Some Basics Regarding Pelvic Physiotherapy ACT AU Residents May Find Beneficial

By Stephen Lewis


Physiotherapy of pelvic floor muscles is indicated for people experiencing certain problems in the genitourinary system. Muscles in this area can become weakened by repeated stress as occurs in conditions where an individual has to strain in order to relieve themselves. In pregnancy, the gravid uterus tends to compress the bladder causing strain. These are some of the essential concepts concerning pelvic physiotherapy ACT AU residents may find useful.

Leakage of stool or urine is the most common presentation in the case where muscles of the pelvis are compromised. These are medically termed fecal and urinary incontinence respectively. Such symptoms are aggravated by strenuous manoeuvres such as during coughing or when someone laughs out loud.

Hypertonicity of pelvic floor muscles can result in lower urinary tract symptoms. Hypertonicity simply means that the tissues have become too tense. Classical lower urinary tract symptoms include urgency, increased frequency of visiting the toilet and a feeling of incomplete emptying of the urinary bladder among others. Sexual activity may also prove difficult because of pain.

Muscles in the pelvis are positioned in such a way that they cement the pelvis and structures therein. They typically attach to the bony pelvis on the sides, front and back. Key organs in this region include the womb, bladder, prostate in men and the rectum. Urethra and vagina are also wrapped in muscle to ensure they function as desired. Release of urine or stool usually works in a controlled manner as long as the muscular structures are intact.

In seeking a solution to this problem, the individual first needs to determine which structure need fixing. Given the fact they are deep within the body and may not be directly seen, certain manoeuvres have to be undertaken. For this to be a success, the individual needs a quiet and relaxed environment. This will in turn provide patience and concentration which are needed in identifying the muscles in question.

Usually, the person sits or lies down on a couch, depending on what is comfortable for them. Once they are well positioned, they can begin to contract their muscles in the anal region as if trying to contain a fart or gush of watery stool. In the urinary tract, this is achieved when the individual urinates, stops midway then urinates again. This kind of urine interruption should not be done too many times to prevent complications.

When a professional sees you, the aim is to obtain a diagnosis and formulate an effective treatment plan. The professional will have to ask you certain questions in order to better understand your condition. At the very least, they will test your vaginal and rectal tone through a digital examination. Physiotherapy can be prescribed as a long term measure of achieving muscle strength.

Pelvic physiotherapy is also indicated for various other conditions such as organ prolapse, pain during sexual intercourse and irritable bowel syndrome among others. The number of sessions required varies depending on the severity and the exact nature of the problem. Patience is a key requirement to the success of the exercises.




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