Pelvic floor physiotherapy
Physiotherapy plays a key role in identifying and rehabilitating various pelvic floor dysfunctions. Pelvic floor disorders affect people of all ages, and are particularly common among women. The female pelvic floor is placed under special strain by pregnancy, childbirth, and hormonal changes. Pelvic floor dysfunctions include urinary incontinence, fecal and gas incontinence, difficulties with urination or bowel movements, pain during intercourse, and pelvic organ prolapse.
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What is pelvic floor physiotherapy?
In physiotherapy, pelvic floor muscle function is assessed through an interview, manual palpation of the pelvic floor muscles, and EMG measurement. The issue is approached holistically by examining factors such as the impact of daily activities and hobbies, posture, breathing, mobility, and overall body control.
Guided exercise helps you become more aware of your pelvic floor function, which in turn increases motivation for training. Exercise is always based on an individually designed treatment plan, the progress of which is regularly monitored.
As part of assessment and training, EMG biofeedback may be used, providing the client with immediate visual feedback on pelvic floor muscle activity.
A well-functioning pelvic floor is an important part of a healthy body. A healthy pelvic floor is painless but sensitive. The muscles have all the key strength components – strength, endurance, speed, and the ability to relax. When activated, the pelvic floor contracts upward and is able to respond to pressure placed on it. Taking care of pelvic floor health is important for women of all ages throughout life.
Pessary fitting (ring and cube) as part of pelvic floor physiotherapy
Symptoms of pelvic organ prolapse can also be managed with pelvic floor support devices – a pessary, such as a ring or cube. These devices can provide support to the vaginal walls, helping to relieve symptoms. A pessary can be used throughout the day or, for example, only during physical activity.
You may benefit from a pessary if:
- you experience a feeling of pressure caused by prolapse
- you have urinary incontinence
- you do not want surgery, or surgery is not currently an option
- you are seeking relief from prolapse symptoms
It is important to first find a properly sized device. During an appointment, several sizes can be tried, and once the correct size is found, the pessary should not be noticeable when in place, and symptoms should ease or disappear. You will also receive detailed instructions on how to use it.
Pessary fittings at SUHK are performed by:
Inquiries and booking for fittings are made directly with the pelvic floor physiotherapist via email:
In addition, help for pelvic floor pain conditions for both men and women is available at SUHK Pain Clinic.