Pelvic Floor Physical Therapy In Bedford – Coastal Sports And Wellness

WHAT IS PELVIC FLOOR PHYSIOTHERAPY?

Pelvic floor physiotherapy, also known as pelvic floor physical therapy or pelvic rehabilitation, is a specialized branch of physiotherapy that focuses on assessing and treating conditions related to the pelvic floor muscles. The pelvic floor is a group of muscles, ligaments, and connective tissues located in the pelvis, forming a supportive hammock-like structure that spans the bottom of the pelvis.                

Pelvic floor physiotherapy is primarily concerned with addressing disorders and dysfunctions of the pelvic floor muscles, which can occur in both men and women. Some common conditions treated by pelvic floor physiotherapists include:

1. Pelvic floor muscle weakness: This can lead to urinary incontinence, fecal incontinence, pelvic organ prolapse, or sexual dysfunction.
2. Pelvic pain: Conditions such as chronic pelvic pain, pelvic floor muscle spasms, and vulvodynia (vulvar pain) can be assessed and treated by a pelvic floor physiotherapist.
3. Pregnancy and postpartum care: Pelvic floor physiotherapy is beneficial during pregnancy to support the pelvic floor muscles and prepare for labor. After childbirth, it helps with postpartum recovery, addressing issues like perineal tears, diastasis recti (abdominal separation), and pelvic floor weakness.
4. Pre- and post-surgical rehabilitation: Pelvic floor physiotherapy can assist in preparing for pelvic surgeries, such as hysterectomy or prostatectomy, and aid in postoperative recovery.

During a pelvic floor physiotherapy session, the physiotherapist will conduct a comprehensive assessment, which may include a discussion of symptoms, medical history, and a physical examination. The examination may involve internal palpation of the pelvic floor muscles to assess muscle tone, strength, and coordination.

Treatment techniques used in pelvic floor physiotherapy can include:

1. Pelvic floor exercises: These exercises, commonly known as Kegel exercises, aim to strengthen and improve the coordination of the pelvic floor muscles.
2. Biofeedback: This technique uses sensors to provide visual or auditory feedback about the activity of the pelvic floor muscles, helping individuals better understand and engage these muscles.
3. Manual therapy: The physiotherapist may use hands-on techniques to release muscle tension, improve muscle mobility, and address any trigger points or restrictions in the pelvic area.
4. Education and lifestyle modifications: Pelvic floor physiotherapists provide guidance on proper posture, body mechanics, bladder and bowel habits, and other lifestyle modifications to promote pelvic floor health.

Pelvic floor physiotherapy is an evidence-based approach that aims to alleviate symptoms, improve pelvic floor muscle function, and enhance overall quality of life for individuals experiencing pelvic floor disorders. It is typically provided by specialized physiotherapists with training in pelvic floor rehabilitation.

HOW IS THE PELVIC FLOOR EXAMINED?

The pelvic floor can be examined through various methods, depending on the specific purpose and circumstances. Here are some common approaches for examining the pelvic floor:

Visual Inspection: A visual examination of the external pelvic area can be done to observe any visible abnormalities, such as external genitalia issues, skin conditions, or signs of prolapse.

Digital Rectal Examination (DRE): In this procedure, a healthcare provider inserts a lubricated gloved finger into the rectum to assess the condition of the muscles and structures surrounding the rectum and lower pelvis. It helps evaluate the strength and tone of the pelvic floor muscles and check for any abnormalities, such as rectal prolapse or tumors.

Pelvic Organ Prolapse Assessment: To evaluate pelvic organ prolapse, a healthcare provider may perform a pelvic exam while the patient is standing or lying down. They observe and measure the descent of the pelvic organs, such as the uterus, bladder, or rectum, as the patient bears down or strains.

Urodynamic Testing: Urodynamic tests assess how well the bladder and urethra are functioning. These tests may involve filling the bladder with fluid and measuring pressure changes during filling and emptying. They can help diagnose conditions like urinary incontinence and evaluate the coordination between the pelvic floor muscles and the bladder.

Imaging Techniques: Imaging methods like ultrasound, magnetic resonance imaging (MRI), or X-rays can provide detailed images of the pelvic region, allowing for visualization of the pelvic floor muscles, organs, and any abnormalities or structural issues.

It’s important to note that the specific examination method used will depend on the reason for the examination and the healthcare provider’s expertise. It’s best to consult with a healthcare professional who can determine the most appropriate examination approach for your particular situation.

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