15 FAQs When To Seek Physical Therapy After Pelvic Surgery: Signs You Need Help

1. Why would I need physical therapy after pelvic surgery?

Pelvic surgery can impact your muscles, nerves, posture, and pelvic floor function. Physical therapy helps restore mobility, reduce pain, and rebuild core and pelvic strength for a more complete recovery.

2. How do I know if something is wrong after surgery?

Common signs include:

• Pelvic pressure or heaviness

• Urinary leaking or urgency

• Pain with movement or intimacy

• Difficulty with bowel movements

• Feeling unstable or disconnected from your body

If you notice any of these, it’s time to consult a pelvic physical therapist.

3. Is it normal to feel pelvic pressure after surgery?

Mild pressure can be part of early healing, but persistent or worsening pressure may indicate prolapse or muscle dysfunction and should be evaluated by a pelvic PT.

4. Can physical therapy help with incontinence after surgery?

Yes. Pelvic PT is highly effective for urinary or fecal leaking, urgency, and frequency by retraining your pelvic floor and core coordination.

5. What if I have pain during sex after surgery?

Pain with intimacy can be related to scar tissue, muscle tightness, or nerve sensitivity—all of which pelvic PT can treat gently and effectively.

6. How soon can I start pelvic physical therapy after surgery?

Most people begin PT around 4–6 weeks post-op with clearance from their surgeon. Some gentle techniques like breathing and body awareness can begin earlier if recommended.

7. I had surgery months ago—can PT still help me?

Absolutely. It’s never too late to benefit from pelvic physical therapy, even if your surgery was years ago and symptoms are just now showing up.

8. My scar feels tight or numb—should I be concerned?

Yes. Scar tissue can limit mobility and cause discomfort. A pelvic PT can help mobilize and soften scar tissue for improved movement and sensation.

9. I feel afraid to move or exercise after surgery—is that normal?

Yes—and you’re not alone. A pelvic PT will guide you back to movement safely, helping reduce fear and restore your confidence.

10. Can PT help with constipation or difficulty emptying my bowels?

Yes. Pelvic PT can address muscle coordination and tension that affect bowel movements, and teach techniques for easier, safer elimination.

11. What types of pain should I not ignore after surgery?

• Ongoing pelvic, hip, or low back pain

• Pain when sitting or walking

• Pain with urination or bowel movements

• Pain with internal exams or sex
  These are treatable signs—not something you should “push through.”

12. Is pelvic heaviness or bulging a red flag?

Yes. These can be symptoms of pelvic organ prolapse or poor pelvic support. Early intervention with PT can help manage or prevent progression.

13. What will a pelvic PT do in my first session?

Your therapist will take a full history, assess posture, mobility, breathing, and possibly your pelvic floor (internal or external, with consent), then create a customized recovery plan.

14. Do I need a doctor’s referral to see a pelvic PT?

In many places, you can self-refer to a pelvic PT, but check with your provider or insurance for specific requirements in your area.

15. What if I’m not sure whether PT is right for me?

If something doesn’t feel right—or you’re unsure if your symptoms are “normal”—a pelvic PT can provide a professional evaluation and peace of mind. It’s always okay to ask for support.