The pelvic floor is an important muscle group that forms the floor of the pelvic area. These muscles are
important as they form a hammock to support the organs in the pelvis. As in any part of the body, it is
not uncommon for the muscles to tense up and wrap around the pelvic floor organs namely the bladder,
uterus, prostate and rectum.

When there is an inability to control this muscle group it leads to pelvic floor dysfunction. This
dysfunction forces you to contract your muscles when you are supposed to relax them causing issues
like urinary incontinence, bowel incontinence or constipation, pelvic pain and sexual dysfunction.

According to The International Continence Society (ICS) Urinary Incontinence is an involuntary loss of
urine that is a social or hygienic problem and according to the Canadian Urinary Bladder Survey (2007)
16% of men and 33% of women over the age of 40 suffer from urinary incontinence. That’s 1 in 3
women!

Primary causes of UI are a direct injury to pelvic floor muscles such as

  • childbirth
  • pelvic or abdominal surgery
  • radiation therapy

Other risk factors are genetic, lifestyle factors (as ageing, smoking, obesity), pelvic floor disorders ( such as uterine prolapse).

  • Urgency Incontinence is the complaint of involuntary leakage accompanied by or immediately
    proceeded by urgency. In other words, it is urine loss associated with a sudden urge to void that
    cannot be controlled.
  • Stress Incontinence is the complaint of involuntary loss of urine on effort or exertion. (like
    sneezing, coughing, laughing, exercises, running etc.)
  • Mixed incontinence is the complaint of involuntary leakage associated with urgency and also
    effort/exertion.
  • Overflow Incontinence is the constant loss of small volume of urine.
  • Nocturnal Enuresis is the complaint of involuntary loss of urine during sleep

Pelvic floor physiotherapy has been found to be helpful by utilizing various methods that can help to relieve tension and retrain muscles. This may include but not limited to:

  • Soft tissue release
  • Targeted and individualized exercise program
  • Re-education of muscles with manual techniques and electric biofeedback
  • Behavioral modifications and strategies to improve urgencies and urgency triggers

Pelvic floor physiotherapy can help in other cases:

  • Pelvic Floor Re-education of the pelvic floor Pre and Post Pregnancy
  • Pelvic pain and chronic back pain
  • Post surgery involving abdominal and/or pelvic area
  • Painful sexual intercourse
  • Increased frequency of urination

Bedwetting in paediatrics

If you suffer from any of these conditions give us a call. Let us help you getting your quality of life back. Get the care you deserve in the comfort of your own home.

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