Women’s heath physiotherapy has arrived at Complete Physiotherapy
Woman of all ages can suffer from urinary dysfunctions, stress incontinence, pelvic organ prolapse, sexual complaints, pelvic girdle pain and pregnancy related lower back pain.
Most of the women with these conditions do not know who they should be referred to or how physiotherapy can help. At Complete Physiotherapy we have a dedicated Woman’s Health Physiotherapist who has expert training and is here to help you.
What are the pelvic floor muscles and how they work?
The pelvic floor is a complex group of muscles which are located at the bottom of the pelvis from the tailbone to the pubic bone. This group of muscles’ main aim is to support the bladder, bowel and the womb as well as forming the birth canal and passage for urine and stools.
It is very important they are strong to keep us continent during loaded activities such as running. They must support our lumbo-pelvic region as well as being able to relax during urination, bowel movements, child birth and sexual intercourse.
When the pelvic floor muscles are too weak, they cannot support the pelvic organs which can cause urinary or bowel incontinence, urgency or pelvic organ prolapse. They can become weak for many reasons like mis-use, prolonged elongation, fatigue and less commonly nerve damage. Other factors which can lead to incontinence or weakness include being overweight, childbirth, menopausal changes, pelvic surgery or trauma.
Physiotherapy can help with pelvic floor and abdominal strength and stability.
When the pelvic floor muscles are very tense relaxation after contraction is difficult. This can cause urinary frequency, urgency and incomplete emptying (overactive bladder). There can be pain during urination and during or after sexual intercourse.
Physiotherapy can help with internal manual therapy techniques like trigger points release, massage and myofascial techniques to assist in releasing the muscles.
What should you expect from assessment?
In order to gain full effectiveness of treatment, it is necessary for your physiotherapist to do an internal assessment. This helps to analyse the tone of the pelvic floor muscles and the strength and the endurance of the contraction. Internal assessments help to discover where the dysfunction is and to help plan management of your symptoms.
Can the internal assessment and treatment be painful?
The internal assessment and the treatment should never be painful. It is possible to feel slight discomfort in different tender points on palpation but never worse than a slight discomfort. For that reason, it is important to have good communication with your physiotherapist and to be relaxed during the assessment.
The internal assessment is only contraindicated during pregnancy, infections, atrophic vaginitis, and within 6 weeks after vaginal or caesarean delivery or pelvic surgery.
How physiotherapy can help me during pregnancy?
Physiotherapy can help during and after pregnancy to alleviate pain, improve pelvic dysfunctions and strengthen the core muscles allowing you to regain normal function.
During pregnancy, the body changes to help with childbearing but also for the delivery of your baby. Pregnancy hormones relax our muscles and ligaments which can cause pain, movement dysfunctions and muscle weakness. In this case, physiotherapy can help with manual techniques and joint mobilisations to restore mobility.
Physiotherapy can also help;
- Mobilise stiff joints,
- Release restricted soft tissues,
- Reduce pain,
- Improve posture in sleeping, standing and sitting.
- Provide an exercises program to improve lumbo-pelvic stability and support.
After pregnancy, the body continues to change, and physiotherapy can help with ongoing lumbo-pelvic pain, urinary dysfunction and disorders caused by pelvic floor dysfunctions and separation of abdominal muscles.
Do you need some advice?
Give us a call on 0118 9462299 and request to speak to Noelia Mendoza who will assist in your management of womans health related issues.