Pelvic Floor


The pelvis is made up of the hip bones, lumbar spine, sacrum, coccyx and is bounded in front by the pubic symphysis. The male pelvis is narrower and longer, while the female pelvis is wider and lower. Its main function is to support and protect the internal organs and to transport nerves and blood to and from the lower limbs.

It performs many important functions and its malfunction can lead to serious health problems. Circulatory disorders such as swelling, poor wound healing, and varicose veins may have their source in the pelvic area as a result of adhesions, surgical scars, chronic pelvic inflammation, childhood trauma, decreased intestinal peristalsis, or tumors. Disturbed intestinal peristalsis can lead to chronic diarrhea, constipation, high pressure inside the lower abdomen and pelvis, which in turn leads to nerve compression and all kinds of neuralgia – burning, tingling, or lack of sensation in the lower body. Nerve compression also interferes with the proper functioning of the genitourinary system, and as a result, leads to problems with the urinary tract, incontinence, and sexual problems.


The causes of urinary incontinence range from peripheral nerve damage and perinatal trauma to tumors, inflammation, and adhesions. Most problems caused by nerve damage, impaired blood and lymph circulation, and local adhesions can be treated with highly specialized manual therapy called Counterstrain. Our experienced therapists have been successful in treating patients struggling with urinary incontinence for several years. To date, all our patients complaining of incontinence have avoided pharmacological therapy and invasive procedures.


Therapeutic procedures, used by our specialists can also be helpful for erectile dysfunction. The genitals are innervated similarly to the urinary system, so by nerve control and improving local blood circulation, it is possible to find and remove the cause of erectile dysfunction or reduced physical sexual sensation – without internal interference. 


The physical therapists at PD Rehab are experts in designing physical therapy and rehabilitation programs to treat pelvic floor disorders and pelvic pain. We offer a new approach to improve the function and condition of a patient’s pelvic floor. All of the methods used in our clinic do not require internal techniques, as happens in typical pelvic floor physical therapy. They simply involve finding and applying pressure to painful areas around the sacrum or pubic symphysis. This non-invasive and painless method called Counterstrain is widely used for a whole range of pelvic conditions and dysfunctions. The experience of our specialists allows us to successfully treat patients that other clinics, physical therapists, or doctors have not been able to help.