Pelvic Floor Physiotherapy

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Physiotherapy after prostatectomy

Physical injury caused by surgery may result in a too strong and permanent contraction of pelvic floor muscles and pressure on nerves.In consequence, the sphincter-bladder system will not work properly.This is why patients who had their prostate surgically removed (prostatectomy) need therapy to reduce tension more often than to increase it. Accordingly, Kegel exercises have little effect in this group.

1 match found in site content

Vaginal and cervical prolapse

After structural causes are ruled out (such as many torn muscles or ligaments), physiotherapy leads to an improvement or often cures the patient completely which allows to avoid surgery. In many European countries physiotherapy is obligatorily recommended before deciding to do a surgery.According to international standards pelvic floor physiotherapy should also be recommended always after a surgery to strengthen and prolong its effects.

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Painful menstruation, ovulation pain or midcycle pain

...a drug therapy it is often necessary to increase painkiller doses.Hormonal therapy on the other hand merely conceals the problem as it fails to eliminate its causes. Physiotherapy removes pressure on nerves and restores natural relaxation of pelvic floor muscles, and this is how it brings a long-lasting effect of eliminating pain.It may happen that, as a “side effect” of such therapy, the patient’s hormonal cycle becomes regular.

1 match found in site content

Dyspareunia (painful sexual intercourse), lack of orgasm

...or partners, on the other hand, often suspect them of not being interested and not loving them.However, it is worth remembering that any of these problems may be caused by pelvic floor dysfunction resulting from childbirth, gynaecological surgery, as well as stress, changes to the locomotor system and other factors. Skilled physiotherapy which is individually adjusted to a particular patient allows her to enjoy better intimate sensations.And in the case of vaginismus, it makes sexual intercourse possible.

2 matches found in site content

Urinary incontinence, urgency, overactive bladder

...tension in some pelvic floor muscles, their pain and pressure on nerves leads to dysfunction of the entire bladder-sphincter system. Therefore, physiotherapy in such situations involves identifying the cause of the problem by interviewing the patient and carefully examining the pelvic floor.The right method (one or more) is then chosen which is appropriate for the specific condition of the patient’s pelvic floor.

4 matches found in site content

About

...which results in a much lower incidence of urinary incontinence in female populations there. The ICS recommendation and the example of other countries justify the use of physiotherapy in pelvic floor organ disorders. WHAT IS PELVIC FLOOR PHYSIOTHERAPY ABOUT? A modern and effective approach to pelvic floor dysfunction involves a comprehensive investigation of all the conditions reported by the patient, such as problems with urination, defecation and the related continence, the quality of sex life, any pains in the area of the pelvis, abdomen, hips and sacrum. Pelvic floor physiotherapy comprises a whole range of rehabilitation methods. These are to be chosen on a case by case basis according to the cause (or causes) of problems which has (have) been identified. In this context, “Kegel...

1 match found in site content

What is pelvic floor physiotherapy about?

...will be stretching or pressing techniques. Although the treatment itself is unpleasant and painful, it provides visible and long lasting effects. Most patients need a series of several sessions as it is impossible to provide therapy for all the muscles and nerves during a single session. If needed, the therapist teaches how to train muscles properly. Sometimes when muscles are so week that the patient cannot clench them, it is suggested to hire an electrical stimulator.

4 matches found in site content

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