Woman’s Health PT

We are now proud to announce that we have a PT trained in womans health issues in both the Cumming and Alpharetta location her name is Milena Luchetta da Costa.

  • Pelvic Pain

Pelvic pain is felt in the lower abdomen, pelvis, or perineum, and is considered to be “chronic” when it lasts for more than 6 months. Pain may vary; some people say that it feels like an aching pain, others say that it feels like a burning, sharp, or stabbing pain, or even pins and needles. Additionally, you may have:

• Pain in the hip or buttock • Pain in the tailbone or pubic bone

• Inability to sit for normal periods of time • Pain in the joints of the pelvis

• Pain with sexual intercourse • Tender points in the muscles of the abdomen

• Reduced ability to move your hips or low back

• Difficulty walking, sleeping, and doing physical activities

• Urinary frequency, urgency, or incontinence

• Constipation, or straining with bowel movements

• Painful bowel movements

Pelvic pain has many possible causes:

• Pregnancy and childbirth, when changing hormone levels can affect the muscles and cause the joints to become more “loose”

• Pelvic joint problems

• Muscle weakness or imbalance within the muscles of the pelvic floor, trunk, or pelvis

• Lack of coordination in the muscles that control the bowel and bladder

• Tender points in the muscles of the pelvic floor

• Pressure on 1 or more nerves in the pelvis

• Weakness in the muscles of the pelvis and pelvic floor

• Scar tissue after abdominal or pelvic surgery, such as a C-section or episiotomy (incision), or as a result of a tear in the vaginal area

• Disease

• Pelvic organ prolapse, a shift in the position of the pelvic organs


Urinary Incontinence

Urinary incontinence is the leakage of urine at inappropriate times. With incontinence, you may have trouble starting the urine stream or holding urine when you feel a strong urge to go. There are different types of incontinence:

• Stress incontinence – small amounts of urine leak when there is increased pressure on the bladder.

• Urge incontinence – your bladder muscle goes into spasm, and, if the spasm is severe enough, medium to large amounts of urine may leak; this might happen only occasionally or as often as every 15 to 20 minutes.

• Mixed incontinence – you have both stress and urge incontinence

• Functional incontinence – urine leaks when you can’t get to the bathroom in time.


Your physical therapist will perform an examination to identify the causes of your urinary incontinence and determine whether you should be referred to a physician for additional tests. Based on the evaluation results, your physical therapist will create individualize treatments to strengthen your pelvic-floor muscles and improve their function. Your physical therapist can help you:

• Gain control over your symptoms.

• Reduce the need for pads and special undergarments, incontinence medications, and possibly surgery.

Additionally, your physical therapist can provide information about:

• Diet and nutrition to avoid food and drinks that may irritate the bladder.

• Changing behaviors that make symptoms worse.

• Ways to decrease urinary urge and frequency