Pelvic Floor Treatment

About Pelvic Floor Treatment

Pelvic floor muscles are the “hidden” internal muscles that support the bladder and bowel in men, and the bladder, bowel and uterus in women.

If the pelvic floor muscles are not functioning optimally this may result in problems such as incontinence, difficulty emptying the bladder or bowel, pelvic organ prolapse in women, or sexual and/or pelvic pain in both men and women.

Pelvic floor muscle problems are more common in women during pregnancy, after childbirth, and following pelvic or gynaecological surgery.  Men may experience pelvic floor problems following pelvic and prostate surgery.

The pelvic floor muscles can be hard to identify inside the body, and up to 40% of people perform pelvic floor exercises incorrectly and may be actually making their problem worse. Our physiotherapists can show you your pelvic floor muscles working by using a real-time ultrasound.

Pelvic floor muscle assessment is important if:

  • you are having any pelvic floor problems
  • you are planning to have prostate or gynaecological surgery
  • you are planning to have a baby or are pregnant
  • you are recovering from childbirth

Our physiotherapists are able to complete a comprehensive assessment of  your pelvic floor muscles and design an individualised pelvic floor muscle rehabilitation program for you.

Myths about pelvic floor treatment

✖ Pelvic floor exercises are easy to do

✖ I go to Pilates so my pelvic floor should be strong

✖ I do core exercises at the gym so I don’t need to do pelvic floor exercises

✖ If you leak you need to squeeze your pelvic floor muscles really strongly

✖ You need to do 300 pelvic floor exercises a day

✖ Pelvic floor exercises need to be done every day for the rest of your life

✖ Because I am older pelvic floor exercises will not help me

✖ I have tried pelvic floor exercises on my own, they didn’t help my problem so I need to have surgery

✖ Pelvic floor muscles get weaker as you age and there is nothing you can do about it

✖ Pelvic floor exercises can not help prolapse, you need to have surgery

The facts about pelvic floor treatment

✔  Pelvic floor exercises are difficult to learn from just reading a leaflet

✔ Many people perform pelvic floor exercises incorrectly and may even worsen their condition

✔   Just doing MORE pelvic floor exercises is not always the answer, you have to do the exercises CORRECTLY

✔ It is not just about the strength of the pelvic floor muscles some people have difficulty relaxing the pelvic floor

✔ If you leak when you cough, sneeze or do exercise, pelvic floor exercises can help

✔ If you have urgency to get to the toilet on time or urge leakage, pelvic floor exercises can help

✔ If you have prolapse symptoms such as heaviness and pressure, pelvic floor exercises can help

✔ Difficulty relaxing the pelvic floor muscles can result in difficulty emptying the bladder and also pain with intercourse

✔ Learning to relax the pelvic floor muscles can help the bladder empty

✔ Learning to relax the pelvic floor muscles can help to reduce pain

✔  Correct pelvic floor exercises individually taught and supervised by a physiotherapist has the best outcome for managing symptoms of incontinence,  prolapse and pelvic pain

Assessment of pelvic floor muscles

At Body Logic Physiotherapy our Pelvic Health physiotherapists have completed advanced postgraduate training in the assessment of the pelvic floor muscles.

We will conduct a comprehensive assessment of your condition including assessment of your ability to perform correct pelvic floor muscle contractions. Assessment of the pelvic floor muscles can be done fully clothed using real-time ultrasound. For a more comprehensive assessment of pelvic floor muscles a direct assessment can be performed via a vaginal or rectal assessment. This method is recommended for an accurate assessment of the strength of the pelvic floor muscles and the urinary and anal sphincters. The method of assessing your pelvic floor muscles is always your choice and will be thoroughly explained and based on your consent.

Following the assessment, we will explain to you in simple terms the factors that may be impacting on your problem and design a collaborative treatment plan to help you achieve your goals.

Treatment of pelvic floor muscle problems

Pelvic floor muscle training is an important part of any management program for the management of incontinence, pelvic organ prolapse or pelvic floor muscle pain. Research has shown that pelvic floor exercises are difficult to perform correctly with up to one third of people performing exercises incorrectly and could be worsening symptoms.

We first teach you how to contract your pelvic floor correctly. Following this we will guide you in a progressive specific pelvic floor and abdominal exercise program. We will then integrate this into a generalised graduated exercise program based on your preference, starting with low impact exercise and building up as is necessary and aligned to your goals.

Incorporating your pelvic floor exercises into functional daily tasks is essential as part of a self-management plan and is the key to controlling your symptoms in the long term. Research has shown that improvements can occur with 1-5 physiotherapy sessions.

How can Body Logic Physiotherapy help you?

✔      Identify the factors linked to your problem

✔      Set a plan to help you improve your condition

✔      Teach you how to perform pelvic floor exercises correctly

✔     Take you on a structured program to get back to doing the things you love

✔      We can help you achieve your goals!