Conditions and Treatment
Pelvic floor dysfunction
As many as 50 percent of people with chronic constipation have pelvic floor dysfunction (PFD), impaired relaxation and coordination of pelvic floor and abdominal muscles during evacuation. Straining, hard or thin runny stools and a feeling of incomplete elimination are common signs and symptoms and may be associated with abdominal and pelvic pain.
Our approach
We address all pelvic floor dysfunctions with appropriate relaxation, toning and retraining exercises for the pelvic floor muscle group and surrounding stability core muscles. Biofeedback training may be used in atrophied or severely weakened muscles. Behavior modification in form of diet control, liquid consumption, posture for evacuation and
relaxation/meditation are integrated within the management of all pelvic floor dysfunction patients.
Urinary Incontinence
Urinary incontinence, the loss of bladder control, is a common but embarrassing problem. The severity ranges from occasionally leaking urine when there is a stress like coughing or a sneeze to having an urge that’s so sudden that it causes leakage before you reach the toilet. For most people, simple lifestyle changes and medical/physical treatment can ease urinary incontinence.
Types of urinary incontinence include:
Stress incontinence-Urine leaks when you exert pressure on your bladder by coughing, sneezing, lifting something heavy.
Urge incontinence-You have a sudden, intense urge to urinate followed by an involuntary loss of urine.
Chronic constipation, multiple pregnancy, prostrate issues and urinary tract infection (UTI) are the common reasons to develop urinary incontinence.
Our approach
We use multiple approaches for pelvic floor muscle training including toning/activation of muscle, edurance building and relaxation. Soft tissue massage and electrical stimulation are helpful in certain sever cases. Bladder training, double voiding, diet and fluid management are also utilizes to complete
management.
Vaginal prolapse
The organs of the pelvis, including the bladder, uterus and intestines, are normally held in place by the muscles and connective tissues of the pelvic floor. Vaginal prolapse occurs when the pelvic floor muscles are too weak to hold the organs in place and the bladder or the intestine drops from its normal position, pushing on the wall of the vagina. This can happen with aging, during vaginal childbirth or with chronic constipation, violent coughing or heavy lifting.
For a mild or moderate prolapse, nonsurgical treatment is often effective. In more severe cases, surgery may be necessary to keep the vagina and other pelvic organs in their proper positions.
Our approach
Conservatively or post surgically, we manage all prolapsed patients by helping with the strengthening of the pelvic floor muscles and the surrounding stability core muscles . Use of aids like pessary, fluid and diet control, lifestyle changes, fitness and weight management are included as and when appropriate.
Pelvic pain
Pelvic pain can have multiple causes. It can be a symptom of another disease, or it can be a condition in its own right.
If your pelvic pain appears to be caused by another medical problem, treating that problem may be enough to eliminate your pain.
Symptoms include pain in the area below your belly button and between your hips. Pain in your genitals or private parts externally or internally may be associated with sexual activities, evacuation or urine or bowels and sitting for long durations. Medical conditions causing pelvic pain can be endometriosis, fibromyalgia, inflammatory disease, ovarian cysts or fibroids, irritable bowel syndrome and some psychological factors like depression, chronic stress or a history of sexual or physical abuse may increase your risk of chronic pelvic pain.
Our approach
We manage pelvic pain with stretching exercises, massage and other relaxation techniques. Use of TENS machine may be useful for some chronic pelvic pain patients. Cognitive behavioral therapy and biofeedback approaches are used in sever chronic pain patients.
