The Mystical Pelvic Floor
The mystical pelvic floor – mentioned frequently and rarely understood. As a Pelvic Health Physiotherapist, I feel it is my personal mission to reach as many people as possible and teach them about their pelvic floor muscles. Education is Key! My blog this week will discuss the anatomy and role of the pelvic floor muscles, what happens when it goes wrong, and the first steps to help you control and cure your symptoms.
Where Are They, And What Do They Do?
The pelvic floor muscles, sometimes referred to as ‘Kegels’ are a sling of muscles that support your pelvic organs – Imagine a trampoline that spans the bottom of your pelvis from front to back and side to side. Just like a trampoline, they are able to move up and down. There are holes in your pelvic floor for passages to travel through – three in women, and two in men. These help to control the passing of urine, faeces, and wind at a time that is convenient for you. They play a massive role like continence, sexual health, and core stability – so they’re pretty important!
How do I know if my pelvic floor muscles are affected?
Common symptoms of pelvic floor dysfunction include the following:
- Urinary incontinence with laughing, sneezing, jumping or running
- An inability to hold in wind when you want to
- Faecal incontinence
- Strong urges to go to the bathroom – a sudden, strong urge that is difficult to postpone – this can be for either bladder or bowel.
- Increased frequency of going to the loo (normal is 4-6 times per day).
- Constipation or an inability to empty your bowels fully
- Painful sex or inability to have sex at all
- Pain around the pelvis or abdomen
1 in 3 women will experience incontinence in their lifetime.
1 in 7 will experience stress urinary incontinence up to 7 years postnatally.
Between 40-80% of athletes will experience incontinence, depending on the sport.
It’s not just postnatal women that are affected.
The stats show that pelvic floor issues are incredibly common but that most women ignore these symptoms for years, often with detriments to quality of life and physical fitness.
What causes weak pelvic floor muscles?
They might be weak for a number of reasons, including:
- Pregnancy, or multiple pregnancies
- Heavy lifting
- Constipation
- Being overweight
- Being deconditioned
How do I activate them?
Studies show that approximately 30% of women will perform a pelvic floor activation incorrectly when prompted. So firstly, you need to ensure that you are activating the correct muscles, as doing the exercises poorly can sometimes do more harm than good. You should feel a ‘lift and squeeze’ as you do the exercise. If you are struggling to isolate these muscles, check in with our pelvic health physiotherapist and see if they can help you out.
How should I train them? How strong should they be?
Ideally you would be able to hold a pelvic floor activation for 10×10 seconds. However, this is harder than it sounds! Try concentrating, performing a lift and try to establish the maximum amount of time you can hold it for. Use this as a bit of a guide for your sets and repetitions. E.g. if you can hold for 6 seconds, then start with 10×6 second activations and gradually build up from there.
You should also try to do 10x faster squeezes afterwards – holding for only 1 second or so, and releasing fully in between. Studies show that you should aim to do your pelvic floor exercises 2-3x per day, if you are trying to build strength quickly. Usually once per day is OK for maintenance.
Also remember that in real life, the pelvic floor muscles do not activate in isolation. They’re always there in the background, supporting our organs while we are upright, squeezing when we cough or sneeze, and keeping us continent every time we lift something, walk up the stairs or exercise. To get the MOST out of your pelvic floor function, we need to train them to work when we are moving – not just staying still.
How can my Pelvic Health Physio help?
At Body Therapy Wellness Centre, our Pelvic Floor Physio Anuja can help to assess your pelvic floor muscles and subsequently create an individualized treatment program to help you manage your symptoms as a long term cure. We can also help you to re-train and stretch tight pelvic floor muscles. Rehabilitation programs are tailored to be sports or activity specific to help you get the most out of your pelvic floor training. If you are experiencing pelvic floor issues, please don’t continue to endure when help is out there. Call today to book your Pelvic Health appointment and start taking control of your symptoms. If you have any questions, please don’t hesitate to contact the clinic and ask for Anuja!
Book a “Complimentary Consultation” with our Pelvic Floor Physiotherapist to discuss how Physiotherapy can help you with your condition.
Certifications:
- Level 1: The Physical Therapy Approach To Female & Male Urinary Incontinence.
- Level 2/3A: Female & Male Pelvic Pain.
- ROST Therapy: Evidence based management of Pregnancy-related Pelvic girdle, Sacro-iliac and Pubic pain.
- Neuro Myoskeletal Dry Needling techniques (Basic & Advance Level)
- The Dry Needling Program- Level 1 (Acupuncture Canada)
