Cozean Pelvic Dysfunction Screening Protocol

Do any of these apply to you?

  • I sometimes have pelvic pain (in genitals, perineum, pubic or bladder area, or pain with urination) that exceeds a ‘3’ on a 1-10 pain scale, with 10 being the worst pain imaginable

  • I can remember falling onto my tailbone, lower back, or buttocks (even in childhood)

  • I sometimes experience one or more of the following urinary symptoms

    • Accidental loss of urine

    • Feeling unable to completely empty my bladder

    • Having to urinate within a few minutes of a previous void (urination)

    • Pain or burning with urination

    • Difficulty starting or frequent stopping/starting of urine stream

  • I often, or occasionally, have to get up to urinate two or more times at night

  • I sometimes have a feeling of increased pelvic pressure or the sensation of my pelvic organs slipping down or falling out

  • I have a history of pain in my low back, hip, groin, or tailbone or have had sciatica

  • I sometimes experience one or more of the following bowel symptoms

    • Loss of bowel control

    • Feeling unable to completely empty my bowels

    • Straining or pain with a bowel movement

    • Difficulty initiating a bowel movement

  • I sometimes experience pain or discomfort with sexual activity or intercourse

  • Sexual activity increases one or more of my other symptoms

  • Prolonged sitting increases my symptoms

If you agree with 3 or more of the statements above, you may have pelvic floor issues and should contact our office. Book a FREE 15-minute photo consultation with Dr. Carri to find out more about how pelvic floor physical therapy can help you.