Pelvic Floor Weakness
The muscles of the pelvic floor stretch like a firm, supportive hammock from the pubic bone at the front to the tailbone at the back and extend sideways to the walls of the pelvis. The help to support the pelvic organs such as the uterus, bowel and bladder as well as the three passages connecting these organs to the outside of the body.
Weak pelvic floor muscles can lead to poor bladder and bowel control, prolapses and decreased sexual enjoyment.
Causes
Pregnancy and childbirth
Consistently straining to empty your bowels (constipation)
Frequent heavy lifting
Being overweight
Changes in hormone levels at menopause
Lack of general exercise
Signs and Symptoms
Incontinence
Vaginal slackness
A feeling of heaviness, dragging or something falling down
Passing wind (gas) from the bowel or vagina
Tampons slipping out
Assessment With Real Time Ultrasound
This is a noninvasive way of showing an image of the bladder and assessing the action of the pelvic floor. The ultrasound will be able to detect if there is effective, symmetrical lifting of the muscles and any bearing down during exercise. It is advised that your pelvic floor action be assessed before any strengthening programme is begun.
Treatment
Your physiotherapist will advise on an individual exercise programme to strengthen the muscles of the pelvic floor. The muscles need to be exercised accurately and this should only take a few minutes each day.
Mon - Thurs 7am to 7pm
Fri 7am to 6pm
Sat - 7am to 1pm
