Curious to learn more? Book a 10-min free intro call.

Interstitial Cystitis

The Gist: What Is Interstitial Cystitis?

Also known as: bladder pain syndrome, painful bladder syndrome.

Interstitial Cystitis (IC) is a condition whose definition has continually evolved since it was first discovered in the late nineteenth century, as has its criteria for diagnosis and strategies for treatment. Unfortunately, these changes have inevitably led to difficulty accurately estimating the prevalence, incidence and cause of this condition, as well as developing consistency in a standard of care for individuals living with IC.

Today, IC is most commonly referred to as interstitial cystitis / bladder pain syndrome (IC/BPS) and is defined by "...chronic (>6 mos) pelvic pain, pressure or discomfort perceived to be related to the urinary bladder accompanied by at least one other urinary symptom such as persistent urge to void or frequency. Confusable diseases as the cause of the symptoms must be excluded." In order to be diagnosed with IC/BPS, a series of tests and examinations must first be completed by your doctor in order to rule out "confusable diseases" such as endometriosis, overactive bladder, and urinary tract infection. Once diagnosed with IC/BPS, further testing is performed to determine whether any distinctive, painful areas of inflammation can be found in the bladder wall, also known as Hunner's lesions, as this discovery will alter your plan of care.

Who Gets Interstitial Cystitis? When Does It Occur For Women?

Today, IC/BPS is considered more than just a "bladder disease" involving damaging lesions; instead, it is viewed as a "complex neuromuscular disorder that can involve the bladder, the pelvic floor muscles and/or the nerves." This recent recognition of the diversity in presentation of IC/BPS symptoms has since expanded the theories of its source of origin. It is now proposed that, in addition to Hunner's lesions, bladder wall injuries following UTI or chemical exposure, pelvic floor injuries stemming from childbirth or a fall, pudendal neuralgia or nerve entrapment, and multiple pain disorders may also lead to a diagnosis of IC/BPS.

The Origin Way: Physical Therapy For Interstitial Cystitis

While relatively rare, if Hunner's lesions are present, this will change your course of treatment. All IC/BPS patients will receive conservative lines of treatment initially, but those patients found to have lesions present will often also be treated with medication, fulguration, cystoscopy with hydrodistension, or reconstructive surgery.

The American Urological Association (AUA) has provided guidelines for treatment of IC/BPS based upon potential benefit versus potential adverse or irreversible effects. As a "first-line" of treatment, the AUA recommends all patients receive education regarding their condition, self-care guidance, behavioral modifications, and stress management practices. The "second-line" treatment for patients with this condition includes pelvic floor Physical Therapy for reduction of pelvic floor muscle tenderness, spasms, scar tissue, and myofascial restrictions.

At Origin, our Physical Therapists are trained to support your healthcare team and you by providing both "first-" and "second-line" treatments. Our therapists are trained to help reduce pelvic floor dysfunction and myofascial restrictions with manual therapy to the muscles in and around the pelvis, as well as provide education and support regarding normal bladder habits, symptom management strategies, and breathing techniques to manage stress and anxiety.

A typical plan of care in Physical Therapy will involve working with your therapist to better understand your personal experience with IC to determine your current or most pressing symptoms and to set achievable goals that will improve your quality of life. Depending on the severity of your symptoms and compliance with your program including behavioral modifications, exercise compliance, and stress management techniques, you may develop independence in your plan of care in as little as two months.

How Long Does It Take?

However, it is not uncommon for patients with IC to have flare ups that might require extra attention from your Physical Therapist periodically. At Origin, we are prepared to support you each step of the way, so that you can feel confident in your ability to manage your symptoms on your own, while also feeling empowered to seek support from your Physical Therapist whenever you need it.

What To Expect In The Future

Currently, there is no cure for IC/BPS and this can be daunting, even depressing, for many individuals diagnosed with this condition. However, much like many survivors of other incurable conditions, remission is possible and sustainable. With adequate treatment, you can become independent and confident in managing your symptoms, improving your quality of life, and achieving your goals.

Additional Reading And Sources

Han, Esther, et al. "Current Best Practice Management of Interstitial Cystitis/Bladder Pain Syndrome." Therapeutic Advances in Urology, vol. 10, no. 7, 2018, pp. 197 - 211., doi:10.1177/1756287218761574.

Hanno, Phillip M, et al. "Diagnosis and Treatment of Interstitial Cystitis/Bladder Pain Syndrome." American Urological Association, 2014, www.auanet.org/guidelines/interstitial-cystitis-(ic/bps)-guideline.

Merwe, Joop P. Van De, et al. "Diagnostic Criteria, Classification, and Nomenclature for Painful Bladder Syndrome/Interstitial Cystitis: An ESSIC Proposal." European Urology, vol. 53, no. 1, 2008, pp. 60 - 67., doi:10.1016/j.eururo.2007.09.019.

Osborne, Jill. "What Is Interstitial Cystitis and Bladder Pain Syndrome" Interstitial Cystitis Network , 19 Jan. 2017, www.ic-network.com/interstitial-cystitis/what-is-ic.

Payne, Christopher K. "A New Approach to Urologic Chronic Pelvic Pain Syndromes: Applying Oncologic Principles to 'Benign' Conditions." Current Bladder Dysfunction Reports, vol. 10, no. 1, 2015, pp. 81 - 86., doi:10.1007/s11884-014-0272-5.

Interstitial Cystitis

The Origin Way

Common & Treatable

No items found.

Physical therapists standing and smiling together after an Origin even

The Origin Team

Our pelvic floor and orthopedic physical therapists have helped over 15,000 patients feel better in their bodies.

Meet Our PTs

Covered by Insurance

Taking care of yourself shouldn’t break the bank. Learn more here.

Vaginal & C-Section Birth Recovery
Vaginal & C-Section Birth Recovery
Virtual Care for Busy Moms
Heal & strengthen right from home. Yes, your baby can crash your Zoom call.
The #1 Pelvic Floor PT Platform

Feel-Good Care for Your Fourth Trimester

Every postpartum body deserves expert care. Meet with your PT in-person or virtually, restore strength & balance, and get the support you need to feel your best.

Book Now

What do you get?

Treat & prevent symptoms

Treat & Prevent Symptoms

Heal from childbirth, prevent pain, and rebuild your abs & pelvic floor.

Feel like your best self again

Feel Like Your Best Self Again

Defy "mom body" stereotypes by feeling stronger than ever.

Get back to activities you love

Get Back To Activities You Love

From exercise to sex to returning to work, move with total confidence.

Covered by Insurance

Postpartum recovery shouldn’t break the bank. Learn more here.

Trusted by Doctors, Loved by New Moms

Origin provides OBGYN-recommended pelvic & whole body physical therapy that’s evidence-based and personalized to meet your needs.

100%
of OBGYNs recommend pelvic floor physical therapy postpartum
89%
of postpartum patients saw improvement in symptoms
90%
of postpartum patients recommend Origin to new moms

Expert care & support

  • 6 visits with a pelvic floor physical therapist
  • Personalized exercise program, updated weekly
  • Educational resources prescribed for you
  • Tracking tools to keep you motivated
  • Opportunities to connect with & support other moms

Full-body recovery

  • Evaluate your symptoms
  • Heal perineal tears
  • Care for your Cesarean scar
  • Stop bladder leaks
  • Heal diastasis recti
  • Relieve pelvic pain / pain with sex
  • Improve bowel function
  • Alleviate mastitis / clogged milk ducts
  • Treat and prevent low back pain
  • Support your body for better sleep
  • Prevent injury while caring for baby
  • Return safely to exercise

What Our Patients Say About Origin

Stephanie S.
"I found Origin when I was pregnant. After having my baby, I came back to do pelvic floor work. It's been a godsend!"
Stephanie S.
Separated Abs, Pregnancy
Sophie S.
"After my c-section, I was experiencing core weakness, SI joint and hip pain, and tightness in my scar. My PT was incredible to work with and helped me meet my goals."
Sophie S.
Postpartum, C-Section Recovery
F.C.
"I'm from France, where pelvic floor care is considered crucial post-delivery, and I was so happy when I found Origin. The team is knowledgeable, professional, and thoughtful in their medical approach."
F.C.
Postpartum
Jennifer S.
"I've learned great exercises and adjustments for daily movements to reduce strain and pain. I've been delighted by how effective the virtual visits are."
Jennifer S.
Low Back Pain

As seen in

WSJ
The Cut
Tech Crunch
The New York Times
Today
Vogue
Postpartum recovery doesn't "just happen." Restore your body with physical therapy.

Postpartum recovery doesn't "just happen." Restore your body with physical therapy.

Schedule Now

Postpartum FAQ

No items found.

There's More to Share!

You might have pelvic floor dysfunction and not even know it.

Take our quiz to find out.