Pelvic Health Whitehorse, Yukon Territory

Pelvic Health

What is Pelvic Health Physiotherapy?

Pelvic Health Physiotherapy pertains to the assessment, treatment and prevention of various pelvic health disorders. The Pelvic Floor is a group of muscles, nerves, ligaments, and fascia located at the bottom of the pelvis, from the pubic bone to the tailbone. When the Pelvic Floor is working well, it assists in bowel and bladder control, pelvic organ support, and pain free sexual functions.

Pelvic Floor Dysfunction can lead to bladder and bowel leakage, difficulties with emptying the bowel and bladder, pelvic organ prolapse, chronic pelvic pain, sexual pain and pregnancy related pain.

Symptoms You May Experience with Pelvic Floor Dysfunction:

  • Leakage of urine with coughing, sneezing, laughing, and exercise
  • Urgency and feeling like you have to urinate more than 8 times per day
  • Inability to hold urine during strong urges, resulting in urine leakage
  • Difficulty passing stool
  • Difficulty initiating urination
  • Feelings of not emptying the bladder fully after urinating
  • Pain in the vagina or pelvis relating to sexual intercourse
  • Burning or stinging sensation in the pelvis
  • Pain in the vagina, clitoris, rectum, penis or perineum
  • Pain in the tailbone, buttock or pelvic girdle
  • Pain and heavy cramping with menstruation
  • Heaviness or pressure within the pelvic region
  • Protrusion of tissues inside or outside of the vaginal or anal entrance
  • Pain in the pelvis after childbirth (tailbone, low back, pubic bone)

Conditions Treated by a Trained Pelvic Floor Physiotherapist

  • Bladder leakage- Stress Urinary Incontinence and Urge Urinary Incontinence
  • Overactive Bladder
  • Bowel leakage
  • Voiding dysfunction
  • Constipation
  • Pelvic Organ Prolapse (Cystocele, Rectocele, Urethrocele, Uterine Prolapse, Vaginal Vault Prolapse, Entercocele)
  • Interstitial Cystitis (painful bladder syndrome)
  • Dyspareunia (painful intercourse)
  • Vestibulodynia/Vulvodynia
  • Vaginismus
  • Pudendal Neuralgia
  • Coccydynia (tailbone pain)
  • Pregnancy related pelvic pain both pre and post-partum
  • Diastasis Recti (abdominal separation)
  • Lower back pain associated with chronic pelvic floor dysfunction
  • for Men- Many of the conditions listed above plus: prostatitis, post-prostatectomy incontinence, erectile dysfunction, testicular and penile pain
  • for Children- constipation, bladder and bowel leakage, pelvic pain

What To Expect From Your Pelvic Health Physiotherapist

Your appointments will be in a private room. At your first visit your Pelvic Health Physiotherapist will ask you questions about your symptoms. As needed, your therapist may examine your back, pelvis, and hip mobility and the function of the surrounding muscles. With your permission, an internal vaginal/rectal examination may be performed to determine whether the pelvic floor is weak or tight. An internal evaluation is the best way to determine if the muscles are functioning correctly, but if you do not want one, you don’t have to have one. You will not have to do anything you are uncomfortable with. Upon completion of the assessment your physiotherapist will discuss with you the results of the assessment and propose a treatment plan.

Treatments may include the following:

  • Education
  • Pelvic floor muscle relaxation and/or strengthening exercises
  • Neuromuscular re-education
  • EMG biofeedback
  • Connective tissue mobilization
  • Mobilization of the lumbar spine, hip, coccyx, and sacroiliac joints
  • Abdominal exercises
  • Hypopressive exercises

Pelvic Health is about a lot more than kegels- in fact, kegels may be the worst thing for you. Contact PhysioPlus today concerning your pelvic health.

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