What conditions can be treated with Pelvic Floor Physiotherapy?

Pelvic Floor Muscle dysfunction is more common than you think. It is not normal to leak when you laugh or sneeze.
Pelvic floor physiotherapy can help anyone who suffers from any of the following symptoms;

    Diastesis Recti: Diastesis Recti is a separation in abdominal muscles (rectus abdominus) which often happens during pregnancy. You might notice a bulge down the centre of your abdominals when you move or that you can sink your fingers into the space between your abdominal muscles across the middle of your tummy.  Pelvic Health Physiotherapist can teach these clients proper exercises, what to do and what not to do. We use ultrasound to determine a treatment program helping to flatten your tummy.

    Urinary incontinence is not being able to control or involuntary loss of urine. Approximately 25% of adults have urinary incontinence. Women are affected twice as often as men. It is not normal to have incontinence after child birth or with aging.

There are 2 common types of urinary incontinence.

Stress incontinence happens to many people when they cough, sneeze, walk, run or exert themselves. These actions increase the pressure within the abdom. The increased pressure squeezes the bladder. Urine leaks out when the pressure squeezing the bladder is greater the the closure pressure of the sphincters sealing the urethra. Pelvic floor muscle (Kegel) exercises can help stop this leakage. Three quarters of women are doing these exercises incorrectly.

Urge incontinence occurs when there is a sudden need to empty the bladder. This urge is caused by an overactive contraction of the bladder muscle. the problem is compounded with weak pelvic floor muscles.Some things that can cause your bladder to become overactive are: small bladder capacity, nerve damage, caffeine and anxiety. Medications can help the bladder be less active.

We use real time ultrasound to help you learn to contract and strengthen your pelvic floor. we also assist you learn behavioral changes to help you regain control of your bladder.

    Bowel  Incontinence is the involuntary loss of stool or gas. It is not a disease but a sympton of a physical or neurological problem that can be helped with pelvic floor physiotherapy.

    Coccydynia or Tailbone pain is persistent pain at the bottom of spine or tail bone pain. It can be caused by trauma to the coccyx by falling on it, vaginal child birth or prolonged sitting on a hard surface. It can make it difficult to sit, lie flat or go from sitting to standing. We can fully assess and treat both the joint and surrounding muscles and tissue.

    Constipation: Damage of Pelvic Floor muscles and ligaments can cause chronic constipation. Pelvic Health physiotherapy can help by providing education about proper diet, proper toilet habits, positioning and exercises.

    Painful Intercourse is also known as vulvar vestibulodynia.  Vaginal pain is not in your head. It is a common and often misunderstood condition that many women suffer from. the pain can be caused from intercourse, tampon use, riding a bike or even sitting or wearing tight pants.

A study published in the Journal of the American Medical Women’s Association [2003] demonstrated that 16% of the female population experienced vaginal pain at some point in their life. Many women chose not to seek treatment, of those that did, 60% saw 3 or more doctors, many of whom could not diagnose the condition.

It is often misdiagnosed as a yeast infection and the actual cause of the condition is unknown.

Treatment options available include physical therapy, medications, dietary modifications, stress and pain management, counselling and exercise.

    Pelvic Organ Prolapse: normally the pelvic organs are supported and held in place by pelvic Floor muscles. When these muscles are weakened, the pelvic organs- bladder, uterus, rectum and vagina- can drop down. It can cause pain, incontinence, constipation and painful intercourse.Types of Prolapses are Cystocoele which is the most common form of prolapse when bladder protrudes in to vagina. Rectocel is when rectum bulge in to the back of vagina. Uterine prolapse is when uterus bulges in to vagina and Urethrocele which is prolapse of Urethra.

    Pregnancy pre-post partum: Pelvic Health Physiotherapy can help women to prepare for delivery; also it can help to strengthen pelvic floor muscles after delivery.

    Persistent pelvic pain or chronic pelvic pain: Pelvic health physiotherapy can help these patients by providing pain education and help them to understand the neurophysiology of pain. Also, teaching relaxation techniques, providing education about proper sleep and positive thinking.

    Vaginismus or inability to vaginal penetration which is considered as connective tissue dysfunction.

    Vulvodynia is a pain condition can be felt anywhere in the vulva, perineum and vagina. Pain is usually constant and made worse with contact.

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