Some conditions that result from poor functioning of the pelvic floor are:
- Urinary incontinence (leakage) with or without increased abdominal pressure (i.e coughing, sneezing)
- Urinary frequency
- Urinary urgency (needing to go to the bathroom suddenly and feeling that you might not make it there without an accident)
- Bowel issues including constipation, straining or pain
- Unexplained pain in the low back, the pelvic region, the genital area or the rectum (sometimes feeling like you are sitting on a golf ball), spasm of the tailbone or rectum (proctalgia fugax)
- Pain during or following intercourse (dyspareunia), orgasm or stimulation, ejaculation problems
- Pelvic organ prolapse
- Various types of pelvic pain associated with for example: endometrioses, interstitial cystitis, and prostatitis
- Pre and post pregnancy issues including labor and delivery preparation, pain, leakage, bulging and scarring from c-sections, tearing or episiotomy and return to intercourse
It's NOT considered normal to:
- Leak when you laugh, cough or sneeze.
- Have pain with intercourse.
- Feel pressure or heaviness in your pelvic region.
- Feel pain in the pelvic region.
The Cochrane Collaboration 2010 concluded that “physiotherapists with specialized training in pelvic floor rehabilitation should be the first line of defence, before surgical consultation, for stress, urge and mixed incontinence.”
There are excellent resources about pelvic physiotherapy at pelvichealthsolutions.ca if you wish to read further or please feel free to contact us should you have any questions about what pelvic physiotherapy can offer.
We have several physiotherapists on our team who are highly experienced in the assessment and treatment of pelvic conditions such as urinary incontinence, urinary urgency, pregnancy-related pelvic pain and pelvic organ prolapse, amongst others.