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• Are internal pelvic exams like and are they necessary? Internal pelvic floor muscle examinations are the gold standard for understanding pelvic dysfunction. Think about it: you wouldn’t go to a dermatologist and ask the doctor to assess your skin through your clothes, or a PT to address your hurt shoulder without letting them look and touch your shoulder. Pelvic floor physical therapists have specific, high-level training to assess the muscles, nerves and connective tissues that make up the pelvic floor, and we do this by performing an internal exam of the vagina and/or the rectum, depending on what area we need to assess. Stacy has extra certification of PRPC (Pelvic Rehabilitation Practitioner Certification) indicating many years of experience (beginning in 2013) and has passed a Herman and Wallace examination indicating competency of pelvic floor dysfunction. You’re in safe hands. However, not everyone is comfortable with an internal exam, and your job is to let us know what those boundaries are so we can determine if it’s appropriate to proceed. Discomfort, pain, fear, or simply not wanting it are all perfectly acceptable reasons. Again, “No” is a full sentence. Just let us know. There are several conditions that can be treated successfully using external techniques if you don’t wish to have an internal exam, but it is not gold standard treatment. Before any external or internal exam, your therapist will show you on a model of the pelvis and the muscles and structures we will be assessing. You will be asked to provide consent before any assessment or treatment, and most importantly, you can change your mind at any time. Your PT will step behind a curtain for you to undress from the waist down and lie on the treatment table, covering yourself with the sheet provided. There are no stirrups or speculum involved in pelvic floor physical therapy. We use clean, non-latex gloves and first observe your pelvic floor muscles externally, assessing tissue quality and health, as well as muscle coordination. The internal exam involves inserting one gloved, lubricated finger into the vaginal canal or rectum, in order to access and assess the front and back portions of your pelvic floor muscles. I am examining the strength, endurance, muscle tone, coordination, connective tissue and tissue quality of these areas. While we talk you through the entire physical exam, you will provide feedback about any areas of discomfort, altered sensation, or limited mobility. We can stop at any time, and may not even perform the internal exam on your first visit, depending on your comfort level or our time constraints. NOTE: If you have never had a gynecological appointment (for women), you will be asked to get one before we do any internal work. Similarly, men who have never visited a urologist or proctologist may be asked to see one before we do any internal work. We ask this because it’s important to provide you with the best, most complete care possible and there may be necessary tests or treatment to be completed by an MD before a physical therapist provides treatment. Please ask for a referral to a medical doctor should you need one. 💞You are fearfully and wonderfully made 💞 Online class options: https://communityphysicaltherapy.teac... In person therapy: https://ptofsanmarcos.com/ https://communityphysicaltherapy.teac... @ptofsanmarcos.com @ptofwimberley.com Email: [email protected] @stacymurphypelvicpt #pelvichealth #prolapse #physicaltherapy #womenshealth #pelvicpain #sanmarcostx #wimberleytx #wimberley #sanmarcos #running #incontinence #78666 #78676 #LSVT #PRPC #diaphragmaticbreathing #dyspareunia #posture #5k #menopause