Pelvic Floor Physical Therapy for Prolapse

Pelvic floor physical therapy is a highly effective, non-invasive treatment option for many women experiencing pelvic organ prolapse. This specialized form of physical therapy goes far beyond simple Kegel exercises, offering a comprehensive approach to pelvic health.

What is Pelvic Floor Physical Therapy?

Pelvic floor physical therapy involves a range of techniques and exercises designed to:

• Strengthen and coordinate pelvic floor muscles
• Improve overall pelvic function
• Enhance breathing patterns
• Correct and improve posture
• Increase mobility and flexibility
• Address any muscle imbalances or tensions in related areas

These sessions are led by specially trained physical therapists who have expertise in pelvic health.

More Than Just Kegels

While Kegel exercises can be beneficial, pelvic floor physical therapy encompasses much more:

1. Breathing techniques: Proper breathing patterns can significantly impact pelvic floor function.
2. Posture correction: Your posture affects the positioning and functioning of your pelvic organs and pelvic floor.
3. Mobility exercises: Improving flexibility in your hips, lower back, and abdomen can support better pelvic floor health.
4. Core strengthening: A strong core works in tandem with your pelvic floor for better support.
5. Relaxation techniques: Learning to fully relax your pelvic floor is just as important as strengthening it.

Remember

You are in control during your PT sessions. Any “internal work” is always optional and requires your explicit consent. You can benefit greatly from PT even if you choose not to have internal work done.

Benefits of Pelvic Floor PT for Prolapse

1. Improves symptoms of prolapse
2. May prevent worsening of the condition
3. Enhances overall pelvic health
4. Can improve bladder and bowel control
5. May improve sexual function
6. Empowers you to take an active role in your treatment

What to Expect in a Session

A typical pelvic floor physical therapy session may include:

• Assessment of your pelvic floor muscle strength and function
• Education about pelvic anatomy and proper muscle use
• Guided exercises for pelvic floor, core, and related muscle groups
• Instruction on proper breathing techniques and posture
• Biofeedback training to help you visualize and understand your muscle activity
• Manual therapy techniques to address any pelvic misalignments or tensions

Remember, you’re always in charge during your sessions. If you’re uncomfortable with any aspect of the treatment, communicate this to your therapist. They can adjust their approach to ensure you’re comfortable.

Duration and Frequency of Treatment

The duration and frequency of pelvic floor physical therapy can vary based on individual needs. Typically, you might expect:

• Initial sessions once or twice a week
• Treatment duration of 6-12 weeks, sometimes longer
• Gradual reduction in session frequency as you progress
• A home exercise program to complement in-office sessions

Preparing for Your First Appointment

To get the most out of your pelvic floor physical therapy:

1. Wear comfortable clothing that allows for easy movement
2. Be prepared to discuss your symptoms and medical history in detail
3. Don’t be embarrassed – your therapist is a professional trained to discuss pelvic health
4. Bring any questions or concerns you have about the therapy process
5. Remember that you can decline any part of the examination or treatment that makes you uncomfortable

Is Pelvic Floor PT Right for You?

Pelvic floor physical therapy can be an excellent option for many women with prolapse. It’s particularly beneficial if:

• You have mild to moderate prolapse
• You want to avoid or delay surgical intervention
• You’re looking for a comprehensive, conservative treatment approach
• You’re motivated to participate actively in your treatment

Discuss with your urogynecologist whether pelvic floor physical therapy is appropriate for your specific situation.

Remember, consistency is key in pelvic floor physical therapy. Regular practice of prescribed exercises and techniques, both during sessions and at home, is crucial for achieving the best results.