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Pelvic Floor Physiotherapy

What is the Pelvic Floor?

As it sounds the “Pelvic Floor” refers to a group
of muscles that sit at the base of the pelvis. Yes! Men and women both have pelvic floor muscles, and problems can occur for both genders.

The roles of these muscles include:

  • Supporting the Pelvic organs (Bladder, Rectum and Uterus in women).
  • Maintaining urinary, feacal and flatus continence.
  • Aiding in sexual arousal
  • Assisting in core stability

When there’s a problem

There are a number of reasons that problems can develop in the pelvic floor.
These may include (but not limited to):

  • Back injury
  • Increased weight
  • Repetitive heavy lifting
  • Pregnancy
  • Child birth
  • Incorrect exercising (unfortunately!)
  • Surgery, especially prostate surgery, urogynaecological surgery, gynaecological surgery and bowel surgery.

What can we do?

  • Assess the Pelvic Floor in relation to the symptoms and the possible mechanism of injury through thorough questioning.
  • Examine the pelvic Floor and the surrounding muscles for correct alignment, tone, and activation, as well as control, strength and endurance. This may include an internal examination.
  • Train Pelvic Floor muscles using biofeedback and manual techniques to improve strength, endurance, coordination or relaxation, as required.
  • Teach specific pelvic floor exercises dependent on examination findings, lifestyle needs and patient goals.

 

Other conditions:

  • Childhood bedwetting – from the age of 6,  children should be dry at night.  If your child isn’t yet, please call to make a time, where a thorough examination will indicate if you need to seek further medical advice, or whether your child is ready for a night time dryness training program.
  • Prolapse diagnosis, strategies to manage (in consultation with your GP and your gynaecologist) and pessary fitting.  We find that pessaries are particularly valuable for women who are not suitable candidates for surgery because their symptoms are not yet bad enough or they haven’t completed their family. Pessaries can be used for a short period of time, a number of months, or for years, depending on your circumstances.

Links
continence.org.au

My dryness tracker