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Tag: pelvic floor dysfunction

TheraTouch PhysiotherapyBLOGpelvic floor dysfunction
By TheraTouch Physio December 5, 2023 1 Comments orthopedic Physiotherapy, Pelvic Floor Physiotherapy , , , , , , , , ,

Conquering Incontinence: Understanding Causes, Symptoms, and Effective Treatment Options

TheraTouch Physiotherapy Incontinence

Incontinence refers to the involuntary loss of urine or feces, leading to difficulties in controlling bladder or bowel movements. Here’s some information on the causes, symptoms, and treatments of incontinence:

Causes of Incontinence:

  1. Weak pelvic floor muscles: Weakened muscles that support the bladder and rectum can contribute to urinary or fecal incontinence.
  2. Urinary tract infections: Infections in the urinary tract can cause temporary incontinence.
  3. Nerve damage: Conditions such as diabetes, multiple sclerosis, or spinal cord injuries can disrupt nerve signals involved in bladder and bowel control.
  4. Hormonal changes: Fluctuations in hormone levels, such as during pregnancy or menopause, can affect bladder and bowel function.
  5. Prostate problems: In men, an enlarged prostate or prostate surgery can result in urinary incontinence.
  6. Medications: Certain medications, such as diuretics, sedatives, or muscle relaxants, may contribute to incontinence.
  7. Other factors: Chronic coughing, obesity, constipation, and certain lifestyle habits (e.g., excessive caffeine or alcohol intake) can also play a role in incontinence.

Symptoms of Incontinence:

  1. Urinary incontinence:
    1. Stress incontinence: Leakage of urine during activities that increase abdominal pressure, such as coughing, sneezing, or exercising.
    2. Urge incontinence refers to a sudden and strong urge to urinate, often followed by an involuntary release of urine.
    3. Overflow incontinence, on the other hand, involves the continuous or frequent dribbling of urine caused by an overfilled bladder that cannot fully empty.                                                            

  2. Fecal incontinence: 

    1. Involuntary passage of stool or inability to control bowel movements.
    2. Difficulty sensing the need to defecate or lack of awareness of bowel movements.
    3. Leaking of small amounts of stool or complete loss of bowel control.

Treatments for Incontinence:

  1. Lifestyle modifications:
    1. Pelvic floor Physiotherapy: Pelvic Floor exercises strengthening the pelvic floor muscles through exercises like Kegels to improve bladder and bowel control                 
    2. Fluid and diet management: Adjusting fluid intake and dietary habits to avoid bladder irritants and regulate bowel movements.
    3. Weight management: Maintaining a healthy weight to reduce pressure on the bladder and pelvic floor muscles.
  2. Bladder training: Techniques to gradually increase the time between urination and improve bladder control.
  3. Medications:
    1. Anticholinergics: Medications that relax the bladder muscle and reduce urinary urgency and frequency.
    2. Topical creams: Creams or ointments that can help treat skin irritation caused by incontinence.
  4. Medical devices:
    1. Pessary: A small device inserted into the vagina to support the bladder or rectum.
    2. Catheters: Thin tubes used to drain urine from the bladder.
  5. Nerve stimulation: Electrical stimulation of the nerves involved in bladder and bowel control to improve function and reduce incontinence.
  6. Surgery: In certain cases, surgical interventions may be recommended to treat underlying anatomical or functional issues causing incontinence.

    Pelvic Floor Physiotherapy is an effective solution for alleviating incontinence symptoms, addressing persistent conditions, and expediting the healing process. Licensed Pelvic Floor Physiotherapists evaluate your specific condition and provide personalized recommendations or therapies to help you manage your  incontinence symptom effectively

By TheraTouch Physio June 24, 2023 0 Comments orthopedic Physiotherapy , , , , , , , , ,

Finding Relief: Effective Treatments for Chronic Pelvic Pain

Chronic pelvic pain is a persistent pain in the lower abdomen and pelvis that lasts for at least six months. Here’s some information on the causes, symptoms, and treatments of chronic pelvic pain:

Causes of Chronic Pelvic Pain:

  1. Gynecological conditions: Conditions such as endometriosis, adenomyosis, pelvic inflammatory disease (PID), ovarian cysts, or uterine fibroids can contribute to chronic pelvic pain.
  2. Urological conditions: Conditions like interstitial cystitis, urinary tract infections (UTIs), or bladder disorders can cause pelvic pain.
  3. Gastrointestinal disorders: Irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), or pelvic floor dysfunction can lead to pelvic pain.
  4. Musculoskeletal issues: Conditions affecting the muscles, joints, or ligaments in the pelvic area, such as pelvic floor muscle dysfunction or pelvic joint instability, can be a source of pain.
  5. Nervous system disorders: Nerve conditions like pudendal neuralgia or pelvic neuralgia can cause chronic pelvic pain.
  6. Psychological factors: Emotional stress, anxiety, or a history of trauma can contribute to or worsen chronic pelvic pain.

Symptoms of Chronic Pelvic Pain:

  1. Persistent pelvic pain: Dull, aching, or sharp pain in the lower abdomen or pelvis that lasts for an extended period.
  2. Pain during intercourse: Pain or discomfort during sexual intercourse, known as dyspareunia.
  3. Menstrual pain: Increased pain during menstruation, known as dysmenorrhea.
  4. Urinary or bowel symptoms: Urinary urgency, frequency, or pain during urination, as well as bowel changes like constipation or diarrhea.
  5. Fatigue and sleep disturbances: Chronic pelvic pain can lead to fatigue and disrupted sleep patterns.
  6. Emotional distress: Anxiety, depression, or mood changes may accompany chronic pelvic pain.

Treatments for Chronic Pelvic Pain:

  1. Medications: Pain relievers, hormonal treatments, or muscle relaxants may be prescribed to manage pain and address underlying conditions.
  2. Pelvic Floor Physical Therapy: Pelvic Floor Physical Therapy can help relax and strengthen the pelvic floor muscles, improving symptoms.
  3. Counseling or psychotherapy: Psychological support and therapy can help individuals cope with the emotional aspects of chronic pelvic pain.
  4. Nerve blocks: Injection of anesthetic or steroids into specific nerves may provide temporary relief from pain.
  5. Trigger point injections: Injecting medication into trigger points or areas of muscle tension can help alleviate pain.
  6. Complementary therapies: Techniques such as acupuncture, heat therapy, or relaxation exercises may offer relief for some individuals.
  7. Surgical intervention: In some cases, surgery may be necessary to address underlying gynecological or urological conditions causing chronic pelvic pain.
  8. Lifestyle changes: Adopting healthy lifestyle habits, managing stress, and practicing relaxation techniques can contribute to symptom management.

Pelvic Floor Physiotherapy is an effective solution for alleviating Chronic Pelvic Pain, addressing persistent conditions, and expediting the healing process. Your licensed physiotherapists evaluate your specific condition and provide personalized recommendations or therapies to help you manage your Chronic Pelvic Pain effectively.

Table of Contents

  1. Introduction
  2. Causes of Chronic Pelvic Pain

2.1 Gynecological conditions

2.2 Urological conditions

2.3 Gastrointestinal disorders

2.4 Musculoskeletal issues

2.5 Nervous system disorders

2.6 Psychological Factors

  • Symptoms of Chronic Pelvic Pain

3.1 Persistent or Recurrent Pain

3.2 Pain during intercourse

3.3 Menstrual pain

3.4 Urinary or bowel symptoms

3.5 Fatigue and Sleep Disturbances

3.6 Emotional distress

  • Treatment Options for Chronic Pelvic Pain

4.1 Medications

4.2 Physical Therapy

4.3 Counseling or psychotherapy

4.4 Nerve Blocks

4.5 Trigger Point Injections

4.6 Complementary therapies

4.7 Surgical Interventions

4.8 Lifestyle Modifications

  • Conclusion
By TheraTouch Physio June 14, 2023 0 Comments orthopedic Physiotherapy, Pelvic Floor Physiotherapy , , , , , , , , , ,

Understanding Pelvic Organ Prolapse: Causes, Symptoms, and Treatment Options

Pelvic organ prolapse
TheraTouch Physiotherapy prolapse

Pelvic organ prolapse occurs when one or more of the pelvic organs, such as the uterus, bladder, or rectum, descend and bulge into the vaginal wall. This condition is commonly caused by weakened or damaged pelvic floor muscles and ligaments that support the organs. Here are some causes, symptoms, and treatments of pelvic organ prolapse:

Causes of Pelvic organ prolapse:

  1. Pregnancy and childbirth: The process of pregnancy and vaginal delivery can stretch and weaken the pelvic floor muscles and tissues, leading to prolapse.
  2. Aging: As women age, the pelvic floor muscles naturally weaken, making them more susceptible to prolapse.
  3. Hormonal changes: Decreased estrogen levels during menopause can contribute to the weakening of pelvic floor muscles.
  4. Chronic constipation: Straining during bowel movements over a long period can weaken the pelvic floor and contribute to prolapse.
  5. Obesity: Excess weight can put increased pressure on the pelvic organs, leading to prolapse.
  6. Chronic coughing: Conditions like chronic bronchitis or asthma that cause persistent coughing can strain the pelvic floor muscles and contribute to prolapse.

Symptoms of Pelvic organ prolapse:

  1. Sensation of a bulge or pressure in the vagina.
  2. Feeling of heaviness or pulling in the pelvis.
  3. Pain or discomfort during sexual intercourse.
  4. Backache or lower abdominal pain.
  5. Urinary problems like frequent urination, urgency, or incontinence.
  6. Bowel movement difficulties or a sensation of incomplete emptying.
  7. Vaginal bleeding or discharge.

Treatments for Pelvic Organ Prolapse:

  1. Pelvic Floor Physiotherapy: Pelvic floor exercises such as Kegel exercises can help strengthen the pelvic floor muscles and improve symptoms.
  2. Lifestyle modifications: Maintaining a healthy weight, avoiding heavy lifting, and treating constipation or chronic coughing can reduce the risk of prolapse.
  3. Vaginal pessary: A removable device inserted into the vagina to provide support for the prolapsed organs.
  4. Hormone replacement therapy: Estrogen therapy may help improve the strength and elasticity of the pelvic tissues.
  5. Surgery: In severe cases, surgery may be recommended to repair the prolapse and provide support to the pelvic organs. There are different surgical techniques available depending on the specific prolapse and individual factors.

Pelvic Floor Physiotherapy is an effective solution for alleviating Pelvic organ prolapse symptoms, addressing persistent conditions, and expediting the healing process. Your licensed physiotherapists evaluate your specific condition and provide personalized recommendations or therapies to help you manage your Pelvic organ prolapse symptoms effectively

Table of Contents:

  1. Introduction
  2. Causes of Pelvic Organ Prolapse

2.1 Pregnancy and Childbirth

2.2 Aging

2.3 Hormonal Changes

2.4 Chronic Constipation

2.5 Obesity

2.6 Chronic Coughing

  • Symptoms of Pelvic Organ Prolapse

3.1 Sensation of a Bulge or Pressure

3.2 Feeling of Heaviness or Pulling

3.3 Pain or Discomfort During Intercourse

3.4 Backache or Lower Abdominal Pain

3.5 Urinary Problems

3.6 Bowel Movement Difficulties

3.7 Vaginal Bleeding or Discharge

  • Treatments for Pelvic Organ Prolapse

4.1 Pelvic Floor Physiotherapy

4.2 Lifestyle Modifications

4.3 Vaginal Pessary

4.4 Hormone Replacement Therapy

4.5 Surgery

  • Conclusion
By TheraTouch Physio June 14, 2023 1 Comments orthopedic Physiotherapy, Pelvic Floor Physiotherapy , , , , , , , , , , , , ,

Understanding Endometriosis: Causes, Symptoms, and Treatment Options

TheraTouch Physiotherapy Endometriosis IC

Endometriosis is a medical condition in which the tissue that typically lines the interior of the uterus, known as the endometrium, develops and grows outside of the uterus.

 Here’s some information on the causes, symptoms, and treatments of endometriosis:

Causes of Endometriosis:

  1. Retrograde menstruation: refers to the backward flow of menstrual blood, containing endometrial cells, through the fallopian tubes into the pelvic cavity instead of leaving the body. This can result in the implantation of these cells in the pelvic region.
  2. Embryonic cell transformation: Hormonal or immune system factors can transform embryonic cells into endometrial-like cells, which then implant and grow in abnormal locations.
  3. Surgical scar implantation occurs when endometrial cells attach to a surgical incision following procedures like a hysterectomy or C-section, leading to the development of endometriosis.
  4. Endometrial cell transport refers to the process by which endometrial cells are transported via blood vessels or the lymphatic system to different areas of the body, where they implant and give rise to endometriosis.

Symptoms of Endometriosis:

  1. Pelvic pain: Persistent pain in the pelvic region, including severe menstrual cramps, lower back pain, or pain during intercourse.
  2. Heavy or irregular menstrual periods: Experiencing heavy bleeding, prolonged periods, or irregular menstrual cycles.
  3. Painful bowel movements or urination: Pain or discomfort during bowel movements or urination, particularly during menstruation.
  4. Fatigue and gastrointestinal symptoms: Feeling tired or experiencing gastrointestinal issues, such as bloating, nausea, or diarrhea, especially during menstruation.
  5. Infertility: Difficulty getting pregnant or experiencing infertility due to the presence of endometriosis affecting the reproductive organs.

Treatments for Endometriosis:

  1. Pain medication: Over-the-counter pain relievers, such as nonsteroidal anti-inflammatory drugs (NSAIDs), can help alleviate menstrual pain associated with endometriosis.
  2. Hormonal therapy:
    • Birth control pills: Oral contraceptives can help regulate the menstrual cycle and reduce pain.
    • Progestin therapy: Progestin-only contraceptives, such as intrauterine devices (IUDs) or hormonal injections, can help relieve symptoms.
    • Gonadotropin-releasing hormone (GnRH) agonists or antagonists: These medications temporarily induce a menopause-like state to suppress endometriosis growth.
  3. Excision surgery: A minimally invasive surgical procedure to remove endometrial implants and scar tissue can provide relief from symptoms and improve fertility.
  4. Laparoscopic ablation: Using laser or electrical energy to destroy endometrial tissue, providing temporary relief from symptoms.
  5. Hysterectomy: In severe cases or when other treatments fail, removal of the uterus and sometimes the ovaries may be recommended.
  6. Pelvic floor physiotherapy: Pelvic floor physiotherapy techniques, including exercises, manual therapy, and biofeedback, alleviate pelvic pain, improve muscle function, and enhance quality of life. By targeting pelvic floor muscles and addressing endometriosis-related concerns, it offers a holistic and evidence-based approach to managing this condition.
     

In conclusion, endometriosis is a complex condition involving the growth of endometrial tissue outside the uterus. Understanding its causes, symptoms, and treatment options is crucial for effective management.

Pelvic Floor Physiotherapy is an effective solution for alleviating Endometriosis pain, addressing persistent conditions, and expediting the healing process. Licensed Pelvic Floor physiotherapists evaluate your specific condition and provide personalized recommendations or therapies to help you manage your Endometriosis pain effectively

Table of Contents:

  1. Introduction
  2. Causes of Endometriosis

2.1 Retrograde menstruation

2.2 Embryonic cell transformation

2.3 Surgical scar implantation

2.4 Endometrial cell transport

  1. Symptoms of Endometriosis

3.1 Pelvic pain

3.2 Heavy or irregular menstrual periods

3.3 Painful bowel movements or urination

3.4 Fatigue and gastrointestinal symptoms

3.5 Infertility

  1. Treatments for Endometriosis

4.1 Pain medication

4.2 Hormonal therapy

4.2.1 Birth control pills

4.2.2 Progestin therapy

4.2.3 Gonadotropin-releasing hormone (GnRH) agonists or antagonists

4.3 Excision surgery

4.4 Laparoscopic ablation

4.5 Hysterectomy

4. Pelvic Floor Physiotherapy

  1. Conclusion

5.1 Pelvic Floor Physiotherapy for Endometriosis Pain Management

By TheraTouch Physio June 12, 2023 0 Comments Pelvic Floor Physiotherapy , , , , , , , , , , , ,

Is Your Pelvic Floor Weak? Learn the Signs Now!

Weak pelvic floor muscles can affect your bladder, bowel, sexual health, and overall core stability. If you’re experiencing symptoms like leakage, pelvic pressure, or pain, you’re not alone — and support is available.
At TheraTouch Physiotherapy in Ottawa, our pelvic floor physiotherapists help you assess, diagnose, and strengthen your pelvic floor safely and effectively.

weak pelvic floor

What Is the Pelvic Floor?

The pelvic floor is a group of muscles and connective tissues that act like a supportive hammock for your bladder, uterus/prostate, and rectum. These muscles control urination, bowel movements, sexual function, and core stability.
When the pelvic floor becomes weak, it can lead to symptoms that affect your daily comfort and quality of life.

Common Causes of Pelvic Floor Weakness

How Do You Know If Your Pelvic Floor Is Weak?

Here are the most common signs, explained clearly so you can identify what’s normal — and what’s not.

Leaking urine when you cough, sneeze, laugh, or exercise is one of the clearest signs of pelvic floor weakness. This is known as stress urinary incontinence.

Feeling the urge to urinate often — even shortly after going — may indicate reduced pelvic support for the bladder.

Difficulty controlling gas or stool is linked to weakened pelvic floor muscles and reduced sphincter support.

A sensation of heaviness, pressure, or something “falling out” of the vagina or rectum is a major red flag.

Chronic pelvic pain, discomfort during sitting, or pressure in the lower abdomen can be caused by underactive pelvic floor muscles.

Weak pelvic floor muscles can reduce sensation, make intercourse uncomfortable, or contribute to low sexual satisfaction in both women and men.

Because the pelvic floor is part of your core, weakness often causes compensations that lead to back or hip pain.

Struggling to activate your core during workouts or daily activities is a common sign of pelvic instability and pelvic floor dysfunction.

How Is Pelvic Floor Weakness Diagnosed?

A proper assessment is essential. At TheraTouch Physiotherapy, your pelvic floor physiotherapist will evaluate your symptoms, discuss your medical history, and perform a gentle examination.
This ensures an accurate diagnosis and a personalized plan for strengthening your pelvic floor.

Book a Pelvic Floor Assessment

How to Improve a Weak Pelvic Floor

Weak pelvic floor muscles can be strengthened with the right approach. Your physiotherapist may recommend:

  • Pelvic floor exercises (Kegels) taught correctly

  • Deep core strengthening

  • Lifestyle modifications such as posture, breathwork, and lifting techniques

  • Managing constipation to prevent strain

  • Treating chronic cough

  • Education around bladder and bowel habits


Learn more about Pelvic Floor Physiotherapy →

Frequently Asked Questions

Yes. Men can also develop pelvic floor weakness, leading to pelvic pain, leakage, or sexual dysfunction.

Mild cases may improve with exercises, but guided pelvic floor physiotherapy leads to more effective and lasting results.

 

No — treatment is gentle, evidence-based, and always tailored to your comfort.

Ready to Strengthen Your Pelvic Floor?

If you’re experiencing any of the symptoms above, early treatment can prevent the issue from worsening. Our pelvic floor physiotherapists in Ottawa provide private, one-on-one assessments and personalized treatment plans.

 

Book Your Appointment
By TheraTouch Physio June 6, 2023 0 Comments orthopedic Physiotherapy, Pelvic Floor Physiotherapy , , , , , , , , , , , , , , , ,

How Pelvic Floor Physiotherapy Supports Pregnancy and Postpartum Health 

Pregnancy and Postpartum pelvic physiotherapy

Pregnancy and the postpartum period are transformative experiences that bring joy and challenges to women’s lives. During this time, the pelvic floor muscles undergo significant changes and may require special attention and care. Pelvic floor physiotherapy offers invaluable support to empower women throughout their pregnancy and postpartum journey. In this blog post, we will explore how pelvic floor physiotherapy can help you feel empowered, confident, and in control during this transformative phase of your life. 

  1. Preparing for Pregnancy: Pelvic floor physiotherapy can be beneficial even before conception. By addressing any existing pelvic floor issues or imbalances, such as weak muscles or pelvic pain, you can start your pregnancy journey on a healthier foundation. A pelvic floor assessment and targeted exercises can help strengthen your pelvic floor muscles, optimize their function, and promote better bladder control. 
  2. Supporting Pregnancy: During pregnancy, the pelvic floor experiences increased strain due to the growing baby, hormonal changes, and the weight of the uterus. Pelvic floor physiotherapy can help manage common pregnancy-related issues such as back pain, pelvic girdle pain, and incontinence. A physiotherapist can provide exercises and techniques to strengthen the pelvic floor muscles, promote better posture, and enhance overall pelvic stability, empowering you to navigate the physical demands of pregnancy with greater comfort and confidence. 
  3. Preparing for Labor and Delivery: Pelvic floor physiotherapy plays a vital role in preparing for labor and delivery. Through specialized exercises and techniques, you can learn to relax and control your pelvic floor muscles, facilitating the birthing process. A physiotherapist can guide you in practicing perineal massage and breathing techniques to reduce the risk of perineal tears and promote more efficient labor. 
  4. Postpartum Recovery: After giving birth, your body undergoes a period of healing and adjustment. Pelvic floor physiotherapy is instrumental in supporting your postpartum recovery. A thorough assessment can identify any pelvic floor dysfunctions, such as weakened muscles or pelvic organ prolapse. With personalized exercises and techniques, you can regain strength, restore pelvic floor function, and address any issues like urinary incontinence, back pain or pain during intercourse. By nurturing your pelvic floor health, you can enhance your overall well-being and regain confidence in your body. 
  5. Addressing Mental and Emotional Well-being: Pelvic floor physiotherapy also acknowledges the emotional and psychological aspects of pregnancy and postpartum. Your physiotherapist can provide guidance and support, addressing any concerns or anxieties you may have regarding your pelvic floor health. By fostering an open and supportive environment, pelvic floor physiotherapy empowers you to take an active role in your well-being and encourages a positive mindset throughout your journey. 

In conclusion, Pelvic floor physiotherapy is an invaluable resource for women during pregnancy and postpartum. Promoting physical strength, providing valuable support, and addressing emotional well-being, empowers you to embrace this transformative phase of life with confidence and resilience. If you are pregnant or have recently given birth, consider seeking the guidance of a qualified pelvic floor physiotherapist who can tailor a program to meet your unique needs. Embrace the power of pelvic floor physiotherapy and unlock your potential to thrive during this remarkable time. 

Table of Contents

  1. Introduction
  2. Preparing for Pregnancy
  3. Supporting Pregnancy
  4. Preparing for Labor and Delivery
  5. Postpartum Recovery
  6. Addressing Mental and Emotional Well-being
  7. Conclusion
  8. Introduction