What is Pelvic Health Physiotherapy?
People of all ages have far too many pelvic health issues, but because of social stigmas, these concerns are rarely discussed. Due to this, many people suffer in silence and guilt by themselves, never realizing that they have access to efficient, research-backed therapeutic choices.
The Importance of Good Pelvic Health
Located on the front, rear, and sides of the pelvic bone as well as the sacrum, the pelvic floor muscles
act as a hammock or sling for our abdominal organs. They also encircle your rectum, vagina (in women),
and urethra (where urine flows). To keep oneself clean, the pelvic floor muscles need to be able to
contract, and they also need to relax, to allow for bowel motions, urine, and, in women, sexual
penetration.
The Main Functions of the Pelvic Floor Muscles Are:
Sphincter: To prevent urinary and fecal leakage.
Support: For our internal organs (bladder, uterus, and rectum).
Stability: For our back and pelvic girdle.
Sexual: To increase satisfaction in sexual activity.
Circulation: Actions to assist the lymphatic system and veins in bringing blood back to the trunk.
Pelvic Floor Dysfunction Can be Caused By:
- Under-Activity/Hypotonicity of the Pelvic Floor Muscles (Weakness): Contributing to symptoms
of incontinence and pelvic organ prolapse. - Over-Activity/Hypertonicity of the Pelvic Floor Muscles (Tightness): Contributing to symptoms of
chronic pelvic pain, dyspareunia (pain with intercourse), vaginismus, vulvodynia, pudendal
neuralgia, interstitial cystitis/bladder pain syndrome, endometriosis, chronic prostatitis, urinary
and fecal urgency, and urge incontinence. - A common cause of pelvic pain is from dysfunction of the pelvic floor, particularly
hypertonic or too tight muscles. These muscles can cause pelvic pain, as well as urgency
and frequency in the bladder and bowels, when they are over-tensed or hypertrophic.
When hypotonic, or underactive/low tone, they might exacerbate pelvic organ prolapse
and incontinence. - Additionally, you may have a mix of overly tight and overly relaxed
muscles.
How Will We Help You?
- If the muscles of your pelvic floor are both weak and tense, the weakness is treated first.
The muscle strength is evaluated again and strengthening exercises may be
recommended once they have attained a normal resting tone and can completely relax. - An essential component of treating pelvic floor dysfunction is self-care. It’s crucial to
avoid pushing or straining when peeing or having a bowel movement. - It might also be beneficial to employ techniques like warm baths and deep breathing.
Since the pelvic floor is a region where we frequently keep tension, persistent pain
education is crucial to the treatment of pelvic floor dysfunction. Our thoughts, attitudes,
and beliefs, coupled with anxiety and stress, can exacerbate pelvic pain. - Reducing the risk of persistent pelvic floor dysfunction has been demonstrated to be possible by
understanding how our pain system functions.
Conditions treated
Pregnancy/Ante-natal/post-natal
Post-partum strengthening
C-section recovery
Incontinence
Pelvic pain
Diastasis Recti correction