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42% of women have urinary incontinence during pregnancy ( KariBo, Siv Morkved 2000) 1 in 3 women have urinary incontinence and 1 in 10 have fecal incontinence after child birth (Hay - Smith et al.2008) Pelvic Health concerns are very common and very seldom talked or addressed. Many people suffer without realizing most of these issues can be treated effectively. Pelvic floor physiotherapy is not only Kegel exercises. Incontinence and pelvic pain can be caused by hypo tonicity (weak muscles) or hypertonicity (tight pelvic floor muscles).
Kegel exercises are not always indicated for pelvic floor problems sometimes they do more harm than good. The pelvic floor muscles give the support for the organs in the pelvic floor. In a normal situation these muscles should be able to contract and relax to maintain normal bladder and bowl function, when these muscles cannot function well due to its (hypo or hyper tonicity) or abnormal tone people presents with many symptoms such as urinary urgency, frequency, hesitancy, painful urination, unable to empty completely, constipation, pain the low back and pelvic area, pain during or after intercourse.
Pelvic floor dysfunction can be evaluated and treated by Physiotherapist using internal or external manual technique.
Prenatal or post-natal -Pain in pubic bone, groin, back, pelvis, buttocks, legs
Leaking urine, gas, stool when laugh/ sneeze/ cough/ walking/ running etc.
Abdominal diastasis or bulging/ tenting of abdomen during any exercises
Pain with intercourse
Vaginal varicose veins
Scaring from C-section/ episiotomy/ tear
Problem emptying the bladder completely
Pressure or heaviness or bulging in vagina/ rectum.
Conditions such as vulvodynia, Endometriosis, Menstrual problems. Coccygeal pain etc.