Pelvic Floor Physiotherapy | Element Physio

Pelvic Floor Physiotherapy

What is the Pelvic Floor?

The pelvic floor is a small group of muscles that lay underneath and inside the pelvis. The pelvic floor muscles are shaped like a hammock and run from the tailbone to the inside and outside of your pubic bone.
Your posture, the way you move, breathe and use your abdominals all influence the function of your pelvic floor. Furthermore, your diaphragm “breathing muscle”, abdominals and pelvic floor work together as a “system” and dysfunction can occur when any part of this “system” is not working properly.

What are the signs & symptoms of Pelvic Floor Dysfunction?

Many women assume urinary incontinence is “normal” after childbirth or as your age. Although unfortunately common, it is NOT NORMAL. Tightness or weakness of these muscles or any muscles in the “system” can lead to Pelvic Floor dysfunction. Kegels are NOT always the appropriate exercises for everyone.

  • Urinary incontinence, urgency or frequency
  • Fecal (Stool) incontinence, urgency and frequency
  • Vaginal or rectal heaviness/fullness
  • Constipation or poor control of flatulence (gas)
  • Pain or discomfort with sexual intercourse, inserting a tampon
  • Unsuccessful treatment of previous low back, hip or pelvic girdle pain
  • Trampolines, skipping, sexual intercourse and laughing so hard you pee your pants should NOT be feared!


Conditions Treatable with Pelvic Floor Physiotherapy?

Bladder Dysfunction: stat…75%

Bowel Dysfunction: over time hard stools, pushing and straining and improper toilet posture can cause over stretching and weakness to the pelvic floor muscles and pelvic nerves. Bowel urgency or poor control of gas can also be sings of dysfunction.

Pelvic Organ Prolapse (POP): the descent of organ(s) downwards into the vagina such as the urethra, bladder, uterus, small intestine and rectum.

  • It may cause incontinence, urgency, difficulty emptying both bladder and bowels and discomfort with sexual intercourse.
  • If you are schedule for a gynaecological surgery for prolapse or a hysterectomy, pelvic floor physiotherapyprle and post surgery compliment the success and longevity of your surgery.

Pelvic Pain Conditions:

  • Endometriosis
  • Polycystic Ovarian Syndrome (PCOS)
  • Vestibulodynia (pain at vaginal opening)
  • Vaginismus (uncontrollable vaginal muscle spasm)
  • Dyspareunia (superficial or deep pain with sexual intercourse)

Pregnancy: urinary urgency and incontinence during pregnancy can often be the first signs of pelvic floor muscle dysfunction in the prenatal population. Postpartum risk factors may include:

  • Large babies and multiple pregnancies
  • A lengthy second stage of labor (> 1 hr)
  • 2nd to 4th degree perineal tears
  • Instrument (forceps, vacuum) or quick deliveries

Menopause: the decrease of estrogen during menopause can cause the vaginal muscles to become tight and try, lead to the “Genito-urinary Syndrome of Menopause”. Symptoms may include:

  • Vaginal dryness, burning and itching
  • Painful intercourse
  • Increased urinary urgency, frequency and painful urination

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