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Pelvic Floor Physical Therapy

Overview

Pelvic floor physical therapy is the assessment and treatment of various conditions that involve the pelvic floor or symptoms that manifest in this area. It can be a crucial part of an individual’s complete medical care. The pelvic floor includes muscles, ligaments, nerves and connective tissue. It plays an important role in the body by providing support for the bladder, genitals, uterus and anus.

If you experience any of the symptoms below, you will benefit from pelvic floor  physical therapy:
  • <br />
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    Urgency:

    an inability to control a strong, compelling urge to urinate or defecate.

  • <br />
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    Nocturia:

    waking at night repeatedly to urinate.

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    Constipation:

    difficult passage of hard stools less than three times a week, one week out of four.

  • <br />
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    Frequency:

    having to urinate so frequently that your normal routine is affected.

  • <br />
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    Incontinence:

    leakage of urine, gas or feces that is difficult to control.

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    Pelvic pain and chronic pelvic pain syndrome:

    pain within or around the pelvic region without any positive physical diagnosis or medical explanation.

Other common symptoms may include:

  • Painful intercourse
  • Burning
  • Heaviness
  • Pressure
  • Prostatitis
  • TO BOOK AN APPOINTMENT:
    Call us at 518-346-0605

Treatment

There are various modes of pelvic floor treatment that are well supported by the scientific literature and can be effective as part of your care. Some of these treatment options are:

  • 1
    Education

    Education is power! You cannot under-estimate the importance of knowledge. Understanding the anatomy and physiology of the pelvic floor, posture education as well as knowing how to deal with chronic pain symptoms are vital to your recovery. Many clients have improved their symptoms by simply understanding how various aspects such as lifestyle, diet, urinary and bowel hygiene can affect the pelvic floor.

  • 2
    Personalized exercise program

    As with other musculo-skeletal joints in the body, an individualized exercise program including stretching, strengthening, proper posture and breathing techniques are essential for overall pelvic health. Areas within the pelvic floor and other muscles surrounding the pelvis, thorax and lower limbs will be targeted.

  • 3
    Manual therapy

    This is presently the preferred method when treating pelvic floor dysfunction. It involves various hands-on techniques such as: stretching, facilitation, soft tissue massage, mobilization as well as connective tissue, myofascial and trigger point release techniques to the affected muscles and tissue.

  • 4
    Biofeedback

    This form of treatment involves the introduction of a probe that can help visualizing how reacts the pelvic floor muscles. An electrical device is used to help provide auditory or visual feedback on how well or poorly you are using your muscles. This feedback helps you to recruit the muscles more effectively resulting in improved continence or pelvic pain symptoms.

  • 5
    Electrical Muscle Stimulation (EMS)

    This is also known as neuromuscular electrical stimulation (NMES). It involves the use of electrical impulses that help facilitate pelvic floor muscle contraction to improve strength. It can also be used to help with symptoms of pelvic pain and urgency.

  • 6
    Bladder training

    It is important to review your voiding patterns with your therapist to ensure appropriate bladder and bowel habits. This is essential in helping to normalize your overall pelvic function.

  • 7
    Hypopressive Exercise

    This is a series of specific postures and breathing techniques that create a lower pressure system to the abdomino-pelvic area while reflexively recruiting the pelvic floor muscles. This can be helpful for improving or preventing urinary incontinence and prolapse conditions. It also helps with improving general posture and stimulates the sympathetic nervous system, which can result in higher energy levels and mood.

  • 8
    Other treatments to minimize pain

    This may include the use of heat, cold, trans-electrical nerve stimulation (TENS), interferential current (IFC), guided imagery, breathing and relaxation techniques. Your therapist will be happy to discuss these other options with you.

Did you know?

  • 1 in 3 women experience urinary
    incontinence
  • Over 30% of women perform pelvic floor contractions exercises
    incorrectly
  • 30-50% of women have a minor pelvic organ prolapse
    after a vaginal delivery

All women in France are given access to pelvic floor physiotherapy after having a baby

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