofeedback, and instruction with vaginal weights, vaginal dilators and/or wands.

Frequently Asked Questions

What should I wear?

Comfortable clothes

Do I have to have an internal evaluation?

Not necessarily, you and your therapist will discuss this.

How long will the appointments be?

The evaluation will be 60-90 minutes. Treatment sessions are approximately 30-60 minutes.

Can I have therapy while on my period?


Will I have to do exercises?

Depending on the findings from your evaluation, you will be given an individual home exercise program.

How do I get started?

If you and your doctor decide that physical therapy is appropriate, you will be referred to physical therapy. You can schedule an appointment at the Unity Point Clinic – North Crossing by calling (319) 226-8560.