Some people end up with weak muscles in the pelvic region because of one reason or another. Weak muscles are usually attributed to straining when passing stool or on urination. Pregnant women are common victims of pelvic muscle compromise because of the strain the loaded womb puts on the urinary bladder. These are some of the critical issues regarding pelvic physiotherapy ACT AU residents need to address.
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.
Bear in mind that some people are more vulnerable to pelvic muscle weakness than others. Women, by virtue of going through childbirth, exert extra stress on surrounding tissues which include the bladder and vagina. The elderly population is also at risk because their muscles atrophy (reduce in bulk) as they age.
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.
Bear in mind that some people are more vulnerable to pelvic muscle weakness than others. Women, by virtue of going through childbirth, exert extra stress on surrounding tissues which include the bladder and vagina. The elderly population is also at risk because their muscles atrophy (reduce in bulk) as they age.
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