If you sometimes experience urine leakage (incontinence) then you’re not alone, 1.1 million New Zealanders experience some form of this every month. The good news is it can be helped, so don’t wait, it’s never too late to regain control of your life.
Pelvic floor disorders include incontinence (both bladder and bowel), pelvic organ prolapse, chronic pelvic pain, issues with sexual intercourse and difficulties emptying the bladder and bowel.
Incontinence is a common problem for an estimated 1.1 million New Zealanders, unfortunately many people with bladder control problems don’t seek help as they believe nothing can be done. The two main types of incontinence are stress (where small amounts of urine leak during activities) and urge (a sudden strong urge to pass urine which can lead to a loss of urine).
Pelvic Organ Prolapse (POP) is estimated to affect up to 50% of women who have given birth. A prolapse occurs when the tissues that hold the organ in place become weak or stretched - this results in a drop (prolapse) of the organs from their normal position.
Some of the common symptoms of pelvic floor dysfunction include:
Other symptoms can include:
Pregnancy and childbirth put additional strain on your body, especially on your back, pelvis, pelvic floor and abdominal muscles. A physio can help you manage these changes by providing assessment, treatment, education, appropriate exercises and preparation for childbirth. It is important not to ignore small problems after your first pregnancy and delivery, as with the demand of another pregnancy any problems can often become worse.
A physio can help with
Bladder and bowel problems can include incontinence (urine leaking), poor bladder control or constipation.
A physio can help with
Other areas physio can help with include pelvic organ prolapse, before and after gynaecological or prostate surgery, pelvic pain, pain during sex and sexual dysfunction.
Often incontinence can be helped by choosing healthy diet and lifestyle habits. This may include appropriate and regular exercise, including strengthening the core, drinking adequate fluid - preferably water, eating healthily and practicing good toilet habits (such as emptying your bladder and bowels using correct positioning and technique, without straining and avoiding constipation).
Pelvic floor exercises can also be very beneficial for both treating and preventing future problems. When these muscles are strong we have more control over our bladder and bowels. Before you start working your pelvic floor it’s very important that you are able to correctly locate these muscles. Studies have shown many people have difficulty finding the correct muscles. A pelvic floor physiotherapist can help you correctly identify these muscles and make sure you are performing the exercises correctly.
Many people with pelvic floor problems don’t seek help as they think nothing can be done or they are too embarrassed to talk about their 'private' issues. There are many treatment options available to you so it’s important you seek help from a doctor or a pelvic floor physio. They can help you treat these conditions with dignity and privacy. Most patients feel very relieved after finally discussing their problem with an understanding health professional.
Many of the disorders we've mentioned so far are related to weakness of the pelvic floor. But it is important to know that these muscles can sometimes become too tight. A pelvic floor that is too tight (over-active) can also cause problems like pain and urgency. This is why it's important that you see a physio who can correctly diagnose and treat your individual problems.
Yes, there is no need to suffer in silence. Physiotherapy can be very effective in helping you manage pelvic floor problems. In fact research has shown physiotherapy is effective in treating stress incontinence in up to 80% of cases.
A pelvic floor physio can develop a treatment plan that's just right for you. To find a physio near you use our find a physio tool here. You may like to narrow down your search to physios with specific expertise in this area by using relevant keywords. For example you could try; pelvic floor, prolapse or incontinence.