Pelvic Floor and Obstetric Physiotharpy
Pelvic-perineal and obstetric physiotherapy allows us to prevent and treat pelvic floor dysfunctions. Some of the most common are: Urinary, gas or faecal incontinence, overactive bladder, prolapse, chronic pelvic pain, scarring, pelvic oedema, constipation and sexual dysfunctions. Depending on each patient and their conditions we have a wide range of techniques to address them: manual therapy, biofeedback, exercises, dry needling, eco-guided treatment… Allowing us to help our patients to improve their quality of life.
It is also a speciality whose aim is to prevent and treat pathologies or dysfunctions that may arise during pregnancy (such as muscular and osteoarticular problems; circulatory and lymphatic problems; or perineal dysfunctions such as urinary incontinence or pelvic pain) and postpartum, such as abdominal diastasis or lack of muscle competence. Also with post episiotomy scars, tearing or caesarean section, which are usually accompanied by pain, muscle retractions and/or lack of sensitivity.
In addition, obstetric physiotherapy is responsible for promoting the health of women during and after pregnancy in order to achieve a good adaptation to the changes that arise during this period and to be able to enjoy it in the best conditions.
Do you think you may be suffering from Pelvic Floor disfunction?
Do you have problems controlling urine leaking?
Have you given birth and your perineum doesn´t feel the same?
Do you feel pain during intercourse?
Do you suffer from constipation?
Pelvic floor dysfunction is a common condition where you’re unable to correctly relax and coordinate the muscles in your pelvic floor to urinate or to have a bowel movement. If you’re a woman, you may also feel pain during sex, and if you’re a man you may have problems having or keeping an erection (erectile dysfunction or ED).
Pelvic-perineal physiotherapy prevents and treats pelvic floor dysfunctions.
What causes pelvic floor dysfunction?
The full causes of pelvic floor dysfunction are still unknown. But a few of the known factors include:
- Traumatic injuries to the pelvic area (like a car accident).
- Overusing the pelvic muscles (like going to the bathroom too often or pushing too hard), eventually leading to poor muscle coordination.
- Pelvic surgery.
- Being overweight.
- Advancing age.
Most commonly, women come to us after giving birth or during/after menopause, but it is important to know that we do not only focus on this type of patients. Children with urination or constipation problems, young sportswomen, due to vaginal hypertonus and men with urinary incontinence are also contemplated as possible candidates to our pelvic floor therapy.
Some of the most common dysfunctions that pose a problem I patients´daily lives are: Urinary, gas o stool incontinence, Overactive bladder, Prolapse, Chronic pelvic pain, Painful o retractable scars, Pelvic oedema, Constipation, Sexual dysfunction.
Our experienced and widely trained specialist, and the latest equipment will assure the best care for any of these problems.
Treatment is conservative and variable depending on the case and its unique conditions: Manual Therapy, Active Exercise, Breathing techniques Exercises, Biofeedback (Ultrasound guided), Electrotherapy (Radiofrequency), Hypopressive Exercises, Behavioural Approach….
Are you pregnant and don´t know where to start?
Have you had a bad experience in previous pregnancies and want this one to be different?
During pregnancy it is common for many questions to arise about which procedures are advisable and which are contraindicated. Our GlobalFisio specialists can advise you from the very beginning so that your pregnancy and birth experience is as comfortable and safe as possible.
How can obstetric physiotherapy help you?
It is a specialist who prevents and treats problems or dysfunctions that may occur during pregnancy: Musculoskeletal problems, circulatory and lymphatic problems, or perineal problems such as urinary leakage or pelvic pain.
In terms of prevention, physical preparation is the star treatment, including:
- Perineal Massage
- Flexibility and strengthening exercises,
- Prenatal Pilates
- Practical Workshops to deal with dilation and expulsion phase at labour
When should we see a Physiotherapist?
After the third trimester, from week 12, when pregnancy starts to become noticeable; or before, as long as there is a medical prescription.
We can distinguish several stages during pregnancy, and in each of them you will benefit from different techniques according to your personal needs. The aim is to be able to enjoy and live more intensively this special and beautiful time of life, to reach labour in the best physical condition and to promote a good postpartum recovery.
In the postpartum period we are faced with dysfunctions such as those mentioned above and also with abdominal problems. Some of the most common ones are:
- Abdominal diastasis or lack of muscle competence.
- Post-pisiotomy scar
- C- Section and tearing related problems
Which are usually accompanied by pain, muscle retraction and/or lack of sensitivity areas.
Birth is approaching and some fears start firing…
How can we avoid episiotomy or tearing?
How can we reduce postpartum pain?
Perineal massage is the answer: It is applied therapeutically in urogynaecology and preventively in pregnancy. The main objective is stretch the perineal area to avoid possible tear or episiotomy on delivery.
It should be initiated at week 34 of pregnancy or 32 in the case of twin of multiple pregnancies. It is essential that it is carried out by a specialized physiotherapist or by your partner, always after previous training.
One of the advantages from doing this at a Physiotherapy practice is the use of specific equipment such as EPI-NO. From 36th week onwards it becomes especially useful to achieve a global stretching of the muscle groups involved, and around week 38, to be able to practice the pushing in a way that is very close to reality, the EPI-NO emulating the baby´s little head.