Pelvic Floor Rehabilitation

Pelvic floor rehabilitation is a comprehensive program of behavior changes, biofeedback and specific pelvic floor exercises with the objective of restoring full function and strength of the pelvic floor muscle area of the body.

The pelvic muscles are located at the base of the spine.  They are attached to the pubic bone at the front and to the tail bone at the back.  These muscles support the bowel, the bladder and the uterus.  When strong these muscles protect the pelvic organs and help to control function of the bladder and bowel.   However the pelvic floor can become weakened or the muscles can become tight or spastic due to menopausal hormonal changes, childbirth, age or disease.

Pelvic floor rehabilitation involves a number of approaches.   Manual stretching, massage or mobilization of areas such as the pelvis, back, hip, thigh or the connective tissues can be done.  A very important part of any program is a set of specific pelvic floor exercises that can be done regularly to strengthen the muscles and reduce or eliminate symptoms.  Electrical stimulation devices can be utilized as well to retrain the muscles, decrease spasms and improve function.  Diet and lifestyle changes can also go a long way to addressing the issues.

Look for physiotherapists and osteopaths uniquely trained in pelvic floor rehabilitation therapy.  A typical session will last about 1 hour and will include a review of personal health history, physical exam and discussion of the specific pelvic concerns.   There are also urogynecologists and urologists who are listed with the Canadian Incontinence Foundation who can offer assessment, testing, and treatment for pelvic floor management.

Therapies related to pelvic floor rehabilitation include kegel exercises, urinalysis, and electrical stimulation.