PELVIC FLOOR PHYSIOTHERAPY
Pelvic floor physiotherapy provides treatment for various conditions caused by pelvic floor dysfunction. The main reasons of this dysfunction are that the pelvic floor musculature is too week or too tight. The pelvic floor muscles are a group of muscles that attach to the front, back and sides of the pelvic bone and sacrum. They are like a hammock or a sling, and they support the bladder, uterus, prostate and rectum. They also wrap around your urethra, rectum, and vagina (in women). These muscles must be able to contract to maintain continence and relax to allow for urination, bowel movements, and in women, sexual intercourse. The abnormal muscle tone can contribute to different types of incontinence (urge, stress, mixed), urinary and fecal urgency, pelvic organ prolapse, chronic pelvic pain, vaginismus, dyspareunia, vulvodynia, pudendal neuralgia, interstitial cystitis and chronic prostatitis.
The physiotherapy treatment starts with an initial assessment where the physiotherapist asks questions about the current symptoms, examines the surrounding body parts such as the lower back, the sacroiliac joint and the pubic symphisis and performs an internal examination (vaginal and/or rectal). Based on the findings and the patient goals the physiotherapist creates an individual treatment plan. This plan may include manual treatment, breathing exercises, pelvic floor exercises and education.