What are common condition related to pelvic health?
Pelvic health is an evidence-based treatment for common conditions within the pelvis such as incontinence, pelvic organ prolapse, and pelvic pain. A comprehensive subjective and objective evaluation is conducted to identify all the factors that are contributing to your symptoms. A treatment plan will be formulated with personalized short and long-term goals.
The subjective assessment can include reviewing your past medical history and asking appropriate questions pertaining to pain, bladder and bowel, and sexual function with the use of validated and reliable outcome measures.
The objective assessment will look at global contributors such as breathing, posture and alignment, movement patterns, overall strength and conditioning, the lumbar and thoracic spine, and the pelvic floor muscle.
The pelvic floor muscles are a group of muscles that attach to the front, back and sides of the pelvic bone and sacrum, which act like a hammock or sling. They also wrap around your urethra (where urine comes out), rectum, and vagina (in women). The pelvic floor muscles must be able to contract to maintain continence and relax to allow for urination, bowel movements, and in women, sexual penetration.
What are the Main Functions of the Pelvic Floor Muscles?
- Sphincter: To prevent urinary and fecal leakage.
- Support: For our internal organs (bladder, uterus, and rectum).
- Stability:For our back and pelvic girdle.
- Sexual: To increase satisfaction in sexual activity.
- Sump pump: Actions to assist the lymphatic system and veins in bringing blood back to the trunk.
What are the caused of the Pelvic Floor Dysfunction?
- Under-Activity/Hypotonicity of the Pelvic Floor Muscles (Weakness):Contributing to symptoms of incontinence and pelvic organ prolapse.
- Over-Activity/Hypertonicity of the Pelvic Floor Muscles (Tightness):Contributing to symptoms of chronic pelvic pain, dyspareunia (pain with intercourse), vaginismus, vulvodynia, pudendal neuralgia, interstitial cystitis/bladder pain syndrome, endometriosis, chronic prostatitis, urinary and fecal urgency, and urge incontinence.
How do we treat the Pelvic Floor Dysfunction?
- Nutrition support, water intake and bladder diary tracking
- Target pelvic muscle training
- Daily strategies of proper use of pelvic muscle
- Hormonal support