Steady State Health · Portland, Maine

Orthopelvic Physical Therapy in Portland, Maine

Hip, low back and pelvic symptoms, assessed and treated together.

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Dr. Ashten explaining pelvic and hip anatomy to a client at Steady State in Portland, Maine.

Hip, Low Back and Pelvic Symptoms Overlap More Than People Expect

The pelvic floor does not work alone. It shares load, breath and bracing with the hips, the low back and the deep abdominals, so a problem in one place reliably shows up in another. That is why a hip that will not loosen no matter how much you stretch it, or low back pain that flares with impact, can turn out to be a pelvic floor problem - and why a course of orthopedic rehab that should have worked sometimes stalls.

Most clinics make you choose a lane. You see an orthopedic PT for the hip, or a pelvic floor PT for the pelvic symptoms, and if the two are connected you end up repeating your story to a second therapist months later. Orthopelvic physical therapy treats both at once.

A runner stretching through her trunk at sunrise in Portland, Maine.

Which Kind of PT Should You See?

Hip, low back and pelvic symptoms overlap more than most people expect, and the wrong starting point costs months. Find your symptoms below.

Pelvic Floor PT

Best when your symptoms are purely pelvic and you have no orthopedic problem alongside them.

  • Pain with sex
  • Interstitial cystitis or bladder pain syndrome
  • Constipation
  • Endometriosis
  • Bladder or bowel urgency and incontinence
  • Perineal tears

Orthopelvic PT

Best when the two overlap, or the diagnosis is not settled. One therapist treats both instead of sending you between two.

  • Abdominal or inguinal hernia
  • Stress incontinence, urinary or fecal
  • Pelvic organ prolapse (POP)
  • Levator ani avulsion (LAA)
  • Diastasis rectus abdominis (DRA)
  • Pregnancy or postpartum
  • Deep glute pain
  • Pinching or tightness at the front of the hip
  • Tailbone or sit bone pain
  • Symptoms that get worse with stress
  • Hip stiffness or tension that persists despite stretching

Orthopedic PT

Best when you have a clear orthopedic diagnosis and no sign of a pelvic floor issue.

  • Tendinopathy or strain of the glutes, hamstrings, adductors or hip flexors
  • Hip labral tear
  • Bursitis
  • Femoral acetabular impingement (FAI)
  • Hip osteoarthritis
  • Lumbar radiculopathy
  • Sciatica
  • Piriformis syndrome
  • Stress fracture of the femur, sacrum or pelvis

Already in orthopedic PT and not improving? That is the most common reason people end up in orthopelvic care - an unaddressed pelvic floor contribution is often what stalls hip and low back rehab.

Why One Therapist for Both

When the hip and the pelvic floor are treated by two people, each one works around the other. Load gets progressed by one and pulled back by the other, and nobody owns the question of which tissue is actually limiting you. Treating both together means the strength work, the breath and pressure work and the return to running all get built on the same plan.

At Steady State our pelvic floor therapists are also orthopedic and running clinicians, so this is not a handoff between two specialists - it is one assessment that covers both.

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Not Sure Which One You Need?

That is exactly what the discovery call is for. Tell us what is going on and we will tell you which kind of PT fits - even if that turns out not to be us.

Two women running together at sunrise along the water in Portland, Maine.
Rather send a message than pick a time?

Pelvic health concern? Use our pelvic health contact page. You can also contact us here.

From the blog

Our posts about pelvic health

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