Some Basics Regarding Pelvic Physiotherapy ACT AU Residents May Find Beneficial

By Stephen Lewis


Some people end up with weak muscles in the pelvic region because of one reason or another. Weak muscles are usually attributed to straining when passing stool or on urination. Pregnant women are common victims of pelvic muscle compromise because of the strain the loaded womb puts on the urinary bladder. These are some of the critical issues regarding pelvic physiotherapy ACT AU residents need to address.

The symptoms of pelvic muscle impairment depend on the severity of weakness. Classically, patients complain of incontinence, that is, they tend to pass stool or urine involuntarily. In other words, urination and defecation may occur without their knowledge. In fact, affected persons may find themselves leaking urine from merely laughing or coughing.

Tightness of muscles in the pelvic floor can result in the typical lower urinary tract symptoms. These are characterized by increased frequency of urination. The urine may not come as a smooth complete flow. Instead, it comes out in small volumes. This is also known as intermittency. Additional symptoms include an individual frequently urinating at night, weakness of the urine stream and incomplete bladder emptying.

Pelvic floor muscles provide a strong support system for organs within the pelvis including the urinary bladder, the uterus, rectum and prostate in men. The organs are held in place by the muscles which attach to the bony pelvis and the outer surface of the organs. They also strengthen the various canals in the perineum including the vagina, urethra and the rectum. Contraction facilitates containment while relaxation causes release of urine or stool.

Physiotherapy of muscles in the pelvic floor can be performed by either the individual themselves or a trained professional physiotherapist. The choice depends on factors such as convenience, severity of symptoms and the age of the patient. Elderly patients may not be able to the exercises on their own and often require assistance. For those who are capable, a relaxed atmosphere is key if effectiveness is to be achieved.

Usually, the person sits or lies down on a couch, depending on what is comfortable for them. Once they are well positioned, they can begin to contract their muscles in the anal region as if trying to contain a fart or gush of watery stool. In the urinary tract, this is achieved when the individual urinates, stops midway then urinates again. This kind of urine interruption should not be done too many times to prevent complications.

If the individual is unable to do this on their own in the home setting, they can seek the services of a professional to take them through a step-wise procedure. The professional will take time to know the patient in terms of underlying conditions and how long the conditions have been in existence. The therapist will also examine the area to ascertain which tissues are impaired. Basic examination procedures should include a digital rectal examination, and a vaginal exam for women.

In summary, muscles in the pelvic floor become compromised when they are subjected to stress as occurs in pregnancy and childbirth. In men, lower urinary tract symptoms may arise from blockage of the tract by tumors and foreign bodies. Diligence in physiotherapy goes a long way in treating incontinence and related conditions.




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