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Some Basics Regarding Pelvic Physiotherapy ACT AU Residents May Find Beneficial

By Stephen Lewis


Pelvic physiotherapy is commonly prescribed for individuals with poor strength of muscles in this area. It has been established that straining is what mainly causes muscle strength to be lost. Pregnancy is among the typical situations that make the pelvic floor vulnerable because of the stress exerted on the urinary bladder during the pregnancy itself and when delivery takes place. There are several facts on pelvic physiotherapy ACT AU residents may find interesting.

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.

Other than incontinence, which is usually caused by muscle weakness, patients may have symptoms related to excessive tightness of muscles. A person may have difficulty passing stool or strain during urination. Additionally, they may complain of increased frequency, urgency, intermittency or even incomplete emptying of their bladder. Others may experience pain during sexual intercourse.

Organs in the pelvis are usually held in place by muscles. These muscular structures emerge from the front, back and sides of the pelvic bone to attach to the organs. Organs that benefit from this solid support include the urinary bladder, prostate, rectum, vagina, uterus and the urethra. Surrounding the rectum and urethra, the muscles contract to ensure continence and relax to bring about urination or defecation.

In seeking a solution to this problem, the individual first needs to determine which structure need fixing. Given the fact they are deep within the body and may not be directly seen, certain manoeuvres have to be undertaken. For this to be a success, the individual needs a quiet and relaxed environment. This will in turn provide patience and concentration which are needed in identifying the muscles in question.

Depending on whether it is the anal-rectal, lower urinary tract or involving the reproductive system, the person has to deliberately put the muscles to action to determine which ones are impaired. The basic instruction is to imagine that you have diarrhea or the urge to pass wind and then keep yourself from doing so. Also, one can pass and hold urine in turn until the weak muscles are determined. The only downside to this is that the condition may worsen when these exercises are done for a prolonged period of time.

When a professional sees you, the aim is to obtain a diagnosis and formulate an effective treatment plan. The professional will have to ask you certain questions in order to better understand your condition. At the very least, they will test your vaginal and rectal tone through a digital examination. Physiotherapy can be prescribed as a long term measure of achieving muscle strength.

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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