PELVIC FLOOR DYSFUNCTION

Nearly a quarter of women in North America experience pelvic floor dysfunction. Kegels may or may not help and most of the time are done incorrectly making symptoms worse.

Pelvic floor muscles are important and essential for allowing urination, bowel movements and sexual intercourse (in women). These muscles are a slinged group that attach to the front, back and sides of the pelvic bone and sacrum, cradling the bladder, uterus, prostate and rectum.

What causes pelvic floor dysfunction?

Pelvic floor dysfunction can be caused by weak muscles causing “Hypotonicity” or tight muscles causing “Hypertonicity”. You can also have a combination of both weak & tight muscles.

Hypotonicity                                                  Hypertonicity

• stress incontinence                                   • bowel issues such as: constipation, straining and pain

•  pelvic organ prolapse                               • pain in lower back, hips, or pelvis

•  urge incontinence                                     •  urination issues such as: urinary frequency, urgency or hesitation,                                                                                         stopping and starting of the urine stream, pain or incomplete emptying.

What to expect from your first visit.

Our specially trained physiotherapist will examine you by asking about your symptoms and history. A physical examination consisting of a combination of internal, external and manual exams will be conductedto check for muscle spasms, muscle knots or muscle weakness.  If an internal exam is too painful the tension will be treated first in the overall process.

Treatment

It is recommended that pelvic floor rehabilitation is considered prior to surgical consultation for symptoms of unusual urgency & mixed incontinence. Treating the pelvic floor is any combination of therapy to improve muscle coordination (biofeedback), self care,  medication and an understanding of how our pain system works to reduce anxiety and stress.

Our specially trained physiotherapist can treat any of the following conditions:

– Post partum pelvic pain                                                   – Perinatal complications

– Incontinence Pelvic organ prolapse                               – Dysperineia (painful intercourse)

– Vaginismus                                                                       – Vulvodynia

– Pudendal neuralgia                                                          – Interstitial cystitis

– Painful intercourse                                                         – Perinatal Complications