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.
One of the symptoms that may indicate poor muscle strength is incontinence of urine and stool. In this case, the individual has no control over their sphincter function. They end up soiling their inner clothes without knowing. Sometimes, even just a mere laugh or cough can cause release of stool or urine. In the early stages, affected individuals may just be unable to contain their waste for long but have intact sphincter control.
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 above exercises fail to establish what muscles need exercise, then a physiotherapist can come in to assist. The therapist will have to first establish the problem through taking a thorough history and conducting a physical examination. Physical examination is usually focused on the rectum and vagina to determine the tone of muscles. A management plan can then be put in place to restore function of tissues in these areas.
Bear in mind that some people are more vulnerable to pelvic muscle weakness than others. Women, by virtue of going through childbirth, exert extra stress on surrounding tissues which include the bladder and vagina. The elderly population is also at risk because their muscles atrophy (reduce in bulk) as they age.
One of the symptoms that may indicate poor muscle strength is incontinence of urine and stool. In this case, the individual has no control over their sphincter function. They end up soiling their inner clothes without knowing. Sometimes, even just a mere laugh or cough can cause release of stool or urine. In the early stages, affected individuals may just be unable to contain their waste for long but have intact sphincter control.
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 above exercises fail to establish what muscles need exercise, then a physiotherapist can come in to assist. The therapist will have to first establish the problem through taking a thorough history and conducting a physical examination. Physical examination is usually focused on the rectum and vagina to determine the tone of muscles. A management plan can then be put in place to restore function of tissues in these areas.
Bear in mind that some people are more vulnerable to pelvic muscle weakness than others. Women, by virtue of going through childbirth, exert extra stress on surrounding tissues which include the bladder and vagina. The elderly population is also at risk because their muscles atrophy (reduce in bulk) as they age.
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