Physiotherapy of the pelvic floor in Palma de Mallorca

Pelvic pain

In our daily life we feel discomfort in different parts of the body, for this reason we rehabilitate it and exercise it to prevent this pain. From our center we want to provide a global treatment of the whole body, considering it as a whole, therefore, we must take into account a “forgotten” part of our body, the pelvic floor or perineum.

What is physiotherapy of the pelvic floor?

First of all we should know that not only should this part of the body be treated at the time of pregnancy or postpartum, since the pelvic floor is constantly making an effort such as the containment of the viscera that rest on it and that can produce various problems or discomfort, to avoid them should be taken into account the structures of the perineal area.

The work of the pelvic floor physiotherapist is to evaluate and treat perineal dysfunctions not only in women but also in men, especially in pathologies such as urinary incontinence or erectile dysfunction.

Some of the causes that can cause a weakening of the pelvic floor in the case of women are:

  • Pregnancy, since the weight of the uterus rests on the muscles of the perineum.
  • Childbirth and postpartum
  • Women with high body index or obesity.
  • Impact sports such as running or jumping causes an increase in intra-abdominal pressure.
  • Menopause, which causes various changes in the woman’s system, such as a decrease in elasticity or hypotonia
  • Other (chronic cough, aggressive surgery, constipation, urine, etc.)

While in the case of men the main cause is prostate surgery.

In what cases is perineal physiotherapy indicated?

  1. Pregnancy. It is very important to prepare the mother for this moment by elastifying and toning the structures that are going to work.
  2. Postpartum During labor the muscles have made a great effort and at this time we must perform an exploration and strengthen the muscles that have been weakened, as well as in case of scarring by episiotomy or cesarean section to treat them.
  3. Urinary incontinence and fecal or gas incontinence. There is a large percentage of women and to a lesser extent of men suffering from escapes of any of these types, through physiotherapy this muscle can be reinforced and proprioception increased.
  4. Polaquiuria. The normal frequency of urine is around 7 times a day, in case this is not the case, pelvi-perineal physiotherapy helps normalize the functioning of the bladder.
  5. Urinary urgency. In this pathology he perceives a sudden and intense desire to urinate that can be the cause of two types of dysfunction, sensory urgency or motor urgency.
  6. Sexual dysfunction Both taking into account the pain (dyspareunia) and the inability to maintain relationships (vaginismus, erectile dysfunction).
  7. Constipation. Constipation can be a serious problem if it is not solved, from our center we have physiotherapy combined with exercise and nutrition to help in these cases.
  8. Prolapses or descent of organs. Because the pelvic musculature has weakened and can not fulfill the function of organ organs. To do this, the musculature must be strengthened again to improve or not increase the degree of descent.
  9. Chronic pelvic pain or perineal pain. In this area of ​​our body there should not be any pain, otherwise it indicates that there is some disorder that should be valued.

Treatment

Perineal massage, to elasticize the tissue and in case of pregnancies we avoid tears or fibrillar tears.

  • Myofascial techniques, these techniques allow to influence the control or elimination of painful processes of different origin: myofascial, neuromuscular or visceral.
  • Peripheral neuromodulation. Through percutaneous or transcutaneous application and through electric currents, they allow us to stimulate nerve pathways and thus cause physiological reactions in the organism in order to reduce pain, act on the control of the bladder, etc.
  • Muscular electrostimulation. Using specific equipment for urogynecology we seek pain relief, improvement of muscle tone, proprioception of the area, etc. Treatment that can be combined with other exercises that the patient would perform with physiotherapeutic supervision.
  • Hypopressive abdominal gymnastics. Method of prevention and abdomino-perineal therapy in which we seek as effects the pelvic floor toning, the toning of the abdominal girdle and the normalization of abdominal pressures.
  • Preparation for childbirth From the center we want to accompany and prepare the future mothers in this special moment as it is the birth, for it exercises are done to elasticize and strengthen the musculature, combining it with perineal massage and preparation of the pujos with the help of the EPI-NO.

What is the pelvic floor or perineum?

The pelvic floor is the set of muscles, ligaments and bones located at the base of the pelvis that support the bladder, rectum and uterus. These muscles can be differentiated in two planes:

  • Surface plane in which the muscles that form it extend from front to back between the pubis and the coccyx, laterally between the ischia. They draw a kind of eight that crosses at the level of an area called the tendinous center of the perineum. The main function of these muscles is sexual and also help to support the viscera.
  • Deep plane. These muscles make up the highest plane, above the superficial muscles and are closer to the viscera. The set is dome-shaped, convex downward, concave upward. This superior concavity is opposed to that of the diaphragm muscle hence its name “pelvic diaphragm”.

    These muscles and ligaments must have a correct state and functioning because it contains very important viscera such as the bladder and rectum and in case of the woman also the uterus and the vagina, while in the man, the prostate.

Pelvic floor issues to consider.

Before knowing what and when we should go to a pelvic floor physiotherapist, we must be clear about what it is, since it is a “forgotten” component of our body and has a fundamental role in many of our vital functions.

Many of the people, especially those who have not had any problems with this part of their body, answer the question about treatments for pelvic floor with Kagel exercises, these exercises alone can not solve most problems or dysfunctions which presents the perineum, for this purpose an exploration must be carried out, always in the hands of a professional in this field and planning a personalized treatment for each patient.

The pelvic floor is the set of muscles, ligaments and bones located at the base of the pelvis that support the bladder, rectum and uterus. These muscles can be differentiated in two planes:

Surface plane in which the muscles that form it extend from front to back between the pubis and the coccyx, laterally between the ischia. They draw a kind of eight that crosses at the level of an area called the tendinous center of the perineum. The main function of these muscles is sexual and also help to support the viscera.

Deep plane. These muscles make up the highest plane, above the superficial muscles and are closer to the viscera. The set is dome-shaped, convex downward, concave upward. This superior concavity is opposed to that of the diaphragm muscle hence its name “pelvic diaphragm”.

These muscles and ligaments must have a correct state and functioning because it contains very important viscera such as the bladder and rectum and in case of the woman also the uterus and the vagina, while in the man, the prostate.

And, what functions does it have?

  1. Support of the abdominopelvic viscera, such as the bladder, vagina, uterus and rectum, and of the baby in case of pregnancy.
  2. Continence. Controls the opening and closing of the sphincters in both urination and defecation.
  3. Reproductive function It is the last barrier that the baby must make before the moment of delivery, thanks to these muscles the baby’s head is broken and the urge to push is provoked.
  4. Sexual function It enables some processes of sexual action such as pleasure and orgasm.