Specialized Physiotherapy is becoming more established as a first-line of defence against problems with incontinence and pelvic pain both of which can affect women and men.
Physiotherapists at Yonge and Bloor can help to educate and identify patients who experirence Pelvic Floor Dysfunction. This can be caused by:
HYPOTONICITY (Weak pelvic floor muscles): contributing to stress incontinence, urge incontinence and pelvic organ prolapse. Incontinence is NOT a normal part of aging
HYPERTONICITY (Tight pelvic floor muscles): contributing to Urinary and Fecal Urgency, Urge Incontinence, Chronic Pelvic Pain, Dyspareunia, Vaginismus, Vulvodynia, Pudendal Neuralgia, Interstitial Cystitis and Chronic Prostatitis (pelvichealthsolutions.ca).
Physiotherapists in Rosedale with specialized training in pelvic floor rehabilitation (using internal examination to teach the exercises) should be the first line of defence, before surgical consultation, for stress, urge and mixed incontinence in women specifically. Rosedale Physiotherapy can make a significant difference on your path to relief.
Many people with pelvic pain have pelvic floor dysfunction, but specifically hypertonic muscles, or muscles that are too tight. The pelvic floor muscles are a group of muscles that attach to the front, back and sides of the pelvic bone and sacrum. They are like a hammock or a sling, and they support the bladder, uterus, prostate and rectum. They also wrap around your urethra, rectum, and vagina, in women (pelvichealthsolutions.ca).
These muscles must be able to contract to maintain continence and relax to allow for urination, bowel movements, and in women, sexual intercourse. When these muscles have too much tension (hypertonic) they will often cause pelvic pain or urgency and frequency of the bladder and bowels. When they are low-tone (hypotonic) they will contribute to stress incontinence and organ prolapse. You can also have a combination of muscles that are too tense and too relaxed.
When you visit a physiotherapist in Rosedale they can inform you about the Hypertonic muscles that can cause the following symptoms from which you might be suffering:
Urinary frequency, urgency, hesitancy, stopping and starting of the urine stream, painful urination, or incomplete emptying
Constipation, straining, pain with bowel movements
Unexplained pain in your low back, pelvic region, hips, genital area, or rectum
Pain during or after intercourse, orgasm, or sexual stimulation
Uncoordinated muscle contractions causing the pelvic floor muscles to spasm
Pelvic floor dysfunction is diagnosed by specially trained doctors and physiotherapists by using internal and external “hands-on” or manual techniques to evaluate the function of the pelvic floor muscles. They will also assess your ability to contract and relax these muscles. Your bones and muscles of your lower back, hips and sacro-iliac joints will need to be assessed as well since these joints can stress your pelvic floor muscles (pelvichealthsolutions.ca).