One of the most common questions I get as an Occupational Therapist specializing in pelvic floor therapy is: “How long does pelvic floor therapy take?” This is a great question, and the answer can vary widely depending on individual circumstances. In this post, I want to provide a detailed explanation of what influences the duration of pelvic floor therapy and what you can expect during your journey with Zealous Holistics.

Why is Pelvic Floor Therapy Needed?

Pelvic floor therapy is essential for addressing issues related to the pelvic floor muscles, such as incontinence, pelvic pain, and sexual dysfunction. These muscles play a crucial role in supporting the bladder, bowel, and reproductive organs. When they become weak, tight, or dysfunctional, it can lead to significant discomfort and impact your quality of life. You may also not realize you need pelvic floor therapy if you have many other conditions such as: TMJ, ankle injuries, low back pain, hip pain, hormonal changes such as during pregnancy or menopause, prostatitis, hernia surgeries, and so much more. So many injuries/ areas of pain in the body can affect and be affected by the pelvic floor muscles.

The Individual Nature of Therapy

The first and most important thing to understand is that pelvic floor therapy is highly individualized. No two people are the same, and therefore, no two therapy plans will be identical. Factors that influence the duration of therapy include:

  • Severity of Symptoms: More severe symptoms often require longer treatment periods
  • Underlying Conditions: Conditions like chronic pelvic pain, endometriosis, or post-surgical recovery may extend the duration of therapy.
  • Personal Goals: Your personal health goals and how quickly you want to achieve them play a role in determining the length of therapy.
  • Response to Treatment: How your body responds to therapy can vary, influencing the number of sessions needed.

What to Expect at Zealous Holistics

At Zealous Holistics, our approach to pelvic floor therapy is holistic and tailored to each individual. Here’s a general overview of what the process looks like and the factors that influence the length of therapy:

Initial Assessment
Your journey begins with a thorough initial assessment, where we discuss your medical history, symptoms, and goals. This assessment helps us create a personalized treatment plan that addresses your specific needs.

Personalized Treatment Plan
Based on the assessment, we develop a treatment plan that may include manual therapy, movement reeducation, and lifestyle modifications. The plan is tailored to your unique situation and is designed to help you achieve your health goals effectively and efficiently.

How Long Does Therapy Take?

National Averages
According to national statistics, the average duration of pelvic floor therapy ranges from about 6 to 12 weeks, with most people attending one session per week. This means that, on average, you might expect to attend anywhere from 6 to 12 sessions. However, this is just an average, and your individual needs may vary. Oftentimes, it may be beneficial to stretch out those 12 visits over a period of time in order to achieve a long term goal, as it takes time for our bodies to make changes.

Zealous Holistics Experience
At Zealous Holistics, we have observed that some individuals can benefit significantly from as few as 4 sessions, especially if their symptoms are mild and their response to therapy is positive. For more complex cases, a longer treatment period may be necessary. Here’s a breakdown of different scenarios:

  • Mild Symptoms: Individuals with mild symptoms or those who catch issues early might find relief in as little as 4 to 6 sessions. These sessions focus on basic muscle strengthening, education, and minor lifestyle adjustments.
  • Moderate Symptoms: For those with moderate symptoms, 8 to 12 sessions may be more appropriate. This allows for a more in-depth treatment plan, incorporating various techniques to address muscle weakness, coordination issues, and pain management.
  • Severe Symptoms or Complex Cases: More severe or complex cases, such as chronic pelvic pain or post-surgical recovery, may require a longer duration of therapy. These cases might need 15 or more sessions over several months to see significant improvement. The focus here is on comprehensive treatment, including advanced manual therapy techniques, extensive stability training, and significant lifestyle modifications.
  • Pregnancy & Postpartum: If you are considering pregnancy or are currently pregnant, it is recommended and may be beneficial to complete several therapy sessions pre-pregnancy to help prepare your body for all of the changes, throughout pregnancy to continue strengthening the body during the changes, and into postpartum to regain strength and stability that is often lost during pregnancy.

Frequency of Sessions

The frequency of sessions can also vary. Some individuals may start with weekly sessions and then gradually reduce the frequency as they make progress. Others might need more intensive, twice-weekly sessions initially, especially if their symptoms are severe.

Continuous Re-Evaluation

Throughout the therapy process, we conduct regular re-evaluations to assess your progress. These re-evaluations help us determine if adjustments need to be made to your treatment plan. It’s important to note that therapy is a dynamic process, and plans can change based on your progress and feedback.

The Importance of Commitment

Your commitment to the therapy process plays a crucial role in the duration and success of your treatment. Here are some tips to maximize the effectiveness of your therapy:

  • Consistency: Attend all scheduled sessions and follow through with any home exercises or recommendations provided by your therapist.
  • Communication: Keep an open line of communication with your therapist. Let us know about any changes in your symptoms, challenges you’re facing, or improvements you’ve noticed.
  • Patience: Understand that progress can take time. Every small step forward is a victory on the path to better health.

Achieving and Maintaining Results

The goal of pelvic floor therapy is not only to alleviate your current symptoms but also to equip you with the knowledge and tools to maintain your pelvic health in the long term. Here’s how we ensure you achieve and maintain optimal results:

  • Education: We provide extensive education about pelvic floor health, anatomy, and the factors contributing to your symptoms. Understanding your body is key to managing and preventing future issues.
  • Home Exercise Program: We design a customized home exercise program for you to continue strengthening and maintaining your pelvic floor muscles outside of therapy sessions.
  • Lifestyle Modifications: We offer guidance on lifestyle changes, such as dietary adjustments, bladder and bowel retraining strategies, stress management techniques, and ergonomic improvements, to support your overall pelvic health.

Conclusion

Pelvic floor therapy is a highly personalized journey that varies for everyone. While some individuals may benefit from as few as 4 sessions, others might require more extended treatment periods, especially in complex cases. At Zealous Holistics, our experience shows that with the right approach and commitment, significant improvements can be achieved, leading to a better quality of life.

Remember, the right duration and frequency of therapy depend on your unique needs and goals. We are here to support you every step of the way, providing personalized care and continuous re-evaluation to ensure you achieve the best possible outcomes.

If you have any questions or would like to schedule a consultation, please don’t hesitate to reach out. Your health and well-being are our top priorities, and we are dedicated to helping you on your path to improved pelvic health.