Pelvic Floor

What is the Pelvic Floor?

The Pelvic Floor is a group of muscles and ligaments which surround the inferior abdominal cavity, also known as the urogenital diaphragm, since it handles the pressure received from the abdomen. Additionally, it is responsible for supporting the healthy functioning of the pelvic organs (bladder and urethra; uterus and vagina; rectum)

How can Pelvic Floor treatment help me?

It can improve the quality of life of the patients that suffer from conditions in this part of the body, including abdominal and lumbar problems. It consists on employing intracavitary and extracavitary manual techniques to readjust the pelvic cavity working with the organs, muscles (with more or less tone) and ligaments.

On top of that, we always include in our treatment awareness exercises for abdominal and pelvic pressure management to be used in a daily basis.

This helps improve urinary incontinence, chronic pain, constipation and other conditions.

What are the conditions treated with Pelvic Floor treatment?

Urinary Incontinence: Urge, Stress, Mixed
Chronic Pelvic Pain
Dyspareunia (Painful intercourse)
Constipation / Hemorroids / Anal Fissure Fecal Incontinence
POP (Pelvic Organ Prolapse)
ARD (Abdominal rectus diastasis)
Prenatal Care: Vulvar varicose veins, vulvar edema, perineal massage…
Scarring: Cesarean Section, Post-surgical (breast cancer, prostate cancer, etc.), Abdominoplasties…

Pelvic Floor Specialties

When we talk about Pelvic Floor, we tackle these 3 areas, which are related to each other since their organs are held by ligaments or fascias they have in common. Sometimes the specific medical condition involves an area, but it is very common that it affects other areas as well, like in the case of a prolapse or a postpartum.

It involves the duration of the pregnancy of the person since conception until giving birth.
The main goal is to have an active pregnancy, through exercise, get familiar with the anatomy of giving birth, learn how to activate the abdominal belt as well as the pelvic floor, and to strengthen the muscles that support these structures. Ultimately, improving the person’s condition to be optimal before the physical changes are produced in the pregnant body, preventing complications and improving the wellbeing of the mother and the fetus.

Similarly, additional physical therapy and osteopathy sessions can be booked if needed for certain pregnancy complications such as Gastroesophageal Reflux, Varicose Veins – Vulvar Edema, Constipation – Urinary Incontinence – Breathing Difficulties – Pelvis preparation for giving birth – Pelvic pain – Sciatica – Perineal Massage, among others.

Up until a year after giving birth is considered postpartum. After a year, both the uterus, the muscles and the nerves have gone back to their normal state from before the pregnancy.

We would proceed to performing an abdominopelvic evaluation as part of pelvic floor physical therapy treatment, after the 40 days after giving birth (time in which the uterus shrinks back after pregnancy). In this evaluation, we would examine the state of the tissue, and at an abdominal level we would explore the presence of Diastasis recti, the state of the abdominal belt, the condition of the diaphragm, and the presence of any digestive issues.

Regarding the intracavitary examination, we evaluate both the superficial and deep areas of the pelvic floor, the condition of the muscles (tension, strength, contraction capacity), the condition of the ligaments and the support tissue. In addition to this evaluation, we also examine possible scarring resulting from Cesarean section or Episiotomies.

It is very common to have conditions such as digestive problems, constipation, incontinence, Pelvic Pain – Congestion, among others during this period of time. With early treatment and evaluations, we can prevent conditions that have not appeared yet and help you recover from said conditions if they present themselves. If there are no conditions present, we can also aid you to make a speedy postpartum recovery.

Infertility is defined as not being able to get pregnant after an active, continuous effort to conceive.

Many times, the issue is advanced age, endometriosis, lack of ovulation, menstrual irregularities, low ovarian reserve, poor sperm motility, blocked Fallopian tubes, tilted uterus, poor circulation, hormonal imbalance, etc.

Physical therapy and osteopathy can be used to help by balancing the endocrine system, improving circulation in the area, freeing the Fallopian tubes, removing tension from the tissue supporting the uterus, among other things.

Nutrition, exercise and teamwork are very important for our work.

In this stage, there is a decline in the production of female hormones, absence of menstruation, decline in collagen production and tissue elasticity. It is very frequent to find at this moment Vaginal Dryness, Constipation, Urinary Incontinence, Painful Intercourse…

The goal is to improve the quality of the tissue, treat what is malfunctioning, and strengthen the muscles… to diminish the impact of this condition on your lifestyle.

Regarding surgeries, we can find cancer surgery for breast cancer, womb cancer, ovarian cancer, fallopian tube cancer, prostate cancer… Our main goal would be to treat your scarring to remove any adhesions, improve the quality of the tissue, eliminate edemas, recovering of bodily functions with manual treatment, advanced physical therapy technology and, of course, awareness and activation exercises such as therapeutic pilates, hypopressive exercises, and functional strengthening exercises.

Related specialties

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