Pelvic Floor Physiotherapy
Vital Core Pelvic Floor Physio's are highly qualified and experienced in this specialised area of pelvic health. Women and men no longer need to suffer in silence. Incontinence (bladder or bowel), prolapse, pain or intimacy issues are no longer taboo topics. Please , come talk to us, we can help!
The Pelvic Floor?
Pelvic Floor Physiotherapy is a highly specialised area of care. It considers all the structures of the pelvis (women, men and children) and how they relate together as well as a part of the whole person.
We often don’t know anything about our Pelvic Floor until it is put under stress and perhaps causes urinary incontinence or prolapse symptoms, or for the blokes when the prostate causes problems with doing a wee, or when deep pain occurs in the pelvis for seemingly now reason.
So if this has been you, don’t be embarrassed, or alarmed you’re not alone. So lets start learning.
The roles of the Pelvic floor muscles include:
- Supporting the Pelvic organs (Bladder, Rectum and Uterus in women).
- Maintaining urinary, feacal and flatus continence.
- Allowing effective urination and defecation.
- Aiding in sexual arousal
- Assisting in core control (working with you abdominals, back muscles and breathing)
When there’s a problem with the pelvic floor…
There are a number of reasons that problems can develop in the pelvic floor. These may include (but not limited to):
- Child birth
- Bowel issues especially constipation and straining.
- Incorrect exercising (unfortunately!)
- Enlarged prostate (men only)
- Chronic respiratory issues and coughing
- Surgery, especially prostate surgery, urogynaecological surgery, gynaecological surgery and bowel surgery.
- Weight gain through the tummy
- Hormonal changes
- Life stress
- Interstitial Cystitis
How can Pelvic Floor physiotherapy at Vital Core help?
- Firstly we find out exactly what is concerning you. What your goals are. What you need or want to be able to do.
- We ask you lots of questions to understand all the signs and symptoms that will help determine the possible cause(s) of your problem.
- We 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.
- We educate you on what is happening and why.
- Together we will structure a treatment plan to get you back on track and achieving your goals
- Treatment techniques may include;
- Pelvic Floor muscles training to improve coordination, strength, or endurance.
- Functional training to learn to use your muscles in the real world.
- Relaxation or ‘down training’ for muscles that are working too hard potentially causing pain or dysfunction.
- Lifestyle education to help use and protect your pelvic floor through out the day.
- Exercise advice to get fit and strong without compromising your pelvic floor.
Other common pelvic floor problems we see at Vital Core:
Childhood bedwetting – from the age of 7, most children should be dry at night. With thorough questioning we can determine just what is the best line of action to take for your child. Treatment options include;
- Day time fluid management
- Day time bladder and bowel habit training.
- Bladder awareness training
- Night time drones training program.
- Referral to a GP for further medical advice.
Prolapse is a condition where an internal organ (usually bladder, uterus or bowel) are dropping down into the vagina. It is a common condition in women particularly after having children or after menopause. We can help to reduce symptoms, prevent progression and prevent or delay surgery. Common ways we do this are;
- Pelvic Floor Muscle training
- Pessary supply, fitting and management. Pessaries are flexible silicon devices inserted into the vagina to support a prolapse. Pessaries were once reserved for the very old and frail or those who had not yet completed their child bearing. Today we can use them as an alternative to surgery. They are simple to self manage and with the right education and management are extremely safe for most women.
- Lifestyle advice. Certain activities will put more pressure down on a prolapse. Once you understand this you can decrease symptoms.
- General exercise advice. Making other muscles stronger can take strain away from a prolapse.
If you have a problem with Please come and see the team here at Vital Core and we can help get you back into the life you want to lead.