Pelvic floor dysfunction and its Physiotherapy Rehabilitation

Pelvic floor dysfunction is the dysfunction of pelvic floor muscles. It can be hypotonic, where the muscles are extremely lax. Or it can be hypertonic, where the muscles are short, spastic, and weaker. And essentially there is reduced capacity for the muscles to lengthen. Therefore, they are not supporting the above structures, including the bladder, the uterus, and the colon.  Hips, the lower spine, and the sacrum are also affected due to pelvic floor dysfunction.

In Pelvic floor dysfunction In addition, when the muscles are short, spastic, and weaker, there is less blood flow to the area. And when there is less blood flow, there’s less oxygenation, and this can lead to a drop in pH levels. This is what stimulates the inflammatory cascade. When this whole inflammatory cascade is stimulated, you get a release of pro-inflammatory cytokines. This ultimately leads to neurogenic inflammation, where the nerve of the pelvis then starts to work inappropriately.

Symptoms of Pelvic floor dysfunction include

pelvic pain
history of pain in the lower back/hip/groin or tailbone
history of sciatica
rectal burning
rectal pain
pain with sitting
burning with intercourse
pain with bowel movement
urinary urgency/frequency, and burning with urination
feeling unable to completely empty the bowel
difficulty initiating a bowel movement
prolonged sitting increases the symptoms
and you have to wake up 2 or more times in the night to urinate, etc.
Pelvic floor dysfunction can be accompanied by erectile dysfunction.

Cause

Prolonged sitting

Lack of walking

Lack of exercise

And sedentary lifestyle

Or in women after giving delivery.

PHYSIOTHERAPY MANAGEMENT OF Pelvic floor dysfunction includes-

Training of gluteal and piriformis muscles as it is attached via fascia to pelvic floor muscles.

Training of the diaphragm as it is also attached to the pelvis and pelvic floor muscles, diaphragm contributes to the gentle movement of the pelvis with the pelvic floor muscles with every breath. لعبة سلوتس

Groin muscle training.

Hip muscle training.

Lower back muscle training.

Core muscle training.

Functional manual therapy.

Functional electrical stimulation.

Super inductive System (SIS).

Pelvic floor muscle strengthening by following exercises-
Pelvic tilt on supine with hip & knee flexed position (remember to not push your pelvis with your legs and try to flatten your lower back (lumbar spine) and tighten your core while doing exercise and keep breathing).

Ball squeezing exercise (in this you have to keep a football in between your knees or thigh while your knees are at 100 degrees, now press the football with both of your knees).

Pelvic tilt clocks (In this exercise combines pelvic tilt exercise with pelvic hiking and dropping exercise at different angles).

Progression of ball squeezing exercise (before squeezing the ball, just tilt your pelvis and maintain that position and now squeeze the ball).

Further progression will be bringing your knees & hips at 90 degrees while maintaining the tilt and squeeze.

To activate your hip flexors keep maintaining the knee & hip 90-90 position and push your knees with your hand while pressing the ball in between your knee.

Activating the obturator internus muscle in the prone position and flexing your knee at 90 degrees put a belt/band around the ankle keep your knees together and feet together, now push your ankle out each way like you are trying to separate your feet (While pushing out squeeze your core and tuck your tail bone-in).

and Yoga, etc.