Wednesday, June 20, 2018

Some Basics Regarding Pelvic Physiotherapy ACT AU Residents May Find Beneficial

By Stephen Lewis


Physiotherapy of pelvic floor muscles is indicated for people experiencing certain problems in the genitourinary system. Muscles in this area can become weakened by repeated stress as occurs in conditions where an individual has to strain in order to relieve themselves. In pregnancy, the gravid uterus tends to compress the bladder causing strain. These are some of the essential concepts concerning pelvic physiotherapy ACT AU residents may find useful.

Leakage of stool or urine is the most common presentation in the case where muscles of the pelvis are compromised. These are medically termed fecal and urinary incontinence respectively. Such symptoms are aggravated by strenuous manoeuvres such as during coughing or when someone laughs out loud.

Hypertonicity of pelvic floor muscles can result in lower urinary tract symptoms. Hypertonicity simply means that the tissues have become too tense. Classical lower urinary tract symptoms include urgency, increased frequency of visiting the toilet and a feeling of incomplete emptying of the urinary bladder among others. Sexual activity may also prove difficult because of pain.

Pelvic floor muscles provide a strong support system for organs within the pelvis including the urinary bladder, the uterus, rectum and prostate in men. The organs are held in place by the muscles which attach to the bony pelvis and the outer surface of the organs. They also strengthen the various canals in the perineum including the vagina, urethra and the rectum. Contraction facilitates containment while relaxation causes release of urine or stool.

Physiotherapy of muscles in the pelvic floor can be performed by either the individual themselves or a trained professional physiotherapist. The choice depends on factors such as convenience, severity of symptoms and the age of the patient. Elderly patients may not be able to the exercises on their own and often require assistance. For those who are capable, a relaxed atmosphere is key if effectiveness is to be achieved.

Usually, the person sits or lies down on a couch, depending on what is comfortable for them. Once they are well positioned, they can begin to contract their muscles in the anal region as if trying to contain a fart or gush of watery stool. In the urinary tract, this is achieved when the individual urinates, stops midway then urinates again. This kind of urine interruption should not be done too many times to prevent complications.

If the individual is unable to do this on their own in the home setting, they can seek the services of a professional to take them through a step-wise procedure. The professional will take time to know the patient in terms of underlying conditions and how long the conditions have been in existence. The therapist will also examine the area to ascertain which tissues are impaired. Basic examination procedures should include a digital rectal examination, and a vaginal exam for women.

Pelvic physiotherapy is also indicated for various other conditions such as organ prolapse, pain during sexual intercourse and irritable bowel syndrome among others. The number of sessions required varies depending on the severity and the exact nature of the problem. Patience is a key requirement to the success of the exercises.




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