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Pelvic PT for
Orthopedic Conditions 

The region between your belly button and knees contains an intricate network of muscles, joints, and connective tissues that function as an integrated system. When one area experiences dysfunction, it often creates a ripple effect throughout this entire region. That persistent hip pain, nagging lower back discomfort, or recurring groin strain may actually stem from pelvic floor imbalances you weren't even aware of.

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At our practice, we take a comprehensive approach to orthopedic issues in this region, recognizing that lasting relief comes from addressing the entire system rather than just the painful spot. By combining specialized pelvic floor expertise with traditional orthopedic physical therapy, we offer a unique perspective that often solves problems other approaches haven't been able to resolve.

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Lower Back Issues:

  • Persistent low back pain that hasn't responded to traditional treatment

  • Pain that worsens with prolonged sitting or standing

  • Discomfort that seems to shift between your back and pelvis

  • Back pain that fluctuates with your menstrual cycle

  • Recurring back pain despite previous therapy

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Hip and Pelvis Concerns:

  • Pain deep in the hip or buttock region

  • Clicking, catching, or popping sensations in your hip

  • Sacroiliac joint dysfunction or pain

  • Discomfort that radiates from your hip into your groin

  • Limited hip mobility despite stretching regularly

  • Pain that prevents comfortable sleeping on your side

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Core and Abdominal Issues:

  • Weakness or bulging in your abdominal wall

  • Diastasis recti (separation of abdominal muscles)

  • Difficulty engaging your core effectively

  • Hernias or pain after hernia repair

  • Persistent "core weakness" despite regular exercise

  • Scar tissue discomfort from previous abdominal surgeries

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Lower Extremity Problems:

  • Unexplained inner thigh pain or tension

  • Recurring groin strains or discomfort

  • Tension in the deep pelvic floor muscles affecting leg function

  • Pain or nerve symptoms that travel down your leg

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These symptoms often indicate that your body's central "core canister"—including the pelvic floor, abdominal wall, diaphragm, and deep back muscles—needs attention as an integrated system rather than as isolated parts.

Orthopedic Frequently Asked Questions

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How are orthopedic issues connected to the pelvic floor?

Your pelvic floor muscles connect directly to your hip, lower back, and abdominal structures, creating an integrated system. These muscles help stabilize your pelvis and spine during movement. When there's dysfunction in one area, it often creates compensation patterns and stress in connected regions. Addressing the entire system, including the pelvic floor, often resolves persistent pain that hasn't responded to more isolated approaches.

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I've already tried physical therapy for my back/hip pain. How is your approach different?

Traditional orthopedic physical therapy sometimes overlooks the pelvic floor's crucial role in core stability and movement. Our specialized approach includes assessment of this hidden but vital component, often revealing the missing piece in your recovery puzzle. Additionally, we look at breathing patterns, pressure management within your core, and subtle movement compensations that might be perpetuating your pain.

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Do I need internal assessment for orthopedic issues?

Not necessarily. While internal assessment can provide valuable information about how your pelvic floor contributes to orthopedic conditions, we can effectively treat many orthopedic issues with external techniques. We make this determination together based on your specific symptoms, comfort level, and what we find during initial assessment.

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Can hip/back pain be caused by pregnancy or childbirth even years later?

Absolutely. The biomechanical changes from pregnancy and delivery can create lasting alterations in how you move and stabilize your pelvis, even many years after giving birth. These subtle changes often contribute to orthopedic issues that develop later. We specifically address these connections, helping restore optimal function to your entire core system.

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