Virginia Regulatory Town Hall
Department of Health Professions
Board of Physical Therapy
Regulations Governing the Practice of Physical Therapy [18 VAC 112 ‑ 20]
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5/8/23  4:01 pm
Commenter: Anonymous

DO YOU KNOW…facilities the BoPT members either teach or practice list PFT as NON-INVASIVE!!

How is it possible that the BoPT member(s) were able to promulgate a "new regulation," stating for the first time "pelvic floor therapy was an INVASIVE procedure," without having ANY certified experts in pelvic floor therapy present and NOT knowing their own facilities websites, where they teach or practice, which still to date, list pelvic floor therapy as NON-INVASIVE?

There are non-invasive physical therapy solutions to address pelvic pain. The program your therapist customizes for you may include some of the following therapies:

  • Biofeedback for relaxation/downtraining of pelvic floor muscles
  • Biofeedback for uptraining and neuromuscular reeducation
  • Manual therapy for pelvis/coccyx realignment
  • Internal massage to pelvic floor trigger points
  • External massage for lower abdominal or lower lumbar tightness/adhesions
  • Gentle electrical stimulation to relax muscles or retrain muscular contraction
  • Pain management strategies (visual imagery, TENS, breathing techniques)
  • Dilator training
  • Home exercise programs

Treatment options

Noninvasive solutions: In addition to lifestyle changes, your doctor may recommend exercises to retrain your bladder and strengthen your pelvic muscles. You may also receive treatment in the form of physical therapy, which may involve biofeedback or nerve stimulation to teach you how to activate your muscles.

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