The pelvic floor is a bowl-shaped, complex structure of muscles, nerves, fascia and connective tissue located at the base of the pelvis. It functions with the abdominal wall, diaphragm, lumbopelvic hip girdle to support the pelvic organs, sexual function, bowel and bladder continence and elimination. The 'kegel' has commonly been the key term in treatment of pelvic floor dysfunction; however, it resists downward pressure created when straining, coughing or sneezing and prevents evacuation of digestive and urinary contents at inopportune times.
My practice addresses a wide spectrum of pelvic floor issues for women, kids and teens. For a wide demographic of women, we address issues ranging from weak abdominal muscles and pain from episiotomy scars to best practices that optimize body wellness after gynaecological surgery. We work with an ultrasound to assess function which provides biofeedback and education for the patient. An internal examination via digital palpation is often utilized if deemed necessary to assess further function of the pelvic floor.
Pelvic Floor therapy for women addressing such issues as:
- Pelvic, tailbone or lower back pain.
- Stress Urinary Incontinence: loss of urine on strain, exertion or effort (cough, sneeze, jump, run); Pelvic floor physiotherapy is considered the first line of treatment for SUI.
- Overactive bladder: sudden overwhelming desire to pass urine (can be facilitated by triggers i.e. - key in the door, or visually seeing a bathroom).
- Nocturia: having to urinate throughout the night.
- Constipation: decreased ease of elimination of bowels and often painful to pass, which can result in co-occurrence of haemorrhoid/anal fissures, anismus, anal pain or proctalgia fugax, megacolon.
- Fecal Incontinence: loss of stool, leakage of stool.
- Sexual pain or dysfunction.
- DRA – Diastasis rectus abdominus: separated abdominal muscles, common during pregnancy and post-partum but also evident in kids.
- Pelvic Organ Prolapse: downward displacement of pelvic organs into the vaginal canal or beyond the vaginal opening.
- Coccydynia – painful tailbone.
- Vestibulodynia / Vulvodynia / Vaginismus / Vestibulitis (pain syndromes in the vaginal region).
- Intersticial Cystitis: bladder pain syndrome.