Core Conditions Treated

• Bladder Dysfunction: Urinary incontinence (stress, urge, mixed), frequency, urgency, interstitial cystitis/painful bladder syndrome, difficulty emptying the bladder

• Bowel Dysfunction: Chronic constipation, fecal incontinence, straining, pain during bowel movements

• Pelvic Pain: Chronic pelvic pain, vulvodynia, endometriosis-related pain, tailbone pain (coccydynia), lower back/hip/groin pain, pelvic floor myofascial pain

• Sexual Dysfunction: Painful intercourse (dyspareunia), vaginismus, erectile dysfunction, arousal or orgasm difficulties

• Pregnancy & Postpartum: Diastasis recti, pelvic girdle pain, perineal tearing/scarring, recovery after vaginal or cesarean births, urinary/fecal incontinence during pregnancy

• Pelvic Organ Prolapse: Rehabilitation to reduce pressure or heaviness sensations

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Specialized Care

• Oncology Recovery: Managing side effects from prostate, cervical, colorectal, or breast cancer treatments including lymphedema, scar tissue, urinary issues

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• Post-Surgical Rehabilitation: Recovery from hysterectomies, prostatectomies, gender-affirming surgeries, bladder slings, prolapse repairs

• Pediatric Care: Childhood bedwetting (enuresis), pediatric constipation

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• Pelvic floor physical therapy is recommended as first-line conservative treatment for most pelvic floor disorders and is often part of a multimodal, interdisciplinary approach for chronic pelvic pain.

• The American College of Obstetricians and Gynecologists specifically recommends referral for pelvic floor physical therapy to manage myofascial and psychosocial causes of chronic pelvic pain and associated dyspareunia.

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Oncology Rehabilitation 

Oncology rehabilitation is a comprehensive, multidisciplinary field that optimizes physical, social, emotional, and vocational functioning for cancer patients and survivors throughout the entire disease trajectory—from diagnosis through treatment, survivorship, and palliative care.

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Core Conditions and Impairments Treated

Physical Impairments:

• Fatigue: Cancer-related fatigue (one of the most common symptoms)

• Pain: Acute and chronic pain, including neuropathic pain, musculoskeletal pain, and myofascial pain syndromes

• Peripheral Neuropathy: Chemotherapy-induced peripheral neuropathy affecting balance, gait, and function

• Lymphedema: Management and prevention of genital and lower extremity lymphedema associated with PH cancer treatment

• Deconditioning and Weakness: Loss of muscle mass, strength, and cardiovascular fitness

• Musculoskeletal Dysfunction: Shoulder dysfunction (especially post-breast cancer surgery), contractures, spasticity, gait disorders

• Radiation Fibrosis Syndrome: Late effects affecting spinal cord, nerve roots, plexus, muscles, and supporting structures

• Bone Loss and Fracture Risk: Osteoporosis and bone metastases requiring specialized exercise modifications

Functional Limitations:

• Activities of Daily Living (ADLs): Basic self-care tasks like dressing and bathing (37% of adults with cancer report challenges)

• Instrumental ADLs: Higher-level tasks like meal preparation, shopping, household maintenance (55% report challenges)

• Mobility and Balance Deficits: Fall risk, gait abnormalities

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Cognitive and Psychosocial Issues:

• Cognitive Dysfunction: Reduced memory, attention, processing speed ("chemo brain")

• Sexual Dysfunction: Dyspareunia, erectile dysfunction, arousal/orgasm problems[

• Psychological Challenges: Distress, anxiety, depression[1]

• Vocational Rehabilitation: Return to work support and communication​

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Exercise Programs:

Cardiovascular endurance training, resistance/strength training, flexibility exercises, balance training (Category 1 evidence for fatigue, quality of life)

• Manual Therapy: Myofascial release, soft tissue mobilization, joint mobilization

• Functional Mobility Retraining: Gait training, transfer training, fall prevention

• Energy Management and Pacing: Activity prioritization and scheduling

• Lymphedema Management: Complete decongestive therapy, compression, exercise

• Physical Agent Modalities: Heat, cold, electrical stimulation

• Cognitive Rehabilitation: Memory strategies, attention training

• Psychosocial Interventions: Cognitive behavioral therapy, mindfulness-based stress reduction, psychoeducational therapies 

• Environmental Modification and Adaptive Equipment: Home safety assessments, assistive devices

• Vocational Rehabilitation: Work conditioning, job modification strategies