Understanding and effectively addressing pelvic floor issues

Whether it is incontinence, pelvic pain, or a sensation of pelvic organ prolapse – pelvic floor issues have various causes and require precise assessment. We combine pelvic floor therapy and targeted training into a comprehensive, effective approach.

Briefly explained

What can lie behind pelvic floor problems

Trainer explains pelvic anatomy using a model.

You’ve come to the right place if...

Lose control under strain

You lose control when exercising, coughing, or sneezing – and want to change this in a targeted way.

Stress incontinence is treatable. We precisely determine whether a lack of strength, a lack of coordination, or both are the underlying cause – and derive the appropriate therapy from this.

Feel pain or pressure in the lower pelvis

A sensation of pressure, heaviness, or pain when sitting – symptoms that burden your daily life and for which you are seeking a clear explanation.

Pelvic floor pain has various causes. We examine the muscles, fascia, and movement patterns – and provide targeted treatment for the underlying issues.

Strengthen your pelvic floor after childbirth or surgery

After childbirth, a C-section, or surgery, you want to strengthen your pelvic floor in a structured and safe way.

Postpartum recovery requires a clear plan – not a one-size-fits-all program. We guide you from the initial assessment to a routine that fits your everyday life, including cases of rectus diastasis or recovery after a C-section.

Why pelvic floor problems develop

The pelvic floor is part of a complex system; problems rarely stem from a single cause, but rather from the interplay of several factors.

Overview of common triggers

Pregnancy & Childbirth

Hormonal changes, the weight of the baby, and the birth itself place significant strain on the pelvic floor. Without targeted strengthening, symptoms can persist for a long time.

Pelvic surgeries

Following a hysterectomy, prostate surgery, or other pelvic procedures, the muscles require targeted rehabilitation.

Chronically elevated pressure

Persistent straining during bowel movements, chronic coughing, or regular heavy lifting increase intra-abdominal pressure – and place long-term strain on the pelvic floor.

Constant tension & Stress reactions

Psychological strain, trauma, or chronic stress can lead to persistent tension in the pelvic floor – resulting in pain.

Lack of coordination between breathing and the trunk

The pelvic floor, diaphragm, and trunk muscles work as a unit. If this coordination is disrupted, improper loading occurs – even without a direct injury.

Hormonal changes

During menopause, tissue changes – elasticity and muscle strength decrease. This makes the pelvic floor more susceptible to issues that did not occur previously.

How we treat pelvic floor issues

A trainer supports a client's posture during an exercise with raised arms on a Gyrotonic machine.

Appropriate services for pelvic floor issues

Pelvic Floor Therapy

Pelvic Floor Training

GYROTONIC® & GYROKINESIS® in Physical Therapy

Myoreflex Therapy

Prenatal & Postnatal Training

Rehabilitative Pilates

What you can do yourself

Not every pelvic floor exercise is suitable for every situation. Those with excessive tension should not focus on further strengthening, while those lacking coordination need awareness training first rather than strength work. Therefore: no standard program without a prior assessment.

What helps in most cases: consciously using breathwork, reducing pressure spikes in daily life – such as when lifting, coughing, or exercising – and recognizing protective movement patterns. We tailor the specific exercises to your needs following the initial assessment.

Therapist in a counseling session with a client in front of a floral wall mural.

Did you know?

Health insurance subsidy available

Depending on the course format, certified prevention courses under Section 20 of the Social Code Book V (SGB V) may be eligible for subsidies from statutory health insurance funds. You can find details on our prevention courses page.

Workout space with a kettlebell, yoga mat, foam roller, and Buddha statue.

FAQ – Frequently asked questions about pelvic floor problems

Didn't find what you were looking for? We would be happy to assist you personally.

What could be the underlying cause of pelvic floor problems?

Insufficient strength, poor coordination, or chronically excessive tension – all three can cause symptoms but require different treatment approaches. A precise classification is determined during the assessment.

Is pelvic floor therapy only for women?

No. Men, too, can be affected by pelvic floor issues – following prostate surgery, or in cases of incontinence or chronic pelvic floor pain. We treat both women and men.

When is pelvic floor therapy advisable – and when is exercise enough?

Therapy is the right starting point for pain, incontinence, a sensation of pelvic organ prolapse, or post-operative recovery. Exercise is appropriate when there are no acute symptoms and the focus is on strengthening and prevention.

How long does it take for pelvic floor symptoms to improve?

This varies from person to person. Initial changes in how your body feels often appear early on, but lasting results generally require several weeks to months of consistent effort – including between sessions.

Do I need a prescription for pelvic floor therapy?

Physiotherapy can be prescribed by a doctor. If you have private health insurance, wish to pay for treatment yourself, or hold supplementary insurance for naturopathic treatments in addition to your statutory health insurance, we will discuss the options that are right for you in a transparent manner.

Contact

How does billing work in your private practice?

We bill via private health insurance, state aid schemes (Beihilfe), or as a self-pay service. Physiotherapy is billed according to the GebüH fee schedule, and naturopathic services according to the GebüH HP schedule. Please feel free to contact us if you have any questions regarding billing.