Skip to content

Pelvic Floor Therapy: Essential to Hysterectomy Recovery

By Emily Henneberg, PT, DPT

Undergoing a hysterectomy is a significant medical procedure that can bring relief to women dealing with various health concerns. Whether it’s due to chronic pain, uterine fibroids, endometriosis, or other conditions, a hysterectomy can alleviate symptoms and improve overall quality of life. However, the surgery itself can impact pelvic health, leading to potential issues with the pelvic floor muscles. This is where pelvic floor therapy comes into play, offering a range of benefits for women recovering from a hysterectomy.

Understanding the Pelvic Floor

The pelvic floor is a group of muscles, ligaments, and tissues that provide support to organs like the bladder, uterus, and rectum. These muscles play a crucial role in maintaining bowel and bladder continence, supporting posture, and even sexual function. A hysterectomy can disrupt the natural balance of the pelvic floor, potentially leading to complications such as urinary incontinence, pelvic pain, and discomfort during intercourse. Think about it: if your reproductive organs are removed during a hysterectomy, your remaining organs will shift to fill this empty space; shifting of organs can cause pressure on the bladder and pelvic floor if pressure management is not being implemented. Proper core and abdominal pressure management is one of the principles we teach in pelvic floor physical therapy!

Benefits of Pelvic Floor Therapy After a Hysterectomy

  1. Restoring Muscle Strength and Tone: The trauma of surgery can weaken the pelvic floor muscles, affecting their strength and tone. Pelvic floor therapy involves targeted exercises to strengthen and coordinate these muscles, helping to restore their functionality and overall support to surrounding organs.
  2. Preventing Urinary Incontinence: Post-hysterectomy, some women may experience stress and/or urge urinary incontinence. Pelvic floor therapy focuses on strengthening and coordinating the muscles that control bladder function, reducing the risk of incontinence and providing better bladder control.
  3. Alleviating Pelvic Pain: Pelvic pain can be a common concern after a hysterectomy, often due to scar tissue formation or muscle tension. Pelvic floor therapy includes techniques such as manual therapy and relaxation exercises that help release tension, decrease pain, and improve overall comfort.
  4. Enhancing Sexual Function: Changes in sexual function can be a potential side effect of a hysterectomy. Pelvic floor therapy can help address issues such as pain during intercourse, decreased sensation, and reduced libido by improving blood flow, muscle tone, and overall pelvic health.
  5. Improving Posture and Core Strength: The pelvic floor is an integral part of the core muscles that contribute to overall stability and posture. Pelvic floor therapy not only targets the pelvic muscles but also focuses on strengthening the core as a whole, leading to improved posture, reduced back pain, and better overall body mechanics.
  6. Tailored Treatment Plans: Every woman’s body is unique, and so are the effects of a hysterectomy. Pelvic floor therapy offers personalized treatment plans based on individual needs and symptoms, ensuring that the therapy addresses specific concerns for each patient.
  7. Holistic Approach to Recovery: Beyond physical benefits, pelvic floor therapy often involves education on lifestyle modifications, dietary adjustments, and relaxation techniques that contribute to a holistic recovery process.


A hysterectomy can be a life-changing procedure, offering relief from various health issues. However, it’s essential to recognize that the surgical process can impact pelvic health. Pelvic floor therapy serves as an invaluable resource in helping women recover from a hysterectomy more comfortably and confidently. By addressing issues like muscle weakness, urinary incontinence, pain, and sexual function, pelvic floor therapy empowers women to regain control over their bodies and enjoy a better quality of life post-surgery. If you have undergone a hysterectomy, consulting with a pelvic floor therapist could be a transformative step towards a smoother recovery journey. Reach out to Magic City Physical Therapy today where a skilled therapist can assist you in your recovery!


Magic City Physical Therapy

Holistic Care That Gets Results.

Pelvic Health, Lymphedema, & Orthopedic Physical Therapy for Every Body Across the Lifespan