Pelvic Floor Retraining Urinary Incontinence Treatment

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Pelvic Floor Retraining

Pelvic Floor Retraining

Pelvic Health Physiotherapy

At Focus Physiotherapy we know that contrary to popular belief urinary incontinience is not just Kegel Exercises. Our therapists work with you and assess the core causes of your incontinence. We help you return to care free days.

Pelvic Health Physiotherapy is a branch of physiotherapy that deals with treating muscles, joints and nerves of pelvis. Our physiotherapist, Upasana Grover has received advanced training in treating pelvic floor and can assist you with the following:

Urine leakage/Incontinence:

Urine leakage is a common problem but most sufferers do not like to discuss it. Often people experience leakage when they laugh, cough, run or jump. Leakage can also happen when a person has strong urge to urinate. It is very important to know that urine leakage due to muscle weakness is treatable.  Research concludes that Pelvic Health Physiotherapy should be the first line of defense, before surgical consultation, for incontinence in women.

Constipation:

People who are suffering from it often ignore constipation. If left untreated, it can cause damage in pelvic floor muscles. If you are experiencing hard bowels or need to strain to pass stool then consulting a Pelvic Health Physiotherapist can be helpful for you. They will provide you with diet recommendations, toilet habits and positions and exercises for bowel mobility.

Prolapse:

Prolapse is a bulge at or near vaginal opening that can sometimes feel like pressure in your vagina or rectum. These symptoms often get worse with standing or walking and get relieved by lying down. Patients can also have other coexisting pelvic floor concerns including constipation, incontinence and/or difficulty emptying bowel or bladder. A Pelvic Health Physiotherapist can use conservative strategies to correct and reverse the problems associated with prolapse. Surgery is considered last resort for prolapse.

Pain with sex:

Are you experiencing any burning, tearing or achy sensations during or after sex? Have you ever been told that you have Dyspareunia or Vaginismus?

If you have pain with sex or any form of penetration then it needs to be addressed. Often there is a fear component attached with this. If you have any concerns then speak with our Pelvic Health Physiotherapist who works together with the patient and helps them achieve their goals.

Pre and Post pregnancy rehabilitation:

A Pelvic Health Physiotherapist can help women thrive during pregnancy, prepare for childbirth, return to activities post pregnancy and treat any pregnancy related pains. This includes strengthening the pelvic floor, stretching before delivery, return to physical activities, pain-free intercourse, decrease scar sensitivity and preparation for next pregnancy.

Pregnant women often have hard time sitting, standing, changing positions, swelling, pelvic pain and constipation.  Pain during pregnancy should be addressed right away instead of waiting after the delivery.

Urine urgency/frequency:

Are you urinating more than 7-8 times a day? Are you getting up at night to urinate? Are you unable to do an activity due to urgency?

Pelvic floor muscles do not always get weak; they can also get tight and lead to many pelvic concerns including urgency. This is why kegels isn’t answer to all the pelvic concerns.

You should contact Pelvic Health Physiotherapist who can determine the reason for urgency/frequency and help you maintain a good pelvic health.

Persistent pelvic pain:

It is frustrating for patients to experience pain in their pelvic area for years and not be able to find out reason behind it even with medical tests. These patients often get diagnosed with interstitial cystitis, inflammatory bowel syndrome, bladder pain syndrome, vulvodynia, dysmenorrhea (pain with menstrual periods), chronic prostatitis. In these cases, a Pelvic Health Physiotherapist can help relieve symptoms and improve quality of life of the patient.

Chronic low back pain:

If chronic low back pain does not improve with regular physiotherapy then internal pelvic assessment should be considered. In a recent study, it was found that 95% women with low back pain have some type of pelvic floor muscle dysfunction. A Pelvic Health Physiotherapist can conduct an internal vaginal and/or rectal exam and assess muscles, joints, nerves and connective tissue to determine pelvic floor involvement.

Incontinence can be caused by a multitude of factors, some of which are structural and some of which are modifiable. In each individual, there appears to be a threshold at which multiple factors combine to eventually strain the continence system to the point where symptoms of incontinence emerge. Recent research suggests that incontinence is a problem of the entire abdominal canister.

How we can help

Improve Motor control factors

  • pelvic floor muscle dysfunction
  • postural and movement dysfunction
  • low back and pelvic pain
  • breathing dysfunction

Improve Musculoskeletal factors

  • decreased range of motion
  • decreased muscle strength
  • decreased muscle endurance

Pelvic-training

Improve Behavioural factors

  • elevated intra-abdominal pressure
  • physical inactivity
  • faulty fluid intake and voiding strategies
  • poor psychosocial health

Who would benefit from this approach?

  • Women with symptoms of urinary incontinence (stress, urge and mixed)
  • Women who are awaiting surgery for incontinence or who have post-surgical complications
  • Women interested in prevention:
    • Pre and Post partum moms
    • Peri-menopausal women
    • Women with low back or pelvic pain

Urinary Incontinence

Using Exercises, Biofeedback and muscle stimulation Focus Physiotherapy can work with you to design a customized program that will help address weakness and spasm, regular bowel and bladder emptying as well as exercises to prevent further injury.

Contact us today to book your appointment. It’s the first step on your road to recovery.

Mississauga: 905-275-5100
Brampton: 905-457-7958
Etobicoke Kingsway: 416-234-8788
Bolton: 905-857-4999
North York: 416-225-8788
York: 416-244-3810

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The road to recovery starts with one step, and that step starts with contacting us at Focus Physiotherapy.