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Pelvic Floor Dysfunction - «Pelvic Floor Act»

Pelvic floor dysfunction  refers to a wide range of problems that occur when the muscles of the pelvic floor are weak, tight, or there is an impairment of the sacroiliac joint, low back, coccyx and/or hip joint. Pelvic floor dysfunction affects the bladder and bowel function, the pelvic organs “position” (prolapse) and the sexual function.

The Physical Therapy program “Pelvic Floor Act” follows the “World Confederation Physical Therapy” international guidelines www.ioptwh.wcpt.org.

Cases/Diagnosis:

  1. Lower urinary tract dysfunction: Incontinence, overactive bladder
  2. Lower bowel dysfunction: Anal and feacal incontinence (solid, liquid, flatus), constipation/difficult defecation
  3. Pelvic Organ Prolapse:
    • Anterior vaginal wall prolapse: bladder (cystocoele, urethrocele)
    • Apical: uterine/cervical prolapsed (cervix, uterus)
    • Apical: vaginal vault, cuff (after hysterectomy)
    • Posterior vaginal wall prolapse: rectal wall (rectocele)
    • High posterior/apical: enterocele (small bowel loops)
  4. Pelvic Pain: Vulvodynia, dyspareunia, bladder pain
  5. Sexual Dysfunction: : Dyspareunia, vaginismus, obstracted intercourse, vaginal laxity, vaginal wind

Physical Therapy treatment & modalities:

  • Pelvic Floor Muscle Assessment
  • Pelvic Floor Muscle Training
  • Pelvic Floor Muscle Strengthening
  • Pelvic Floor Muscle Relaxation
  • Biofeedback
  • Neuro Muscular Electrical Stimulation
  • Manual Techniques
  • Bladder Training
  • Defecation Training
  • Balloon Training
  • Posture and Ergonomics Re-education

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