Pelvic physiotherapy – Aan de Laan fysiotherapeuten – Den Haag

Pelvic physiotherapy

Pelvic physiotherapy

Pelvic physiotherapy is focused on the treatment and prevention of symptoms in the whole abdominal, pelvic, and lower back region of men, women, and children. A special target group is pregnant women and women who recently gave birth.
The pelvis, the tendons of the joints, the pelvic floor, and the organs of the pelvis mutually influence each other. That is why a symptom in the pelvis easily leads to a symptom in the pelvic floor and vice versa. Examples of pelvic symptoms are for instance: urine loss, increased urgency to urinate, abdominal pains, constipation, farts, subsidence, pain during sexual intercourse, and pelvic pain.
The muscles in the lower back, belly, and pelvis play an important role in physical position and moving. Moreover, the pelvic floor muscles fulfill a significant task regarding urinating, having sex, and opening one’s bowels. The muscles can be too weak or too tensed or they are not being used in a right manner on the right moment. Not everyone feels these muscles due to which conscientious control seems impossible sometimes.
The pelvic physiotherapist can help you regain control over these muscles and this way can reduce the symptoms.

Examination and treatment
The treatment starts by mapping your symptoms through an interview and an examination. A number of tests are being performed in which one examines the functioning of the pelvis, the tendons of the pelvis and the pelvic floor muscles.
Dependent on the outcome of the tests, you will be asked for permission for further internal examination.
An internal examination supplies more information on tightening, relaxing, and the strength of the pelvic floor muscles compared to the external examination. This internal examination can take place as follows:
– Manually
– Through the use of bio feedback
– By means of a (vaginal or rectal) balloon.
In general this examination is completely painless. If you might feel pain or experience an unpleasant feeling, the examination can be stopped on any moment.

The pelvic physiotherapist judges the strength and the tension of the pelvic floor muscles by putting one or two finger into the vagina or one finger into the anus.

Bio feedback
By means of vaginally or anally inserting a so-called probe, the functioning of the pelvic floor can be made visible on a screen through the use of this bio feedback equipment. The therapist will ask you to do exercises with the pelvic floor, for example tightening and relaxing these muscles.
This way one can learn how it feels when these muscles are used in a correct way,or by means of electro stimulation, so that after a while you will know how to use these muscles correctly yourself.

Rectal balloon
When you suffer from constipation or faecal incontinence examination with a rectal balloon can be a solution. An empty balloon is being inserted into the anus and deflated by a syringe filled with air. This way the presence of faeces is being simulated.
This gives information about the sensitivity of the intestine and this way one can practice to hold one’s faeces better in case of faecal incontinence.