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Bladder control and pelvic pain

Pelvic rehab

Many women quietly suffer from bladder control problems. Often, they think it is inevitable – “don’t all women go through this?”; they think that there’s no option but to wear a pad; or they don’t want to talk to anyone about it or have anyone examine them “down there”.  Men and women both can be affected by pelvic floor problems (bladder control, bowel control, pelvic pain) and there are options for treatment.

At Back in Motion, Céline Razeau, Physiotherapist, has training in the assessment and treatment of the pelvic floor.  She will treat your problem with care and respect and take your concerns seriously.

Bladder control problems can occur at any age but there are times when we are more prone to developing a bladder control problem or that an existing problem may worsen:

  • During pregnancy or childbirth
  • At or soon after menopause
  • In older age when mobility is lost
  • After a trauma to the area
  • During or after prostate treatments/ surgery
  • After surgery or treatments for pelvic cancers

For more information please check out the Canadian Continence foundation’s website: http://www.canadiancontinence.ca/index.html

Pelvic pain or pain in the area of the vulva, vagina or anus can occur for many reasons.  This pain may only occur with movement, voiding, or intercourse; or it may be present at rest as well.

What is pelvic rehabilitation?

Pelvic floor rehabilitation involves first an assessment of the pelvic floor so your therapist knows what is working well and what is not – then the therapist can assist you in regaining the lost function, help reduce your pain, and regain your strength.

Céline will do a thorough assessment of your condition including a complete history of your problem.  She will ask you questions regarding how and when the problem started and get the details about what exactly you are experiencing.  She will do a visual and manual vaginal and/or anal examination in order to determine the source of the problem.  She may also assess your abdominal muscles, your low back and your hips to see if there are any other factors affecting your pelvic function.

Treatment may take the form of exercise training; keeping a voiding diary; learning to use the proper muscles in the proper way; behavioural (habits) changes; manual therapy to recover tissue mobility; and even changes in your diet.  The exercises will be specific to the problems that were found in your assessment – they could be focused on strength, endurance, control and timing of contraction, or even relaxation of an over-active muscle.

So why not come in for your assessment – you may find the benefits last a lifetime!