In present scenario both men as well as women are usually outspoken but when it comes to certain diseases they just don’t want to talk about them openly. Few of them are pelvic health, prolapse and sexual dysfunction. One need to understand that instead of feeling sense of isolation who suffers with problems it’s better to talk openly with health care professionals so that timely symptoms are reported and there is no delay in treatment. Pelvic floor disorders are common, being reported to affect as many as 40% of women.
The National Health and Nutrition Examination Survey reported that 17% of women ages 40 to 59 deal with these problems, as do 23% of women ages 60 to 79. Nearly one-third of women in the U.S. deal with these symptoms, which mainly includes vaginal prolapse. The Canadian Primary Care Sentinel Surveillance Network was established in 2005 to provide a data source to support clinical research and national chronic disease surveillance. According to Statistics Canada Canadian Community Health Survey provided the data that men were slightly less likely to have a diagnosis of back problems as compared to women. Also the data obtained from 125,574 respondents to the Canadian Community Health Survey indicated that 18% of Canadian women suffered from chronic pain, compared to 14% of men. In a survey in Ontario, rates of chronic pain were found to be 11% among people under 60 years and 25% to 40% for those over 60 and in Edmonton area about 44% with common pain locations in lower back. From past 13 years Canada has become the hub centre for treating pelvic health with about 55% of its staff trained in this area.
“Pelvic floor” is network of connective tissues, fibres and ligaments that are connected to pelvic region. It just acts as supporting system for organs of pelvic region which mainly includes bladder, uterus, vagina and small intestine. The muscles which prevent excess load on pelvic floor and protects its connective tissues are namely levator ani muscle, pubococcygeus, coccygeus and iliococcygeus muscles. When these network of tissues stop proper functioning, usually women undergoes symptoms that negatively impact the psychological adjustments, quality of life at work and even socially across all age groups.
It may occur due to several issues like urinary tract infections, pregnancy and post-delivery, lower back pain, erectile dysfunction, hysterectomies(surgical removal of the uterus),pelvic injury due to increased intra-abdominal pressure like chronic cough, heavy lifting, laughing, obesity etc. Prostate surgery or any surgery that repaired internal sphincter can also lead to poor pelvic functioning. Pelvic dysfunction can also be result due to weak pelvic floor muscles during aging process or hypertonic with increased stress. Chronic or persistent constipation and even being obese or overweight can also lead to pelvic dysfunction.
Early identification and assessment of symptoms and multidisciplinary approaches for treatment is an urgency to protect individuals from these disorders. Physiotherapy can improve symptoms caused by this chronic disorder. The physiotherapists at Millwoods Physical Therapy Centre are proficient in designing physical therapy and rehabilitation programs to treat pelvic floor disorders and pelvic pain. Therapists treat disorders of the bowel and bladder, sexual dysfunctions, pelvic pain and dysfunctions and aide with post-surgical recovery. Pelvic muscles can require the same type of rehabilitation as musculoskeletal injury. Our physio therapists are able to offer new approaches to improve the function and condition of a patient’s pelvic floor and will be grateful to help individuals with non-surgical solutions.