Relaxing the Pelvic Floor with use of a Rectal Wand

Using a Pelvic Floor Wand (RECTALLY)

You’ve heard of using a wand vaginally, but did you know you can also use a pelvic floor wand rectally? A rectal wand may be a helpful tool as part of a multimodal approach to pelvic pain, pelvic floor dysfunction, or tailbone pain for both male and female anatomy. It can be used rectally at various angles to apply gentle pressure and release the pelvic floor musculature. It is strongly encouraged to use the wand in combination with treatment or guidance by a pelvic health provider.

Using the wand:

First, let’s consider what positions may work:

• Semi-reclined on your back with pillows under knees
• On your side, with pillows between your legs
• Reclined in a bath (without soap products in water)
• Half-kneeling with one knee up and one knee down

Next, place the lubricated tip of the wand at the entrance to the rectum and slowly insert it. Take deep, relaxing breaths (a gentle squeeze & relax may help).

To understand what sort of movements to make with the wand, think of your rectum like a clock (see below). 12 o’clock is your pubic bone and 6 o’clock is your tailbone. Gently move the wand from the back of the pelvic floor (tailbone) to the right hip then up to the pubic bone. Repeat on the other side.

You can either perform gentle sweeping motions (blue arrow – see below) or gentle pressure/stretch down (green arrow) anywhere between 3-5 o’clock or 7-9 o’clock, or upward (red arrow) between 10 o’clock and 2 o’clock.

Holding the wand still and gently rolling your leg in and out may also address the pelvic floor tension without as much wand motion needed.

Another option in some cases is to apply gentle pressure to a tender area for up to 90 seconds, especially if a decrease in pain is noted after the pressure is applied. Apply pressure as if you were gently checking a tomato for ripeness. For some, this can be uncomfortable or painful and would not be advised. If it’s uncomfortable, follow up with your pelvic therapist.

Mindset is everything. Let your mind remind your body you are safe. Upon initiating a technique, you might feel increased soreness, but it should decrease as you continue. If not, follow up with your pelvic therapist about another technique to try.

Use the wand as you feel it helps to relieve your symptoms, typically 1-2 x day, about 5-10 min, 3-7 x week. Increase or decrease use as needed (as determined by your symptoms). Wean as it feels appropriate to do so or as directed by your pelvic health provider.

Cleaning the Wand: 

Before Use: Wash the wand with gentle soap and water. Use water-based organic lubricant. Silicone or oil lubricant will damage silicone dilators.

After Use: Clean the wand with gentle soap and water. Do not boil or use alcohol or harsh chemicals on the wand. Store in a convenient place, preferably in the case that comes with the wand.