Women Health

What is an over-active pelvic floor? Women's Health Wednesday

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This week charlotte, our women's health physio in sutherland, explains AN OVER-ACTIVE PELVIC FLOOR?

Like any muscle in the body it is important that the pelvic floor can both contract and relax.

If you think of your bicep muscle this needs to be able to contract to pick something up and relax to put something down. Imagine if the bicep was contracted all day long, it would be really hard to use your arm functionally and your bicep muscle would not work efficiently. Especially when strength is needed, the pelvic floor is the same.

Some women have pelvic floor muscles which have difficulty relaxing and remain constantly contracted. This however does NOT mean they are strong, imagine how tired they would be when you need them! 

OVER-ACTIVE ≠ STRONG

 

What are the symptoms of an over-active pelvic floor?

Symptoms will vary from person to person, but often include:

  • Pain with sex

  • Pain with using tampons

  • Pain with pap-smears

  • Pelvic or back pain

  • Difficulty emptying bladder or bowel (constipation)

  • Incontinence

  • Increased sensation of needing to urinate

 

Who is at risk of an over-active pelvic floor? 

People who tend to have a higher risk for an over-active pelvic floor include:

  • People with an overactive bladder, this is due to always needing to squeeze their pelvic floor to minimise leaking

  • Strong athletic women with strong outer core muscles

  • People with anxiety

  • Sedentary work/life style (poor posture can shorten the pelvic floor muscles)

  • Mouth/chest breathers

 

What is the treatment for an over-active pelvic floor?

Our initial treatment will always look at the way you breathe!

If you imagine your core and trunk muscles as a box, your pelvic floor is the base of your core with your transverse abdominus being the walls and your diaphragm muscle (breathing muscle) being the ceiling.

It is really important that all aspects of your core are working efficiently. If you are always breathing through your mouth, with a chest pattern of breathing the pelvic floor does not have a chance to relax.

Diaphragmatic breathing or “belly” breathing is essential as this allows the pelvic floor to descend and relax. 

 

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Can I still do pilates with an over-active pelvic floor?

Yes! However more focus should be on the strength of your muscles (not including your pelvic floor initially) therefore you should not actively contract your pelvic floor during initial pilates sessions. 

As symptoms decrease, we start to add in a graded strengthening program for you pelvic floor

Post Natal / Mums and Bubs Pilates Sutherland

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MUMS & BUBS PILATES | Monday & Thursday, 11:15am at Flow Physio Co Sutherland

Postnatal Pilates usually begins 6 weeks after the birth of your child.

Prior to commencing classes, we offer a 6 week postpartum check where we thoroughly examine the integrity of your pelvic floor and transverse abdominus (deep core muscle). We will also check for a Diastasis Recti (abdominal separation), wound check if you have had a Caesarean and a general assessment to ensure you are safe to return to exercise.

Following the 6 week check we recommend joining the Mums and Bubs Pilates class. This class has a maximum capacity of 2 people which allows room for you to bring your baby and allows the Physiotherapist to monitor you more closely. 

This session will be 50 minutes.



Pelvic Organ Prolapse - Women’s Health Physio

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Pelvic Organ Prolapse

Did you know? 

One in two women who have had a baby will experience prolapse at some stage in their life, that’s why it is so important to have an understanding of what it is and the symptoms experienced with prolapse.

 

What is pelvic organ prolapse? 

Pelvic organ prolapse is when one or more of the pelvic organs (bladder, uterus and bowel) slip down into the vagina causing a bulge or a heavy dragging feeling. Prolapse happens due to damage of the support structures of the pelvic floor including muscles, fascia or ligaments.

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What are the symptoms?

Symptoms of prolapse include:

  • Sensation or heaviness/dragging/buldge in the vagina

  • Incomplete emptying of your bladder/bowels

  • Discomfort in the lower abdomen

  • Recurrent urinary tract infections

  • Sexual discomfort

  • Incontinence

 

Prevention and management strategies

The good news is there is lots that can be done to prevent or manage prolapse. The pelvic floor acts as a sling supporting the pelvic organs, therefore pelvic floor strength training is one of the treatment options that can prevent or help alleviate symptoms of prolapse.