Did you know?

✔ 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

Pelvic  Floor Physiotherapists, what is their expertise?  

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.    


What  happens  with  a  weak  pelvic  floor  muscle? 

• 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.    


What  happens  with  a  tight  pelvic  floor  muscle?    

• 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.  

Some Common misconceptions about Pelvic Floor Physiotherapy?  

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!

If  you  are  bothered  by  any  of  these  problems,  contact   Alexandra  Azoulay,  Pelvic  Floor  Physiotherapist,  member  of  the  OPPQ, at:
Kinatex  csl  
(514)  667-­‐3830
6900  Boul.  Décarie,  suite  M170  

I  will  evaluate  your  condition  and  offer  you  the  appropriate  treatment   according  to  your  needs.