Structuring a pelvic floor rehabilitation pathway?

Before a rehabilitation course, one needs to know the health status of the pelvic floor. It is necessary to conduct a functional assessment of it.

First Visit: Functional Assessment

This is a rhomboid area, present in both men and women, that closes down the pelvis, surrounding and supporting:

• the urethra
• the bladder
• the vagina
• the uterus
• the rectum

Under physiological conditions it helps to keep the pelvic organs (uterus, vagina, bladder, urethra, rectum) in place by supporting them both in normal daily activities (walking, jumping, lifting bags/weights) and in case of sudden changes in intra-abdominal pressure (sneezing, coughing, laughing). When its proper functioning in all these situations is compromised, that is when symptoms may occur.

During the first visit, a functional assessment is performed, during which:

• the patient’s data are collected, to identify any risk factors that may affect the health status of the pelvic floor
• the pelvic floor is observed to understand how it behaves in relation to movement, breathing and posture
• the perineal musculature and its health status is assessed

Based on the findings, a decision will be made as to whether it is appropriate to start a rehabilitation course and how to possibly set up therapy.

Pelvic floor rehabilitation visits

Pelvic floor rehabilitation sessions, lasting about 45 minutes to 1 hour, can make use of various techniques, both instrumental and non-instrumental.

As the scientific literature tells us, the first approach should always start with non-instrumental techniques, such as lifestyle correction and the use of physiokinesitherapy: proprioception, breathing, contraction and relaxation exercises of the pelvic floor, which allow us to become aware of this area, train it, tone it or, on the contrary, relax it if excessively contracted.

Should these techniques prove insufficient, we can also make use of instrumental therapies, such as:

Electrostimulation: through the use of vaginal or anal probes that emit electrical pulses, the pelvic floor muscles are stimulated to increase contractile capacity, or by using
different electrical frequencies, we can induce their relaxation.

Biofeedback: with visual aid of a screen, we help the patient locate the perineal muscles and operate them correctly, then contract and relax the muscles properly.

If you would like to book an appointment and evaluate a pelvic floor rehabilitation course here in MediClinic, call us at 0429 772906 or email us at info@mediclinic.it .

We are waiting for you.

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