✔ 20% to 60% of women will have a problem of urinary incontinence: up to 30% in young women, up to 60% in older women and 50% during pregnancy
✔ 10% of women have postpartum faecal incontinence
✔ 40% of women aged 45 to 85 years will be inconvenienced by prolapse: descent of one or more pelvic organs (bladder, urethra, uterus, rectum)
✔ 20% of women suffer from dyspareunia: pain during sexual penetration … a problem still underestimated given the nature of the problem
✔ 15% of men consult in urology for pelvic and perineal pain
✔ 1% to 35% of men will have urinary incontinence following radical prostatectomy
They are trained at assessing and treating a variety of conditions affecting the pelvic floor muscle such as incontinence, organ prolapse (descent of the bladder, uterus, rectum), perineal and pelvic pain, sexual dysfunction. Treatment begins with an initial assessment with follow up sessions based on a combination of education, lifestyle changes, pelvic floor muscle re-‐education, biofeedback, electrical muscle stimulation, postural education, manual therapies and bladder/bowel retraining and reeducation of the abdominal muscles with a diastasis recti (abdominal separation) occurring with pregnancy.
• They are not able to tighten enough or at the right moment to avoid urine loss when coughing, sneezing, laughing, walking, practicing sports or during sexual intercourse (stress urinary incontinence)
• In other situations, they are not able to hold with a pressing urge to urinate or defecate (urge incontinence)
• They are no longer able to support the organs located in the pelvis (prolapse of the bladder, vagina, uterus and /or rectum)
These situations affect both men and women, but are more common in women.
• It can also be difficult to easily tighten and release pelvic floor muscles, or to control them. Thus, making it more difficult to urinate or defecate.
• Pain during sexual intercourse and penetration may become difficult.
Having a weak or a to tight pelvic floor muscle, quality of life is affected which is why people seek a consultation with a pelvic floor physiotherapist.
The only people needing to see a Pelvic Floor Physiotherapist are women after childbirth? FALSE
Men and women can experience a big variety of symptoms: urinary incontinence, difficulties in urination, bowel incontinence, constipation, abdominal pain, low back pain, sexual dysfunction, pelvic pain, coccyx pain, vaginal or rectal pain, penile or testicular pain, as well as men and women prior to or after having pelvic surgery.
Pelvic Floor Physiotherapist do not treat men? FALSE
The most common diagnoses we treat for men are post-‐prostatectomy related incontinence as well as variations of male pelvic pain and sexual related pain.
Pelvic Floor Muscle rehabilitation is efficient with the elderly population ? TRUE
It is never too late to start and improve quality of life by alleviating symptoms.
If a person has tried the “kegel exercises” and it did not work, Pelvic Floor Physiotherapist won’t be able to help them? FALSE
It is estimated that about one in two women are not doing well their Kegel exercises. In addition to discouraging some women who do not see their situation improve, the poor execution of these exercises can also contribute to worsening their symptoms.
A Pelvic Floor Physiotherapist will guide you and personalize your exercises according to your needs. Rehabilitation for the pelvis is much more involved than only working on a muscle group. It involves restoring of the muscle function and improving muscular support around the pelvis to allow for optimal organ function. It involves improving behavioral and dietary habits. It involves in training the bladder…And much more.
It involves in improving the quality of your life in so many aspects!
I will evaluate your condition and offer you the appropriate treatment according to your needs.