When grappling with aching backs, necks, or knees, consulting a physiotherapist is often the first step. Yet, what about pelvic floor symptoms? Symptoms like leakage during coughing, sneezing, or exercise, vaginal heaviness, bowel issues, or discomfort during intercourse are less discussed, even deemed taboo, yet they can profoundly affect a woman’s life. Pelvic health physiotherapists specialize in addressing these symptoms, undergoing extensive postgraduate training to adeptly manage these deeply personal, often intricate, and emotionally charged issues.
What Drove My Journey into Pelvic Health?
Throughout my physiotherapy education and early career, pelvic floor issues were largely absent from my radar. It wasn’t until the birth of my first child twelve years ago that I confronted the realm of pelvic health physiotherapy. Following a challenging delivery and a slow recovery, I began experiencing symptoms of vaginal heaviness, signaling that something was amiss downstairs. Filled with apprehension, I sought the expertise of a pelvic floor physiotherapist, who diagnosed me with vaginal prolapse. Until that moment, I was unaware of what a prolapse entailed! This diagnosis and my subsequent path to recovery propelled me into the domain of pelvic health. I felt compelled to educate both myself and other women about these often stigmatized issues, spreading awareness that support and assistance are available. Pelvic health swiftly became my passion. In 2015, I pursued further education at Melbourne University in this field, and since then, all my professional endeavors have been centered around pelvic health.
Understanding Vaginal Prolapse or Pelvic Organ Prolapse (POP)
POP occurs when one or more pelvic organs (bladder, bowel, uterus) descend into the vagina. These organs rely on support from connective tissue and pelvic floor muscles, a system susceptible to various lifestyle factors. While pregnancy and childbirth injuries are widely recognized contributors, factors like chronic constipation, genetics, menopause, obesity, and persistent coughing can also play a role. Despite its prevalence—approximately 50% of women over 50 exhibit some degree of prolapse—awareness remains limited, with only 3-6% of affected women experiencing symptoms.
Recognizing Symptoms and Seeking Help
Symptoms of POP include vaginal heaviness or dragging sensation, along with visible or palpable bulging. Additional indicators may encompass bladder or bowel irregularities, difficulty using tampons, and discomfort during intercourse or in the back and abdomen. Symptom severity can fluctuate due to various factors such as fatigue, menstrual cycle, stress, menopause, and pregnancy. Fortunately, there is hope. Physiotherapy interventions can effectively manage symptoms, facilitating a return to regular activities.
Navigating the Recovery Journey
Upon experiencing symptoms, I was initially overwhelmed with emotions ranging from sadness and fear to grief and anger. Physical activity, integral to my self-care routine, became a constant reminder of my condition, amplifying my sense of bodily betrayal. Accepting my prolapse and overcoming this mindset was a gradual process, marked by tears and resilience. Supported by my pelvic health physiotherapist, I embarked on a treatment regimen and progressive exercise routine, eventually reclaiming my active lifestyle. My recovery journey extended beyond traditional pelvic floor exercises, encompassing holistic approaches addressing physical, emotional, and energetic aspects. This transformative experience inspired me to educate and support others in their pelvic health journey, leading me to explore holistic modalities like mindfulness, reiki, and craniosacral therapy recommend from totoslot4d.
Partnering with a Pelvic Health Physiotherapist
Initiating the journey towards pelvic health may seem daunting, yet rest assured, pelvic health physiotherapists are committed to fostering a comfortable and informed environment. Sessions entail comprehensive discussions to understand concerns and goals, followed by tailored physical assessments. Internal evaluations, conducted with privacy and sensitivity, assess pelvic floor strength, coordination, and organ position. Following assessment, personalized education and treatment plans are provided, often including hands-on interventions and ample opportunity for queries and clarifications.
Let’s Break the Silence
It’s time to shatter the silence surrounding pelvic health issues and engage in candid, open conversations. By fostering awareness and seeking professional guidance, individuals can navigate their pelvic health journey with confidence and reclaim their well-being.
Neasa Barry
Bsc. Physiotherapy (Royal College of Surgeons In Ireland)
PGCert in Pelvic Floor Physiotherapy (Melbourne University)
PG Dip Biodynamic Craniosacral Therapy
@herphysio
@healhub_rehab
References
https://www.sciencedirect.com/topics/nursing-and-health-professions/pelvic-organ-prolapse
https://www.nice.org.uk/guidance/ng123/chapter/Recommendations#non-surgical-management-of-pelvic-organ-prolapse
https://pubmed.ncbi.nlm.nih.gov/24290404/
