Internal Work

Internal Work in Pelvic Floor Physical Therapy

At Treasure Valley Pelvic Health, we are committed to identifying and treating the root causes of pelvic health issues with care, expertise, and respect. One essential tool we use is the internal pelvic exam, a specialized assessment conducted as part of pelvic floor physical therapy.

Our internal exams are always performed with your comfort and consent as the highest priorities. These assessments allow us to gain valuable insights into the condition of your pelvic floor muscles, helping us create effective, personalized treatment plans.

What Is an Internal Pelvic Exam?

An internal pelvic exam is a hands-on evaluation of the pelvic floor muscles, conducted by our specially trained physical therapists. This exam is not the same as a gynecological exam performed by a doctor. Here’s what makes it unique:

• No Speculums: Unlike traditional pelvic exams, we do not use a speculum. Instead, the assessment is conducted using one gloved, lubricated finger.
• Layer-by-Layer Assessment: The focus is on evaluating each layer of the pelvic floor muscles for strength, tension, and function.
• Collaborative Process: We maintain open communication throughout the exam, ensuring you feel in control and comfortable at every step.

How Is an Internal Exam Conducted?

The process begins with a detailed discussion about your symptoms, medical history, and goals for therapy. If an internal exam is appropriate, here’s what you can expect:

1. Informed Consent: Before proceeding, we explain the purpose of the exam and address any questions or concerns. Your consent is required to move forward.
2. Comfortable Positioning: You will be positioned in a way that ensures privacy and comfort, typically lying on your back with support as needed.
3. Gentle Assessment: Using a gloved finger, your therapist will gently examine the pelvic floor muscles, checking for areas of tension, weakness, or pain.
4. Real-Time Feedback: You’ll be encouraged to share how you’re feeling, and we’ll communicate what we’re assessing throughout the process.

Why Is Internal Work Important?

The pelvic floor muscles are located deep within the body, making it difficult to fully assess their condition externally. Internal work allows us to:

• Identify muscle tension or trigger points that may be causing pain.
• Assess muscle strength and coordination, key factors in issues like incontinence or prolapse.
• Evaluate scar tissue from surgeries or childbirth that may impact function.
• Determine the best therapeutic exercises and interventions for your needs.

A Compassionate Approach

We understand that the idea of an internal exam may feel intimidating, especially if you’ve had negative experiences in the past. That’s why our physical therapists approach every session with care, empathy, and respect. Our goal is to create a safe, supportive environment where you feel heard, empowered, and in control.

How Internal Work Supports Treatment

The insights gained from an internal exam are crucial in creating an effective treatment plan. This may include:

• Targeted Exercises: To strengthen or relax specific pelvic floor muscles.
• Manual Therapy: To release trigger points and reduce muscle tension.
• Postural Training: To address alignment issues that may contribute to symptoms.
• Education and Support: Helping you better understand your pelvic health and how to manage it.

Take the First Step Toward Healing

At Treasure Valley Pelvic Health, we’re here to guide you on your journey to better pelvic health. If you’re ready to explore how internal work can help address your symptoms, our team is here to support you with expertise and care.

Schedule your consultation today to learn more about internal pelvic exams and how they fit into your personalized treatment plan.