Pelvic Floor Training | Physical Therapy | PT Effect

Focused, One-on-One Physical Therapy Treatment

Pelvic Floor Training

No Medications. No Painful Injections.

Is pelvic pain preventing you from living your life to its fullest? Get back to doing what you love most by treating your pelvic floor pain with physical therapy. Our Doctors of Physical Therapy use pelvic floor training as well as a variety of other techniques to treat your pain and improve your overall quality of life.

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What we can treat

What Is Pelvic Floor Training?

Pelvic floor training is a physical therapy treatment for pelvic pain that involves exercises and stretches. The goal of pelvic floor training is to relieve pain, strengthen pelvic muscles, and ease symptoms so that you can eliminate the disruptions to your daily life caused by pelvic floor dysfunction.

What Is the Pelvic Floor?

The pelvic floor is the group of muscles that support the body’s reproductive tract and urinary tract. The pelvic floor also controls the bowels and bladder. In women, the pelvic floor muscles also support the uterus.

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What Is Pelvic Floor Dysfunction?

Pelvic floor dysfunction occurs when the pelvic floor muscles can’t work together or relax properly. There are several different ways in which pelvic floor dysfunction can occur:

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Frequently needing to urinate

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Difficulty controlling urine or the bowels, resulting in leaks

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In women, pain during sex

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In men, erectile dysfunction

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What Can Cause Pelvic Floor Dysfunction?

Sometimes, your doctor might not know what causes your pelvic floor dysfunction. There are some conditions that can cause it, however, such as:

  • Pregnancy
  • Aging
  • Pelvic surgery
  • Pelvic area injuries
  • Pelvic muscle overuse
  • Being overweight

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Our treatment method

How Is Pelvic Floor Dysfunction Treated?

There are several different ways to treat pelvic floor dysfunction and your first appointment with your physical therapist will involve an assessment of your pelvic floor dysfunction and whether its cause is known in order to determine the best course of treatment. Treatment for pelvic floor dysfunction can include:

  • Trigger point therapy
  • Electrical stimulation
  • Biofeedback
  • Pelvic floor training
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How Does Pelvic Floor Training Treat Pelvic Floor Dysfunction?

Pelvic floor training involves exercises to strengthen the pelvic muscles. Often, pelvic floor dysfunction occurs because the muscles in that part of the body are not strong enough or have been injured. Strengthening them can help you to better control the bodily functions that rely on those muscles. With pelvic floor training, you’ll train those muscles with the expert guidance of your physical therapist, who can work with you during your appointments and teach you what you need to know to continue at home.

What Are Kegel Exercises?

Kegel exercises are vitally important to strengthening the pelvic floor and play a major role in pelvic floor training. These exercises involve contracting and then relaxing the muscles in the pelvic floor. Not only do these exercises strengthen the muscles but they can help you to regain control over bodily functions and reduce pain. They’re commonly recommended for those who have just given birth, since pregnancy and childbirth can result in pelvic floor dysfunction.

What Other Muscles Are Strengthened by Pelvic Floor Training?

The pelvic floor muscles aren’t the only ones that impact the pelvis. Your abdominal muscles and back muscles also play a role. Therefore, your pelvic floor training may not target only the pelvic floor muscles but, at your physical therapist’s discretion, may also target strengthening the muscles of the back and abs.

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Manual Therapy

How We Achieve A Better Diagnosis with Less Discomfort

What is manual therapy? Manual therapy is a method physical therapy that involves the therapist feeling exactly how your body reacts to specific movement and exercises. A lot of pain and discomfort comes from lack of mobility or a small range of motion. Through simple movements and exercises, we're able to get your body used to these motions again, reducing or completely removing your pain.

Manual therapy includes a detailed biomechanical assessment. This means that your therapist will watch and feel how you move in order to make the most accurate diagnosis possible. This leads to faster recovery times and improved outcomes.

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Benefits of Manual Therapy

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More accurate diagnoses and understanding of pain

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Less discomfort and pain during treatment

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Therapist can feel where there is tension and mobility issues

The best of the best

Meet Our Specialist

Dr. Mark Shulman

Dr. Mark Shulman

Doctor of Physical Therapy (DPT), FAAOMPT, COMT, CSCS

Dr. Mark Shulman, DPT, FAAOMPT, COMT, CSCS has worked in Physical Therapy since 2005 when he started as a Physical Therapy Aide in an Outpatient clinic. Since then he has continued to progress his practice and gain experiences in multiple treatment settings. Dr. Shulman started “The Physical Therapy Effect” to continue his goal of providing quality one on one care to the patients he works with.

Mark studied Physical Therapy at Northeastern University in Boston Massachusetts where he graduated Magna Cum laude with a Doctorate of Physical Therapy in 2010. While completing his degree in Physical Therapy, Dr. Shulman also earned his Certified Strength and Conditioning Specialist Credentials from the NSCA. He has taken multiple advanced training courses to become a Certified Orthopaedic Manipulative Therapist through North American Institute of Orthopedic Manual Therapy. Dr. Shulman is a Fellow of the American Academy of Orthopaedic Manual Physical Therapy. He is also currently a Credentialed Clinical Instructor through the America Physical Therapy Association (APTA). Mark maintains an active membership in the American Physical Therapy Association, American Academy of Orthopaedic Manual Physical Therapists and National Strength and Conditioning Association.

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Convenient Downtown Location

State-of-the-Art Office

We’ve been a part of the Little Italy community for over 6 years. Our office features top-of-the-line equipment to get you the results you expect.

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Take The First Step

Ready to become painfree?

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Step one:

Call or message us to
book your appointment

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Step two:

We’ll work with you to
get you painfree again

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Step three:

Regain your freedom &
pain free lifestyle

Mark Shulman

Dr. Mark Shulman

Doctor of Physical Therapy (DPT), FAAOMPT, COMT, CSCS


Fellow of the American Academy of Orthopaedic Manual Physical Therapists.

Mark Shulman

Dr. Allison McKay

Doctor of Physical Therapy (DPT), PRPC


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Contact Information

(619) 544-1055

Fax: (619) 544-1056

The Physical Therapy Effect

1601 Kettner Blvd Suite 11
San Diego, CA 92101