Pelvic Floor Rehabilitation
The pelvic floor muscles mediate bowel, bladder and sexual activity. The role of the pelvic floor muscles is to help to preserve these mentioned activities. Biofeedback of the pelvic floor has been proven to assist in improving these activities and / or assisting in correcting if there are pelvic floor disorders.
It is important to mention that biofeedback needs to be used in conjunction with prescribed medical treatment and behavior modifications.
Irritable Bowel Syndrome
What is irritable bowel syndrome (IBS)?
Irritable bowel syndrome (IBS) causes abdominal pain, bloating and alternating constipation and / or diarrhoea. The cause is often unknown, but factors such as dysfunctional pelvic floor muscles, emotional stress, infection and some foods can aggravate the condition. Treatment options include dietary modifications and stress management. A mixture of a few small controlled studies, a moderate number of small clinical studies, and many clinical case studies provide reasonably convincing evidence that biofeedback can effectively reduce or cure this problem.
Constipation & Other Elimination Disorders
The normal range for bowel movement frequency is from three times per day to three times per week. Generally, chronic constipation is having fewer than three bowel movements per week on a regular basis. Excessive straining, incomplete evacuation, and hard stools usually accompany the infrequent bowel movements. Many people experience constipation from time to time, but chronic (ongoing, unrelenting) constipation, disease, trauma, post-surgery, or age-related changes in the body may interrupt our ability to command this crucial body function and affects up to 34% of the population. (Rome III diagnostic criteria & Bristol stool scale).
Incontinence is a term that describes any accidental or involuntary loss of urine from the bladder (urinary incontinence) or bowel motion, faeces or wind from the bowel (faecal or bowel incontinence). Incontinence is a widespread condition that ranges in severity from just a small leak to complete loss of bladder or bowel control.
Urinary incontinence or under active or overactive bladder control is a common condition that is commonly associated with pregnancy, childbirth, menopause or a range of chronic conditions such as asthma, diabetes and arthritis.
Poor bladder control can range from the occasional leak when you laugh, cough or exercise to the complete inability to control your bladder, which may cause you to wet yourself. Other symptoms you may experience include the constant need to urgently or frequently visit the toilet, associated with ‘accidents’.
There are different types of incontinence with a number of possible causes. The following are the most common:
- stress incontinence
- urge incontinence
- incontinence associated with chronic retention and
- functional incontinence
Urinary incontinence can be caused by many factors, but can be treated, better managed and in many cases cured. For this reason, it is important to talk to your doctor or a continence advisor about your symptoms, in order to get on top of the actual problem.
People with poor bowel control or faecal incontinence have difficulty controlling their bowels. This may mean you pass faeces or stools at the wrong time or in the wrong place. You may also find you pass wind when you don’t mean to or experience staining of your underwear.
About one in 20 people experience poor bowel control. It is more common as you get older, but a lot of young people also have poor bowel control. Many people with poor bowel control also have poor bladder control (wetting or soiling themselves). Faecal incontinence can have a number of possible causes.
The following are the most common:
- weak back passage muscles due to childbirth, age, some types of surgery or radiation therapy
- severe diarrhoea.
Vulvar vestibulitis syndrome (VVS), vestibulodynia, or simply vulvar vestibulitis, is vulvodynia localized to the vulvar region. It tends to be associated with a highly localized “burning” or “cutting” type of pain. Until recently, “vulvar vestibulitis” was the term used for localized vulvar pain: the suffix “-itis” would normally imply inflammation, but in fact there is little evidence to support an inflammatory process in the condition. “Vestibulodynia” is the term now recognized by the International Society for the Study of Vulvovaginal Disease.
Pelvic Pain & Chronic Pelvic Pain
Pelvic pain is pain in the lowest part of your abdomen and pelvis. In women, pelvic pain might refer to symptoms arising from the reproductive, urinary or digestive systems, or from musculoskeletal sources.
Depending on its source, pelvic pain can be dull or sharp; it might be constant or off and on (intermittent); and it might be mild, moderate or severe. Pelvic pain can sometimes radiate to your lower back, buttocks or thighs. Sometimes, you might notice pelvic pain only at certain times, such as when you urinate or during sexual activity.
Pelvic pain can occur suddenly, sharply and briefly (acute) or over the long term (chronic). Chronic pelvic pain refers to any constant or intermittent pelvic pain that has been present for six months or more.
Chronic pelvic pain (CPP) is a common problem and presents a major challenge to health care providers because of its unclear etiology, complex natural history, and poor response to therapy.
Chronic pelvic pain is poorly understood and, consequently, poorly managed. This condition is best managed using a multidisciplinary approach. Management requires good integration and knowledge of all pelvic organ systems and other systems including musculoskeletal, neurologic, and psychiatric systems.