Pelvic Floor Rehabilitation

Treating Incontinence and Other Pelvic Floor Disorders

Learn about pelvic floor rehabilitation.

For many women incontinence and pelvic floor concerns can be corrected without the need for surgery. Aurora Health Care offers pelvic floor rehabilitation specialists with training and experience to help women optimize the strength and function of their pelvic floor muscles. Specially-trained occupational and physical therapists use every aspect of their training to develop personalized treatment plans for pelvic floor rehab and help women improve function and, ultimately, their quality of life. Read about physical therapy from the American Physical Therapy Association (APTA).

The pelvic floor muscles run like a hammock from the pubic bone in front to the tailbone in the back. The muscles and ligaments within the pelvis support the bladder, uterus, urethra and rectum - they hold the organs in position and help them function properly.

Many factors can weaken pelvic floor muscles, including pregnancy, childbirth, age, weight and lifestyle.

Our Approach

At Aurora, pelvic floor rehabilitation specialists provide individualized, evidence-supported treatment therapies to retrain and strengthen these muscles so that they are better able to support the pelvic organs and control function. Increased muscle support makes it easier for patients to manage conditions like urinary incontinence, pelvic prolapse and pelvic pain.

Stepwise treatment strategies should be discussed with the patient. In general, treatment should advance from least invasive (lifestyle changes, behavioral therapies, medications) to more invasive therapies.1* In older patients, correcting contributory factors such as comorbid conditions, functional impairment, and medications should be the initial focus.2**

Various therapies, most notably bladder training and pelvic muscle exercise, are effective for several types of urinary incontinence, including urge incontinence, stress incontinence, and mixed incontinence.

Techniques and Treatments

Following a complete health assessment, techniques and treatments may include:

  • Behavioral and lifestyle modification to assist in retraining pelvic muscles
  • Biofeedback: a painless process that uses small sensors and a computer monitor to help patients visualize and identify muscle activity. Patients gain awareness of proper muscle contraction and relaxation in order to maximize exercise technique. Learn more about pelvic muscle dysfunction biofeedback from the Biofeedback Certification International Alliance (BCIA)
  • Information and education regarding anatomy, diet and fluids, personal care and other related issues
  • Manual therapy techniques to improve muscle and bone alignment
  • Pelvic floor muscle exercise therapy to optimize proper function

With the specialized care of pelvic floor rehab specialists, women can regain health, confidence, comfort and quality of life.

Pelvic Floor Rehabilitation Specialists

A referral for physical or occupational therapy is required and can be obtained from your health care provider. 

Northern Wisconsin
Aurora BayCare Medical Center
Women's Center
2845 Greenbrier Rd.
Green Bay, WI 54311

Lindi Magnuson, PT, BCB-PMD
 Kelly Gerl, PT
920-288-4700
Aurora Medical Center
Aurora Rehabilitation Center

5300 Memorial Dr.
Two Rivers, WI 54241

Karen Schultz, DPT
920-793-7570
Aurora Medical Center
Aurora Rehabilitation Center

855 N. Westhaven Dr.
Oshkosh, WI 54905

Cherry Perkins, PT
Katie Van Scyoc, DPT
920-456-7100
Aurora Health Center
Aurora Rehabilitation Center

210 Wisconsin American Dr. Hwy. 23 East
Fond du Lac, WI 54937

Tiffany Fisher, DPT
920-907-7000
Aurora Health Center
Aurora Rehabilitation Center

1136 Westowne Dr.
Neenah, WI 54956

Jessy Trinkner, DPT
920-720-8090
 

 

Central Wisconsin
Aurora Sheboygan Memorial Medical Center
Aurora Rehabilitation Center

2629 N. 7th St.
Sheboygan, WI 53083

Leslie Gerbitz, PT
Sam Fetterer, PTA
920-451-5550
Aurora Rehabilitation Center
1048 E. Commerce Blvd.
Slinger, WI 53086

Betsy Muellenbach, PT
262-644-6268
Aurora Medical Center
Aurora Rehabilitation Center

1640 E. Sumner St.
Hartford, WI 53027

Rose Nelson, PT
Shannon Coulter, PT
262-670-4300
Aurora Rehabilitation Center
1575 N. Rivercenter Dr.
Milwaukee, WI 53212

Liesel Oechsner, PT
414-224-6424
Aurora Sinai Medical Center
Aurora Rehabilitation Center

945 N. 12th St., 4th Floor
Milwaukee, WI 53233

Erica Vitek, BCM-PMD
414-219-5241
 
Southern Wisconsin

Aurora Wellness Center
Aurora Rehabilitation Center
300 McCanna Pkwy.
Burlington, WI 53105

Pam Lofgren, DPT
262-767-7120

Aurora Women's Pavilion in Franklin
4202 W. Oakwood Park Ct.
Franklin, WI 53132

Liesel Oeschner, PT
Erica Vitek, OT, BCM-PMD
414-855-2900
Aurora Women's Pavilion
Center for Continence and Pelvic Floor Disorders
8905 W. Lincoln Ave.
West Allis, WI 53227

Jeannette Tries, Ph.D., OTR, BCIA-PMDB
Mary Plummer, OTR, BCIA-PMDB 
Lisa Fischer, OTR-CLT
414-329-5650
 

From UpToDate (from Aurora Libraries site for Evidence Based Medicine):

1*. Management Recommendations. In: Incontinence, 4th ed., Abrams P, Cardozo L, Khoury S, Wein A. (Eds), Health Publications, Paris 2009. p.1774.
2**. DuBeau CE, Kuchel GA, Johnson T, et al.. Incontinence in the frail elderly. In: Incontinence, 4th ed., Abrams P, Cardozo L, Khoury S, Wein A. (Eds), Health Publications Ltd, Paris 2009. p.961.