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Common Pelvic Floor Issues

Written by Dr. Kelley Urionaguena, PT, DPT | Jan 2, 2025 9:30:28 PM

Pelvic floor issues can be mystifying, often leaving those affected feeling isolated and unsure of where to turn for help. Despite their prevalence, there's a significant gap in education surrounding these conditions, leading many to suffer in silence.

In my practice, I've identified five common reasons people seek help for pelvic floor issues, and surprisingly, most individuals were unaware that effective treatments exist.  Yet, with the right guidance and therapeutic interventions, relief is possible. It's crucial to raise awareness and provide education on these matters, empowering individuals to seek the help they need and deserve.

1. Urinary incontinence is the involuntary leakage of urine. This is a common issue that can significantly impact one's quality of life. It can arise from various factors: including weakened pelvic floor muscles, tight pelvic floor muscles, and lack of pelvic floor muscle coordination.

A pelvic floor physical therapist can play a crucial role in managing urinary incontinence by conducting a detailed assessment to identify your primary area of concern and recommending suitable exercises and a treatment plan.

2. Pelvic organ prolapse occurs when the muscles and tissues supporting the pelvic organs weaken, causing one or more of these organs to drop or press into the vagina. This condition can result from childbirth, aging, obesity, or chronic straining due to constipation or heavy lifting. Symptoms may include a feeling of pressure or fullness in the pelvic area, urinary problems, or discomfort during intercourse.

A pelvic floor physical therapist can assist in managing pelvic organ prolapse symptoms by creating a customized exercise regimen and treatment plan to reduce symptoms and provide relief. 

3. Chronic pelvic pain is a persistent discomfort in the pelvic region that lasts for six months or longer, often without a clear cause. It can be debilitating, affecting daily activities, emotional well-being, and overall quality of life. This condition may stem from various sources, including musculoskeletal issues, nerve entrapment, or previous surgeries, and can be exacerbated by stress or hormonal changes.

A pelvic floor physical therapist can be instrumental in alleviating chronic pelvic pain by conducting a comprehensive evaluation to identify contributing factors. Then address these factors through tailored exercises, manual therapy, and education on pain management techniques, to help reduce pain, improve pelvic floor function, and enhance the patient's quality of life.

4. Constipation and straining during bathroom visits can significantly impact the pelvic floor. The act of straining during bowel movements places excessive pressure on the pelvic floor muscles, potentially weakening them over time and contributing to conditions such as pelvic organ prolapse or urinary incontinence. Conversely, a dysfunctional pelvic floor can also contribute to constipation, as tight or uncoordinated muscles may hinder the normal passage of stool.

A pelvic floor physical therapist can provide an assessment to help determine the underlying causes of constipation and straining. Prescribe targeted exercises, manual therapy, and education on proper bowel habits, to help restore balance and function to alleviate symptoms.

5. Sexual dysfunction can be a distressing issue, affecting both physical intimacy and emotional well-being. The pelvic floor plays a significant role in sexual function, as these muscles are involved in arousal, orgasm, and overall sexual satisfaction. Dysfunctional pelvic floor muscles, whether too tight or too weak, can lead to pain during intercourse, reduced sensation, or difficulty achieving orgasm.

A pelvic floor physical therapist can offer valuable assistance by evaluating the pelvic floor to identify dysfunctions and create a tailored treatment plan. As well as, education on techniques to enhance sexual function and comfort. 

In conclusion, addressing pelvic floor issues is not only possible but essential for improving quality of life. By understanding the common conditions that affect the pelvic floor and seeking the expertise of a pelvic floor physical therapist, individuals can find relief and regain control over their health. Education and awareness are key in breaking the silence surrounding these issues, empowering those affected to take proactive steps towards healing. Remember, you are not alone, and effective treatment is within reach. Prioritize your well-being and seek the support you deserve.