We are specialists in Pelvic Floor Disorders which are very common. Women, Men and Children can be affected. It is unclear how these disorders get started and there are many presentations of pelvic floor disorders. Two of the most common issues we see are
- Pelvic floor Muscles not working correctly (dyssynergia)
- Pelvic floor muscles in spasm or in pain (may be caused by surgery, infection, adhesions for example)
The examination will include the lumbar spine, pelvis, hips, and pelvic muscles. Most of the examination will be external but may include direct palpation of the perineum or instruction to the patient to palpate their own perineum (saddle region in front of the anus). We may also palpate on the inside of the pelvis. This is called an internal examination and allows the physiotherapist to determine the presence of trigger points inside the pelvis that may be inhibiting muscle function or causing pain. Gaining access requires palpation through the vagina or anus, this is by no means an absolute necessity but remains the gold standard for assessment of the pelvic floor. We will ensure there is full understanding and consent by the patient before any internal examination takes place. Electromyography (EMG) biofeedback may also be used to assess the pelvic floor function.
If you can’t find what you are suffering from here and are in any doubt as to whether we can help, please contact us to discuss and we will advise accordingly.
We recommend the Squeezy App for pelvic floor exercises at home