PELVIC FLOOR PHYSIOTHERAPY DOWNTOWN EDMONTON
Pelvic floor dysfunction is a fairly common condition affecting both men and women equally that inhibits a person from being able to relax and coordinate the muscles in the pelvic floor. The pelvic floor muscles act as a foundation to the organs in the pelvic floor, and hence the proper functioning of these organs are dependent on the health of the pelvic floor muscles. Contrary to public opinion, both men and women have issues with pelvic floor muscles, through it is predominant in females. Pelvic floor dysfunction is a weakening or damage of the pelvic floor that may eventually lead to lack of bowel and bladder control, pelvic organ prolapsed, muscle spasms or pain/discomfort with sexual intercourse.
Pelvic floor rehabilitation helps in improving the strength and functioning of the pelvic floor muscles. At Instep Physical Therapy, we use principles of physiotherapy in developing a structured program to help alleviate your symptoms. Once a plan is in place, the physiotherapist will also equip you with exercises that may benefit with home care.
HOW CAN WE HELP ?
At In Step Physical Therapy, we have been successfully treating various pelvic floor dysfunctions in both male and female populations for the last decade . We have certified pelvic floor Physiotherapists, certified Rost Therapy Clinican and certified Pfilates clinician(female and male).
Pelvic floor physiotherapy in edmonton
Specialized Physiotherapy is becoming more established in the literature as a first-line of defence against Incontinence and Pelvic Pain. Pelvic Floor Dysfunction can be caused by:
Hypotonicity (Weak pelvic floor muscles):
Contributing to stress incontinence, urge incontinence and pelvic organ prolapse. Incontinence is NOT a normal part of aging
Hypertonicity (Tight pelvic floor muscles):
Contributing to Urinary and Fecal Urgency, Urge Incontinence, Chronic Pelvic Pain, Dyspareunia, Vaginismus, Vulvodynia, Pudendal Neuralgia, Interstitial Cystitis and Chronic Prostatitis
Hypertonic muscles can cause the following symptoms:
Urinary frequency, urgency, hesitancy, stopping and starting of the urine stream, painful urination, or incomplete emptying
Constipation, straining, pain with bowel movements
Unexplained pain in your low back, pelvic region, hips, genital area, or rectum
Pain during or after intercourse, orgasm, or sexual stimulation
Uncoordinated muscle contractions causing the pelvic floor muscles to spasm
Men’s Pelvic Health
Pelvic floor physiotherapy can be extremely helpful to address some of the challenges that men may have when their pelvic floors are not working properly including:
Pelvic Pain including Chronic Prostatitis, Testicular and Penile pain syndromes
Nocturia (frequent urination at night)
Symptoms of retention which can often be associated with Benign Prostate Hyperplasia and/or a tight pelvic floor
Tight Pelvic Floor
Rost Therapy: Treatment for Pelvic Girdle Pain
Developed by Cecile Röst
Rost Moves Mamas!
Pelvic Girdle Pain (PGP) affects many pregnant and postpartum women and affects function and quality of life. It is also under-recognized and under-treated, and many women are told that back, pubic and/or hip pain is just a normal part of pregnancy, which will most likely improve after delivery. In fact, in one study, 71% of the pregnant women with self-reported lumbo-pelvic pain told their health care professionals about their pain, and only 25% received any type of treatment for their condition. Pierce 2012. The reality is that PGP can be significantly improved in pregnancy and postpartum, allowing pregnant women to function well and enjoy their pregnancies.
What is Rost Therapy?
Rost Therapy consists of an assessment which identifies asymmetry and/or muscle imbalance of the pelvic girdle and unhelpful movement patterns and postures. Treatment includes therapist hands-on treatment to improve pelvic girdle symmetry and muscle support, followed by a home exercise program to properly balance the pelvic girdle joints and muscle patterns. Postural and movement advice for daily activities is an important part of the program. Because the home program is simple to do, adherence is extremely high: women have less pain when they follow the exercises and advice, and are only too happy to lead a ‘normal’ life with less pain and restrictions! A small number of treatments sessions are needed for treatment and to learn the program. This active approach gives women back control of their symptoms and function.
Rost Therapy is a very effective treatment program with quick and lasting results, with effectiveness tested in a large follow-up study (Röst et al 2006). Within a few weeks, women with PGP using Rost Therapy could function normally, and return to work and exercise. In fact, 98% of 430 women treated with Rost Therapy in pregnancy reported benefit from the treatment (Rost et al). Only a small percentage of Rost patients required additional treatment after delivery. In the last twenty years, there has been a continuous demand for Rost Therapy training in Holland, Europe and North America. Many treated patients have educated other women about the method and have encouraged their health professionals to become trained in Rost Therapy.
With conventional treatment, 35 percent of women with PGP were symptom free within a month after birth, but 7 to 18 percent had serious complaints up to eighteen months after delivery (Ostgaard et al. 1991). However, less than 2 percent (n=7) of women treated with Rost Therapy (Röst et al.) during pregnancy had serious complaints eighteen months after delivery, of whom five were at the end stage of a next pregnancy or had recently delivered. The sixth woman experienced postnatal depression, and the seventh had stopped the treatment and home exercises after two sessions.
Within weeks or months, most women, even with prolonged pelvic pain, can function normally again and (depending on the stage of pregnancy or maternity leave) can go back to their work and sports. Only a very small percentage of the patients required additional treatment elsewhere.
Many of the Rost patients who were treated while they were pregnant had since become pregnant again. Some of these women started developing symptoms of PGP in subsequent pregnancies, and so they came in for a refresher Rost Therapy session to review the exercises needed to restore pelvic symmetry. They went on to have great pregnancies with their PGP symptoms under control. These women were able to then exercise and participate in daily activities.
What exactly is Pfilates?
Pfilates is a program of neuromuscular conditioning based on extensive EMG recordings taken from the pelvic floor. Pfilates was created by an American Urogynecologist to provide a method of home pelvic floor fitness training accessible to a broad population.
The Pfilates program is a simple program consisting of ten movements presented in the same order in three different phases (beginning, intermediate, and advanced). Each of the Pfilates movements includes a series of repetitions followed by a hold phase and a pulse phase at the point of peak engagement of the pelvic floor. As such these movements encourage the development of the three essential elements of neuromuscular performance: strength, endurance, and coordination.