Women’s Health Physiotherapy
Women’s Health is an area of treatment interest that addresses a spectrum of issues related to women’s health and Pelvic Floor Dysfunction (PFD). At Lifemark Physiotherapy we have Dr. Bahareh Ghanbari who is certified to treat conditions related to PFD including:
• Bladder control/ Incontinence
• Bowel control/ Incontinence
• Coccydynia/ Tailbone pain
• Core strength/ Core stability
• Painful intercourse/ Dyspareunia
• Pelvic Organ Prolapse (POP)
• Perinatal Health, Maternal health, Child birth (pre/post partum)
• Diastasis Rectus Abdominus or DRA (separated abdominal muscles)
• Vulvar pain, Vulvar vestibulitis, Vulvar vestibulodynia, Vaginismus, Vulvodynia
• Intersistial cystitis (painful bladder)
• Pain from c-section scars, episiotomies, or tears during child birth
• Endometriosis associated pain
• Pubic symphysis dysfunction
• Sacroiliac joint pain.
• Sport related conditions
• Post surgical conditions
• Lower back pain
• Hip pain
• “Sciatica” pain
The pelvic floor muscles have an essential role in supporting uterus, bladder, and rectum. Physiotherapy intervention is required when pelvic floor muscles are too weak, too tense, or not coordinated. Weakness in pelvic floor muscles might result in conditions including urinary or bowel incontinence, urgency and POP.
Increased tone in pelvic floor muscles can result in conditions such as urinary frequency, urgency, painful urination, incomplete emptying, constipation, low back pain, pelvic pain, vaginal pain, and pain during or after intercourse. In case of hypertonic pelvis floor muscles, the physiotherapy treatment will focus primarily on relaxing and normalizing the muscle tone.
Our physiotherapist treat these conditions through variety of techniques which involve:
1. Pelvic floor re-training and exercises: Kegel exercises have been shown to improve strength in pelvic floor muscles. Biofeedback, real time ultrasound, and muscle stimulators can be used to assess and teach the patient how to strengthen pelvic floor muscles. Your physiotherapist will teach you how to use your pelvic floor proper to the demand in order for you to return to your daily normal activities without recurring symptoms.
2. Assessment low back and abdominal muscles as dysfunction of these muscle groups can contribute to PFD.
3. Core strengthening and stability exercises of lower back and abdominal muscles which play a supporting role in the strength of the pelvic floor
4. Education on relaxation, anxiety, stress, thoughts, and beliefs and how they contribute to sensation of pain in the pelvis.
5. Internal manual therapy techniques will be used to relax the pelvic floor muscles, including trigger point release, and myofascial stretches. Other techniques include Treatment of pain in low back, hips and pelvis if present, relaxation and breathing techniques, Internal manual therapy techniques to relax the pelvic floor muscles, including trigger point release, myofascial stretches, scar massages, neural mobilizations, education on positioning and posture, and education on the use of vaginal dilators, pelvic floor educators or muscle stimulators to help with relaxation of pelvic floor muscles.
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