Pelvic Floor Rehabilitation - PT of the city

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Pelvic Floor Rehabilitation

Pelvic floor, Everyone has a pelvic floor. It’s made up of the muscles that support the urinary and reproductive tracts. This group of muscles also controls your bladder and bowels.

In women, the pelvic floor keeps your bladder in place in the front and the vagina and rectum in the back. Your uterus is held in place at the top of the pelvic floor by muscles, tendons, and connective tissue. In men, the pelvic floor helps keep the bowels, bladder, urethra, and rectum in place.

The pelvic floor muscles attach to your tail bone and pubic bone. If the muscles in the pelvic floor are weak or don’t work as they should, this is called pelvic floor dysfunction.

Muscles support the organs in the pelvis, help the body to start and stop urine and bowel movements, help during sexual activity and help with posture support and ligament stability. That’s why any pelvic problem disrupts quality of life, such as urinary incontinence, frequent urination, pelvic organ prolapses, chronic pelvic pain and pregnancy-related pain or dysfunction. Pelvic floor physical therapy is a treatment to help address pain, weakness, and dysfunction in the pelvic floor muscles. Treatment program includes nerve release, biofeedback, trigger point therapy, electrical stimulation, skin rolling, dilators, joint mobilization, myofascial release, synchronization of breathing with the pelvic mobility and ultrasound uses.

Pelvic floor physical therapy is a treatment for problems related to the pelvic floor. This specialized therapy includes exercises that can help relieve symptoms like pain, discomfort, and disruptions to your quality of life.

Pelvic floor muscles become weak, too tight or painful for many reasons. This is not all due to ageing. Pelvic floor problems often start with pregnancy and childbirth and they are also common in young athletes. Men, women and children of all ages need a healthy pelvic floor.

Pelvic health or Women’s health physiotherapy has proven to be effective in treating and preventing many conditions.

  • To strengthen or relax pelvic floor muscles
  • Bladder and bowel symptoms
  • Prolapses
  • Sexual satisfaction
  • Childbirth preparation and recovery post birth
  • Rehabilitation before and after surgery
  • Core stability and back problems

How we help

We can help you with many pelvic problems, including:

  • Urinary incontinence — the involuntary leakage of urine when you cough, sneeze, laugh or move
  • Urgency or frequency of urination — when you have an abnormal urge to urinate (pass urine) and you have to urinate more than eight times in a day
  • Pelvic organ prolapse — when an organ in the body moves out of place
  • Chronic or long-term pelvic pain — pain in the stomach area or pelvis that has lasted more than three months and isn’t due to disease or problems like difficult or painful sexual intercourse, menstrual cramps or endometriosis (when the lining of the uterus or womb grows outside of the uterus)
  • Pregnancy-related pain or dysfunction — involves problems like diastasis recti (separation of the abdominal wall during or following pregnancy), pelvic floor injury or weakness following childbirth and low back or pelvic pain during or after pregnancy.

How we help build pelvic muscle strength

Your care may include:

  • Retraining pelvic floor muscles with core and pelvic floor exercises, such as Kegel exercises
  • Electrical stimulation to strengthen weak muscles
  • Helpful exercises
  • Patient education on self-management at home

How to care for pelvic floor problems

Pelvic floor physical therapy appointments are usually scheduled every one or two weeks and take about an hour. As your muscles get stronger, you won’t need to come in as often. Patients are usually seen for six visits, but this depends on your care needs.

Once your symptoms are better, we typically do a phone or in-person follow up after one month. We usually ask you to keep doing the home exercises on your own.

If you keep doing the home exercises on your own, your muscles will stay strong, and you’ll lessen the chances of your problems starting again.

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