14 September 2019
September 2019 is Urology Awareness Month so Shahnaz Fraser of Spire Norwich Hospital discusses pelvic health conditions, and the important role of pelvic floor muscles with Emma Gampell Specialist Physiotherapist.
Pelvic floor dysfunctions are more common than you think, and one of the reasons that you may not know this is because we don’t talk about them! Our pelvic floor muscles silently do their job to assist with bladder, bowel and sexual function. Did you know they also have a very significant contribution in keeping our core strong and our backs healthy too? However, many of us are unaware that these muscles exist and in turn, do very little to keep them healthy and use them appropriately. So I had a chat with Emma Gampell Specialist Physiotherapist at Spire Norwich Hospital to find out more.
What are the functions of the pelvic floor muscles
“While more commonly thought of as something women need to be concerned with, they are equally important in men. They support the bladder, womb (uterus) and bowel to help prevent prolapse, they also play an important role in bladder and bowel control allowing elimination of urine and faeces from the body controlling stress incontinence and urgency as well as contracting during sexual activity.”
Where are the pelvic floor muscles?
“The ‘floor’ of the pelvis is made of two layers of muscle and other connective tissues. These layers form a bowl shaped hammock from the tail bone at the back to the pubic bone in front. The pelvic floor muscles wrap around and support the rectum (back passage), the vagina (birth canal) and the urethra (front passage).”
What are the most common reasons for pelvic floor muscles weakening?
“I see a lot of women post-pregnancy (perhaps from traumatic childbirth) and post-menopause (due to changes in hormone levels) patients, but the reasons for weak pelvic floor muscles in both men and women can vary from straining to empty bowels with chronic constipation, repeated heavy lifting, being overweight, and sexual activity, amongst other reasons.”
What are the benefits of pelvic floor exercises?
“A daily pelvic floor exercise routine for everyone helps to control adverse effects on the pelvic organs and support bladder control. It is important to maintain this muscle strength throughout your life: to control stress incontinence, (a regular leak of urine when coughing, sneezing or exercising), during pregnancy/after childbirth or to prevent prolapse (when the walls of the vagina become lax, the organs that they should be supporting bulge into the vagina, creating the sensation of a lump hanging down).
How do you contract the pelvic floor muscles?
“Firstly identify the muscles that need to be exercised. These can be described as the muscles which tighten and lift the pelvic floor as when trying to control wind or when preventing the flow of urine (not the stomach or buttock muscles). The pelvic floor muscles respond to exercise in a similar way as the muscles elsewhere in your body do. As with any other muscle training you need to build both strength and endurance – so go for the maximum power you can achieve, building up strength and tone. You don’t need to hold the contraction for more than ten seconds, and the number of repetitions depends on how quickly your muscles start to fatigue.”
If I had concerns about my pelvic floor and had a consultation with you, what happens during that appointment?
“At your first appointment a detailed medical history will be taken, and we will discuss any relevant information (ie children, lifestyle, exercise regimes), followed by an assessment of your condition, which may include an internal examination (this isn’t uncomfortable and performed very quickly).
You will then receive expert advice and treatment with a personalised programme tailored to your needs. If necessary we can also refer you to a private specialist consultant – either a Consultant Gynaecologist a Consultant Urologist – who can arrange further investigation or treatment if required”.
How long is the typical treatment period?
“Treatment time varies but the average time is about three months, with around four to six sessions during this time. The exercises will increase in intensity over time, and when I feel the patient is ready I will also teach them how to incorporate the pelvic floor exercises into other exercises, such as Pilates. It takes several months to build-up the strength in any muscles, so don’t give up. You will have good and bad days along the way, but if you persevere you can make a big difference to your lifestyle.”
Pelvic health conditions can be treated and managed, and for this reason it is important to talk to your doctor about your symptoms. Our Physiotherapy Department is open to all, not just those with private medical insurance.
How to arrange an appointment
For consultation and treatment pricing information please contact us on 01603 255 587.
The content of this page is provided for general information only. It should not be treated as a substitute for the professional medical advice of your doctor or other healthcare professional.