Treatment Pelvic Floor Physiotherapy

Pelvic floor physiotherapy is a type of physical therapy that focuses on the muscles of the pelvic floor. The pelvic floor muscles support the rectum, anus, and bladder, and when these muscles are weak or not functioning properly, it can lead to a variety of problems including incontinence, pelvic organ prolapse, and pain during sex.

What are symptoms of a weak pelvic floor?

Pelvic floor weakness, also known as pelvic floor dysfunction, can be caused by a variety of factors. Some common causes include:

  • Urinary incontinence: This is the inability to control urine flow and can occur when coughing, sneezing, laughing, or exercising.
  • Fecal incontinence: This is the inability to control bowel movements and can involve leaking of gas or stool.
  • Difficulty with bowel movements: Weak pelvic floor muscles can make it difficult to have a bowel movement, leading to straining or the feeling of incomplete evacuation.
  • Pelvic organ prolapse: This is when the pelvic organs, such as the bladder or uterus, drop down into the vagina or outside the body.
  • Pain during sex: Weak pelvic floor muscles can lead to pain during sexual intercourse.
  • Lower back pain: Weak pelvic floor muscles can lead to lower back pain or discomfort.

What causes pelvic floor weakness?

Pelvic floor weakness, also known as pelvic floor dysfunction, can be caused by a variety of factors. Some common causes include:

  • Age: As we age, our muscles naturally lose some of their strength, and this can affect the pelvic floor muscles.
  • Childbirth: Pregnancy and childbirth can weaken the pelvic floor muscles, leading to dysfunction.
  • Obesity: Being overweight or obese can put extra strain on the pelvic floor muscles, leading to weakness.
  • Constipation: Straining to have bowel movements can weaken the pelvic floor muscles over time.
  • Chronic coughing: Chronic coughing can put strain on the pelvic floor muscles and cause weakness.
  • Hormonal changes: Changes in hormone levels, such as during menopause, can lead to pelvic floor weakness.
  • Pelvic surgery: Certain types of pelvic surgery, such as a hysterectomy, can weaken the pelvic floor muscles.

What are some treatments for pelvic floor weakness?

Physical therapy can be an effective treatment option for pelvic floor weakness. Some physical therapy techniques that may be used to treat pelvic floor dysfunction include:

  • Pelvic floor muscle exercises: A physical therapist can teach you how to properly perform pelvic floor muscle exercises, which can help strengthen the muscles and improve function.
  • Biofeedback: This technique involves using sensors to monitor the muscles and provide feedback on muscle contractions. This can help you learn to control your pelvic floor muscles more effectively.
  • Manual therapy: A physical therapist may use hands-on techniques to stretch and massage the muscles of the pelvic floor.
  • Electrical stimulation: This technique involves using a low-voltage electrical current to stimulate the muscles of the pelvic floor. This can help improve muscle strength and function.
  • Pelvic tilts and other exercises: A physical therapist may recommend other exercises to help improve muscle strength and control in the pelvic area.

It's important to work with a physical therapist who has experience treating pelvic floor dysfunction. They can help develop a treatment plan that is tailored to your specific needs and goals.