Pelvic Health for Women

Pelvic floor physiotherapy is the assessment and treatment of dysfunctions of the pelvic floor muscles which include incontinence, pelvic pain and organ prolapse.

We can help with incontinence, pelvic pain, sexual dysfunction and more.

Pain during intercourse and incontinence are challenging topics of discourse. However, they are a reality for many women. These symptoms may impact an individual’s quality of life and relationships.

Specialized physiotherapy is the first line of defense against these issues according to evidence based research and clinical guidelines.

Therefore, let Rx Physio’s specialized physiotherapist therapist help you address any potential pelvic floor concerns.

Pelvic Pain

Nearly 15% of women aged 18 to 50 years old suffer from chronic pelvic pain and on average seek help from three or more medical doctors. Despite this, 61% of sufferers still have no diagnosis.

Types of Pelvic Pain

  • Vulvodynia
  • Coccydynia
  • Vestibulodynia
  • Dyspaerunia/Vagnismus
  • Pudendal neuralgia
  • Low back pain
  • Hip pain
  • Vaginismus
  • Interstitial cystitis/bladder pain syndrome
  • Endometriosis

Signs and Symptoms

If you have any of these symptoms, you may have persistent pelvic pain. Our pelvic health therapists can help:

  • Pain in the vagina, perineum or rectum
  • Pain in your bladder region
  • Difficulty with preventing loss of urine
  • Losing control of your bowels or bladder
  • Pain during intercourse
  • Itching/stinging in your vulva/vagina with or without infection
  • Recurrent urinary tract infections

Incontinence

Nearly half of the women experiencing urinary incontinence are between 35 and 54 years of age.

  • Leaking urine when laughing, coughing, or jumping
  • Urgency to go to the bathroom frequently
  • Incomplete emptying of the bladder
  • Hesitation to start a urine stream
  • Passive leaking

Causes of Incontinence

  • Weakening of the pelvic floor muscles
  • Trauma due to pregnancy, labour, and delivery
  • Prolapse of pelvic organs
  • A consequence of surgery
  • Changes due to aging and menopause

Treatment Includes:

  • Progressive strengthening exercises
  • Connective tissue massage
  • Myofascial sift tissue techniques
  • Bladder retraining
  • Behavioural techniques
  • Electrical muscle stimulation
  • Manual therapy techniques
  • Education

Research shows that the treatments carried out by a physiotherapist for pelvic floor conditions are highly successful, and should be the first line of defense (before surgery or any other medical intervention) for both pelvic pain and incontinence.

Pelvic Organ Prolapse

Pelvic organ prolapse is described as an organ protrusion at or near the vaginal opening, which may or may not be accompanied by perineal pressure. It is aggravated by standing and relieved by lying down. It may cause problems such as urine retention and alter bowel function.

  • Cystocele – falling of the bladder
  • Uterine Prolapse – descent of the uterus
  • Rectocele – rectal wall pushes into the vagina

 

Pre-Natal/Post-Natal Women

  • In France, women are offered 6 post-natal pelvic physiotherapy appointments to prevent pelvic floor dysfunction
  • Kegels are often recommended to post-natal women, but how they are performed is often not assessed, or if they are even appropriate
  • Pregnancy-related pelvic girdle pain
  • Low back pain
  • Rectus Diastasis
  • Pain with intercourse
  • Stress urinary incontinence, urge urinary incontinence
  • Urgency/frequency
  • Fecal/Gas Incontinence
  • Constipation
  • Prolapse
  • Scar management for C-section, tearing, episiotomies
  • Painful Bladder Syndrome

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