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Pelvic Floor Rehabilitation

Typically after having children or having surgery involving the abdominal area, pelvic floor dysfunction can become an issue.  The most common dysfunction seen is urinary incontinence and most of the time Md's will say that this is normal.  Well, Lori is  here to tell you that although it may be normal after having one of these situations happen to you it IS NOT normal for it to remain.  If left untreated the pelvic floor musculature continues to become weaker and weaker and over time you are no longer leaking urine but rather gushing urine.  Pelvic floor dysfunction can also include bladder storage symptoms, sensory symptoms, voiding and post micturition symptoms, pelvic organ prolapse, sexual dysfunction, anorectal dysfunction and lower urinary tract pain or other pelvic pain.  It is also misconstrued that you only have issues if the pelvic floor musculature gets weak, this is false, you can also have dysfunction in the pelvic floor if muscle are too tight and are overactive.   If you are currently experiencing any of the dysfunctions mentioned below please don't hesitate to call us.


Are you suffering from one of these dysfunctions?

  • Urinary Incontinence- also called UI

    • Stress Incontinence:  This type of UI will be experienced from a force such as coughing, sneezing, jumping, running etc.  With Stress UI you do not loose control of urinating like you do with urge incontinence.

    • Urge Incontinence:  This type of UI is experienced as an involuntary loss of  urine that typically happens when a person has a strong and sudden urge to urinate.  This type of UI may also be called "over active bladder".  Overtime this type of UI can become very debilitating for individuals due to the high levels of anxiety that typically are experienced due to the loss of control.  Foods and beverage choices can also irritate the bladder leading to increased UI.

    • Mixed Incontinence:  means that you suffer from both Stress Incontinence as well as Urge Incontinence.

 

 

  • Prolapses: 

    • When the pelvic floor musculature  as well as ligaments get weak, stretched out or torn other body parts (such as bladder, rectum, uterus etc) within the abdomen can fall out of place and fall into the pelvic cavity or into the vagina.  If you are suffering from a prolapse you may be experiencing:

    • Vaginal bulging: feels like you're sitting on a golf ball

    • Pelvic pressure: can be felt in your low back or perineum (area between anus and vulva)

    • Splinting:  having to give manual support (move objects out of the way)

    • Bleeding, discharge, infection

 

  • Bladder Storage Symptoms:

    • Increased daytime urinary frequency

    • Nocturia (increased urination at night- under 65 1x/night normal over 65 2x/night anything more than the numbers listed you may have possible storage problems)

    • Urgency

 

  • Voiding & Postmicturition symptoms

    • Hesitancy- difficulty in getting started

    • Slow stream

    • Intermittency- urine flow stop-go-stop-go

    • Straining to void/splaying of urine/post micturition dribble/painful urination

    • Feeling of incomplete bladder emptying or feeling of need to re-void

 

  • Anorectal Dysfunction

    • Anal incontinence- includes fecal, gas or mucous

    • Straining to defecate/constipation

    • Feeling of incomplete bowel evacuation/diminished rectal sensation

    • Rectal prolapse/rectal bleeding