Pelvic Organ Prolapse (POP) is a condition that occurs when the muscles and connective tissues of the pelvic floor become weakened or stretched, leading to one or more pelvic organs—such as the bladder, uterus, or rectum—shifting from their normal position and pressing against the vaginal walls. This condition can vary in severity, ranging from mild to more pronounced cases where the organs may protrude outside the vaginal opening.
Many people with POP experience symptoms such as a sensation of pressure or fullness in the pelvic region, urinary incontinence or urgency, difficulty with bowel movements, and discomfort during intercourse. For some, it may also feel like something is “falling out” or “bulging” in the vaginal area.
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Pelvic Organ Prolapse is more common than many realize and can significantly affect quality of life. However, the good news is that conservative, non-surgical treatments like physical therapy have proven to be highly effective in managing and improving symptoms—especially when addressed early.
Who Is Most at Risk for Pelvic Organ Prolapse?
Pelvic Organ Prolapse doesn’t happen overnight—it’s often the result of years of gradual strain on the pelvic floor. While anyone with a pelvis can develop POP, certain factors increase the risk significantly.
One of the most common contributors is vaginal childbirth, especially when there are multiple deliveries, prolonged labor, or the use of forceps or vacuum assistance. These experiences can stretch and weaken pelvic floor muscles, leaving them less able to support the pelvic organs over time.
Aging and menopause also play a significant role. As estrogen levels decline, connective tissues lose elasticity, and muscles may lose tone—both of which make prolapse more likely. Postmenopausal individuals are often at higher risk, even if they’ve never had children.
Additional risk factors include:
- Chronic coughing (from smoking or conditions like asthma)
- Heavy lifting (especially without proper core engagement)
- Obesity, which increases pressure on the pelvic floor
- Chronic constipation, leading to repeated straining during bowel movements
- Previous pelvic surgeries, like hysterectomy, that may alter organ support structures
Understanding these risk factors can empower individuals to take preventive steps and seek help early—especially with guidance from a pelvic floor physical therapist.
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How Physical Therapy Can Help Manage Pelvic Organ Prolapse
Physical therapy is one of the most effective, evidence-based ways to manage Pelvic Organ Prolapse without surgery. At its core, pelvic floor physical therapy works to strengthen and retrain the muscles that support your pelvic organs, helping to reduce symptoms, prevent worsening, and improve overall function.
The cornerstone of this therapy involves targeted exercises, often referred to as pelvic floor muscle training (PFMT). These exercises go beyond basic Kegels—they’re customized to your unique needs and may include breathing coordination, core engagement, and posture retraining to optimize pelvic support.
Therapists also address muscle imbalances in the hips, abdomen, and low back, which can all contribute to pelvic floor dysfunction. In some cases, manual therapy is used to release tight tissues or restore mobility where needed.
Additionally, you’ll learn behavioral strategies like how to lift safely, manage intra-abdominal pressure, and avoid straining during daily activities—all of which are crucial for long-term management of prolapse.
Best of all, research shows that physical therapy can significantly reduce symptoms and improve quality of life, especially when started early. Many people see meaningful improvements within weeks, and therapy can be a powerful tool in delaying—or even avoiding—surgical intervention altogether.
What to Expect During Physical Therapy for Pelvic Organ Prolapse
Starting physical therapy for Pelvic Organ Prolapse can feel like a big step, but knowing what to expect can ease any uncertainty. At Revive Performance in Columbus, GA, each treatment plan is tailored to the individual—focusing on education, empowerment, and long-term relief.
Your first session typically includes a comprehensive assessment, which may involve reviewing your medical history, discussing symptoms, and evaluating posture, movement patterns, and core strength. With your consent, a gentle internal exam may be performed to assess pelvic floor muscle tone, strength, coordination, and the degree of prolapse.
From there, your physical therapist will build a personalized treatment plan. This might include:
- Guided pelvic floor exercises
- Core stabilization training
- Breathwork and pressure management techniques
- Manual therapy to release restrictions or improve alignment
- Education on daily habits that support pelvic health
You’ll also receive home exercises and lifestyle strategies to reinforce your therapy between sessions. Many clients appreciate how physical therapy addresses the root causes of prolapse symptoms—not just the symptoms themselves.
At Revive Performance, care goes beyond clinical techniques. Our goal is to help you feel stronger, more confident, and better equipped to manage your pelvic health in everyday life.
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When to Seek Help from a Pelvic Health Specialist in Columbus, GA
If you’re experiencing symptoms like pelvic pressure, urinary leakage, or a noticeable bulge in the vaginal area, it’s time to seek professional support. While these symptoms can feel uncomfortable or even embarrassing, they’re more common than most people realize—and they’re treatable.
You don’t need to wait for symptoms to become severe. Early intervention through physical therapy can make a significant difference in preventing the progression of Pelvic Organ Prolapse and improving your daily comfort and confidence.
At Revive Performance in Columbus, GA, our team specializes in pelvic health and understands the sensitive nature of this condition. Whether you’ve recently given birth, are navigating menopause, or have noticed subtle changes in your pelvic support, we’re here to help you move and feel better.
Getting started is simple. Visit our website to request an appointment or learn more about our pelvic health services. You deserve care that listens, empowers, and supports your goals—without judgment and without pressure.