How Do You Know if You Need Pelvic Floor Physical Therapy?
If you're experiencing pain around your pelvic region, having trouble executing everyday tasks, or your bladder or bowel is troublesome, you may need pelvic floor physical therapy. These are just a few of the many signs and symptoms we will discuss in this post that indicate you need this therapy. The typical treatment for most pelvic floor dysfunctions like urine incontinence or sexual dysfunction is physical therapy.
But before we dive into the signs you need pelvic floor physical therapy, let's define it.
What's Pelvic Floor Physical Therapy?
Pelvic floor physical therapy is a specialized physical treatment targeting the pelvic floor's ligaments, tissues, and muscles to restore strength and mobility and reduce pain & discomfort.
The therapist who performs the treatment needs specialized training. It's non-invasive (no surgery needed) since it involves physically working out your pelvic floor muscles through exercises like Kegel and other manual physiotherapy techniques.
The pelvic floor muscles, ligaments, and connective tissues are vital in your sexual functionality, bladder & bowel control, and supporting pelvic organs like the uterus.
Failure to treat pelvic floor dysfunctions may lead to serious conditions like pelvic organ prolapse (POP). *link to an article from their site explaining what's POP. I didn't find any.
7 Signs You Need Pelvic Floor Physical Therapy
Here are 7 signs and symptoms to look out for as an indication of when you need to seek pelvic floor physical therapy:
1. You're Experiencing Bowel and Bladder Issues (Including Incontinence)
If you're having any of these bowel or bladder problems, it's time to seek pelvic floor physical therapy:
Urine and fecal incontinence: Unwillingly leaking or passing out stool or urine when you sneeze, laugh, shout, exercise, or cough. This is caused by weakened pelvic floor muscles that can't hold back urine or stool.
Pain while urinating or defecating
Pain in other areas of your reproductive system when physically engaged (the pain may not indicate something serious, but if left unchecked, it can even cause chronic inflammation)
Urinary and bowel urgency: An uncontrolled, rapid urge to go, but usually ends up with leakage since you can't make it to the bathroom. It can happen anytime, anywhere. It can also cause cramps.
2. You're Under Constant Pelvic Pain
Any pain in your pelvic region is something to be alarmed about. If you're experiencing constant piercing pain around your pelvic area, it could mean you're suffering from pelvic floor dysfunction. It's best to seek professional medical attention and get examined by a pelvic floor physical therapist. The pain may be caused by stress from your muscles' pressure points if they are weakened or injured. The therapy will help repair the damaged tissues and ligaments, relieving pain and discomfort.
3. You're Experiencing Sexual Dysfunctions
Pain during sex, low sexual desire, and inability to orgasm are common signs of sexual dysfunction. The pelvic region is responsible for hosting your sexual organs and easing mobility during intercourse, making sex fun and enjoyable. When mobility and the organs are affected by a faulty pelvic floor, sexual dysfunction is inevitable. Pelvic floor physical therapy can improve sexual functionality and enhance the experience by repairing damaged pelvic floor muscles and reducing pain.
4. You're having Pregnancy and Postpartum Problems
According to Lifespan, vaginal childbirth is attributed to over 20% of new mothers experiencing pelvic floor disorders (PFDs). An article by NCBI also supports this information. Pregnancy also triggers various hormonal changes that soften the pelvic muscles, which, when combined with the baby's weight, weakens the pelvic floor, increasing the chances of PFDs.
Luckily, pelvic floor physical therapy can help recover the strength of your pelvic floor muscles, tissues, and ligaments after childbirth through specific exercises. It also eliminates any pelvic pain and discomfort you may be undergoing.
5. You're Constipating
50% of patients with chronic constipation have PFDs. You may need pelvic floor physical therapy if you're struggling to empty your bowel. This is because chronic constipation is a sign of pelvic floor dysfunction. Constipation associated with PFD entails thin stool, extreme pain during excretion, and a feeling of incomplete defecation. Faulty coordination between the pelvic floor muscles and the abdominal muscles causes it.
Pelvic floor physical therapy takes you through a series of exercises that facilitates the relaxation of abdominal muscles to ease bowel movement.
6. You're Struggling To Complete Simple Everyday Tasks
Are you having trouble bending to pick up a light load, running, getting out of bed, or standing up after being seated? Pelvic floor dysfunction can wear many faces, and this might be one. The inability to easily complete simple everyday tasks indicates that you need pelvic floor physical therapy.
Strained pelvic floor muscles, tissues, and ligaments may render you immobile or cause difficulty doing easy tasks. Pelvic floor therapy helps soothe these pressure points and repair damaged tissues alleviating pain and discomfort you may be experiencing.
7. You have Leg/Feet Numbness and Poor Blood Circulation
If you have insufficient blood in some part of your body (indicated by pale/yellow skin, fatigue, or coldness), it shows you have poor blood circulation. This and numbness in your feet or leg may indicate pelvic floor dysfunction. You need pelvic floor physical therapy to enhance your blood flow in and out of your pelvic organs, improving their functionality.
The table below outlines the common pelvic floor dysfunctions symptoms in simpler terms:
Symptoms
Description
Urinary incontinence
Involuntary passing out of urine
Fecal incontinence
Involuntary passing out of stool
Urinary/Fecal urgency and frequency
Sudden urge to go in an abnormal frequency
Painful defecation/urination
Pain when excreting or urinating
Sexual dysfunction
Pain during intercourse or lack of sexual urge
Chronic pelvic pain
Discomforting constant pain in your pelvic region and lower back
Constipation and painful bowel movements
Difficulty passing out fecal matter accompanied by pain and discomfort
Now that you know what to look out for if you suspect any pelvic floor disorders, let's review what might increase your risk of getting pelvic floor dysfunctions.
The Risk Factors For Pelvic Floor Dysfunction
What can increase your risk of having pelvic floor dysfunction? The table below expands on that.
Risk Factor
Description
Pregnancy and Vaginal Childbirth
They weaken your pelvic muscles
Obesity
Excess weight exerts unbearable pressure on the pelvic floor, weakening the muscles
Pelvic surgery
Scars your pelvic floor tissues hence damaging and weakening them
Aging
Depreciating hormones cause the pelvic muscles to sag and weaken
Some medical conditions
Conditions like interstitial cystitis can weaken the pelvic floor muscles
Chronic coughing, sneezing, and straining
Exerts damage-causing pressure on the muscles, tissues, and ligaments of the pelvic floor hence weakening it
When To Seek A Pelvic Floor Physical Therapy
The table below outlines the typical stages of pelvic floor dysfunctions and recommends the best action.
Pelvic Floor Dysfunction Sign/Symptom
Treatment Recommendation
Minor symptoms
Pelvic floor exercise, i.e., Kegels
Moderate symptoms
Seek a pelvic floor physical therapist for examination and diagnosis
Severe symptoms
Seek medical care, fast
Pre- & post-natal period
Pelvic floor physical therapy during pregnancy and after childbirth
Chronic pelvic pain
Work with a specialized therapist for pelvic floor physical therapy immediately
Benefits of A Pelvic Floor Physical Therapy
Getting pelvic floor physical therapy as soon as you notice the signs listed above or suspect you have a PFD is for your benefit. The therapy is highly recommended as the best remedy for any pelvic floor dysfunctions. Some of the benefits of the treatment include:
It's non-invasive hence an ideal choice for those looking for surgery substitute
It enhances your bladder and bowel controls
It alleviates pelvic and lower back pain quickly
It improves your sexual functionality
It facilitates a quick, safe, and painless, postpartum recovery
3 Ways To Prevent Pelvic Floor Dysfunction
Prevention is always better than cure. If you'd like to avoid experiencing chronic pelvic pain, sexual dysfunction, incontinence, and constipation, among other painful and discomforting pelvic floor dysfunctions, here are 3 ways to do it:
1. Do Regular Pelvic Floor Exercises
Pelvic floor exercises, i.e., Kegel exercises can help curb pelvic floor dysfunctions and illnesses that tag along like POP. The exercises can be done at home, in a gym, or in a facility set up and run by a pelvic floor physical therapist.
These exercises involve relaxing and contracting your pelvic muscles to train them to withstand pressure to support your pelvic organs.
2. Check Your Weight
Excess weight attracts a lot of health issues, including pelvic floor dysfunctions. The extra weight exerts excess pressure on your pelvic floor muscles, wearing and tearing them down, resulting in dysfunction. Try to maintain a healthy weight through strict dieting and regular workouts.
3. Use nixit Disc-shaped Menstrual Cups Instead of Pads or Tampons
During periods, your estrogen levels are extremely low, which causes your pelvic floor muscles to be weak and exhausted. This can result in pelvic floor dysfunctions. The pain and straining during this period is also a contributor to PFDs.
Luckily, nixit offers a great solution to ease the pressure in your pelvic organs and adds ultra-comfortability as a bonus.
So how does it work? Unlike traditional menstrual products, which pressure the pelvic floor, causing irritation and pain, nixit's flexible, ultra-soft and disc-shaped menstrual cup fits snugly in your vagina. It collects all the blood without causing extra pain or discomfort. Thanks to its ultra-soft material and flexibility, you may think you have nothing in your vagina.
As Eve W. says it,
"Honestly, the best decision I've made, period-wise. Comfortable, easy to insert, and leak-free. I don't have to dread my period every month anymore."
We also offer products to help clean your menstrual cup during and after periods, like the menstrual cup wipes, but if you'd prefer everything in one special starter pack, we recommend the nixit starter bundle!
If you're just starting, our A to Z beginner guide on nixit menstrual discs will get you on your way to stress-free menstruating!
If you still have more questions, don't hesitate to contact us.