Pelvic floor physiotherapy offers specialized help for a variety of pelvic floor disorders. Nearly 25% of adults grapple with pelvic floor disorders. Let’s dive into the world of pelvic floor physiotherapy, explore its techniques, and understand why seeking help is essential.

Pelvic Floor Unveiled

The pelvic floor comprises 26 muscles running from the tailbone to the pubic bone, supporting organs and functions like bladder control, sexual health, and more. When these muscles falter, it’s called pelvic floor dysfunction.

Prevalence of Dysfunction

Pelvic floor dysfunction isn’t rare. Research by the National Institute of Health shows that about 23.7% of women over 20 experience symptoms. This increases with age, affecting nearly half of women over 80. In fact, about 10% of women undergo surgery for pelvic floor conditions during their lifetime. However, research indicates up to 80% of cases can be improved or cured. Still, 38% of people believe it’s normal as they age. Men are affected by pelvic floor dysfunction, too. 

Beyond Kegels

Pelvic floor therapy isn’t just Kegels. While Kegels, or pelvic floor muscle contractions, are an essential part of therapy, they are not the entire solution. In fact, a significant number of people perform Kegels incorrectly, with up to 25% potentially exacerbating their symptoms. During therapy, a physical therapist conducts an external exam to assess various muscles and joints surrounding the pelvis, as well as an internal exam to evaluate the tone, elasticity, and pain within the pelvic floor muscles. Various treatment modalities might be suggested, including pelvic floor exercises, manual exercises, biofeedback, functional dry needling, electrical stimulation, pelvic floor therapy devices, weighted cones, and lifestyle changes.

Recognizing Dysfunction

Pelvic floor muscles can face low tone disorders – the muscles find it difficult to actively contract – as well as high tone disorders – the muscles are tighter and restricted than what is considered normal. Here are common signs of pelvic floor dysfunction –

  • Bladder issues, like urinary urgency or leakage
  • Bowel issues, like constipation or pain with bowel movements
  • Changes in the pelvic floor are linked to pregnancy and postpartum
  • Colorectal and other cancers
  • Surgery that impacts the pelvis, like a hysterectomy

The Final Verdict

Pelvic floor physiotherapy is a valuable treatment for those with pelvic floor issues. Understanding its importance and dispelling myths can lead to improved symptoms and better pelvic health. Don’t let misconceptions hold you back from a healthier, more comfortable life.