PFPT Diagnoses Definitions

Urinary Frequency or Urgency

Needing to pee frequently or with strong urgency

Urinary Incontinence
(in-con-tin-nus)

Leaking urine without control

Stress Urinary Incontinence (SUI)
(in-con-tin-nus)

Leaking urine with an activity

Urge Urinary Incontinence (UUI)
(in-con-tin-nus)

Leaking urine with an urge

Urinary Hesitancy or difficulty starting urine

Trouble starting pee

Incomplete Bladder Emptying

Feeling like bladder doesn’t fully empty

Nocturia (nok-toor-ee-uh)

Waking at night to urinate

Interstitial Cystitis (in-ter-stish-uhl sis-tie-tis)

Chronic bladder pain without infection or known causes

AKA: painful bladder syndrome

Fecal Incontinence (fee-kuhl in-kon-tuh-nuhns)

Involuntary loss of stool or gas

Constipation (kon-stuh-pay-shuhn)

Difficulty or infrequent passing of stools, often hard or incomplete

Fecal Urgency (fee-kuhl ur-juhn-see)

Strong, immediate need to defecate, often hard to delay

Incomplete Evacuation (in-kom-pleet ee-vak-yoo-ay-shuhn)

Sensation of incomplete bowel emptying after a movement

Rectal Prolapse (rek-tuhl proh-laps)

Protrusion of the rectal wall through the anal opening

General Pelvic pain

Pain in the abdomen, pelvis, genitials, rectum, tailbone

Coccydynia (kok-sih-din-ee-uh)

Pain in or around the tailbone (coccyx)- worse with sitting

Pelvic Congestion Syndrome
(pel-vik kun-jes-chun sin-drohm)

Chronic pelvic ache from varicose pelvic veins; Pelvic pain or heaviness

Worsesns wtih prolonged standing, during or after sex, around menstruation

Endometriosis (en-doh-mee-tree-oh-sis)

Pelvic pain when endometrial tissue grows outside uterus

Vulvodynia
(vul-voh-din-ee-uh)

Chronic vulvar pain with no clear cause; Constant or provoked vaginal burning, stinging, or rawness

Pain with touch, sitting, wearing tight clothes

Painful intercourse (often mistaken for infection)

Dyspareunia
"Dis-par-un-e-ya"

Painful vaginal or pelvic pain during or after sexual intercourse, pelvic exams or menstrual care

often due to muscle tension, scar tissue, inflammation, or hormonal changes.

Vaginismus
(vaj-uh-ni-muhs)

Involuntary tightening of vaginal muscles making penetration (sex, menstural care, pelvic exams) painful, difficult, or impossible.

protective response vs conscious action.

Subcategory of dyspareunia

Proctalgia Fugax

(prok-TAL-jee-uh FYU-gaks)

involuntary rectal spasms

Levator Ani Syndrome
(luh-vay-ter ay-nye sin-drohm)

Pelvic floor muscle spasm causing rectal or pelvic pain or pressure

Pudendal Neuralgia (pyoo-den-dul nur-al-juh)

Nerve pain in the pelvic region caused by irritation or compression of the pudendal nerve; Sharp, burning, or stabbing pain in the perineum, genitals, rectum, or groin

Worse with: sitting, tight clothes, biking

Better w/ standing or lying down

Pubic Symphysis Dysfunction
(pew-bik sim-fuh-sis dis-fuhngk-shun)

Pain in front pelvic bone

Common during pregancy

AKA: Lightening crotch

Sharp pain in the pubic bone with asymmtrical leg movements (ie: stairs, putting on pants, getting out of the car, rolling in bed, walking)

SI Joint Pain (ess-eye joint pān)

Pain in back of pelvis near sacrum ; Pain at the sacroiliac joint, often due to instability or asymmetry

Hip / Low Back Pain (hip / loh bak pān)

Pain in hips or low back often linked to pelvic floor; Musculoskeletal pain that may relate to core or pelvic floor issues

Groin Pain (groyn pān)

Pain in inner thigh or pubic region; Pain or discomfort in the groin from musculoskeletal or nerve causes

Birth Preparation

Training body for easier, less traumatic delivery; Physical therapy to optimize pelvic mobility, control, and positioning for birth

Diastasis Recti (die-uh-stay-sis rek-tye)

Separation of abdominal muscles; Abdominal protrusion with sitting up from lying down (called doming or coning)

Mommy pooch

Scar Adhesion (skar ad-hee-zhun)

Restricted movement from internal scar tissue; Tight or stuck scar tissue limiting movement or causing discomfort

c-section numbness

abdominal weakness

mommy pooch or abdominal shelf

Pelvic Girdle Pain (pel-vik gur-duhl pān)

Pain in hips, low back, or pelvis during pregnancy; Discomfort in the pelvic joints due to pregnancy-related changes

Pelvic Organ Prolapse (pel-vik or-guhn proh-laps)

Descent of one or more pelvic organs into or beyond the vaginal canal

Cystocele (sis-toh-seel)

Herniation (buldging) of the bladder into the vaginal wall

Rectocele (rek-toh-seel)

Protrusion of the rectum into the vaginal wall

Uterine Prolapse (yoo-tur-in proh-laps)

Descent of the uterus into the vaginal canal

Vaginal Vault Prolapse (vaj-uh-nuhl vawlt proh-laps)

Top of vagina drops post-hysterectomy

Rectal Prolapse (rek-tuhl proh-laps)

Protrusion of the rectal wall through the anal opening

Hard Flaccid Syndrome (hard flak-sid sin-drohm)

Neurovascular pelvic condition where the penis remains semi-rigid with pain or sensitivity

Chronic Prostatitis (kron-ik prahs-tuh-tie-tis)

Ongoing/ chronic prostate/pelvic pain not due to infection

Prostatectomy Care (prahs-tuh-tek-tuh-mee kayr)

Pelvic PT to assist men in regaining control post-prostate surgery

Erectile Dysfunction (ih-rek-tile dis-fuhngk-shun)

Inability to achieve or sustain an erection sufficient for sexual activity

Premature Ejaculation (pree-myur ee-jak-yoo-lay-shun)

Ejaculation that occurs sooner than a person or their partner would like

Coital Incontinence (koy-tuhl in-kon-tuh-nuhns)

Involuntary loss of urine during sexual activity

Persistent Genital Arousal Disorder (PGAD) (per-sis-tuhnt jen-i-tl uh-row-zuhl dis-or-dur)

Spontaneous, persistent, and distressing genital arousal not related to sexual desire