Perineale Physiotherapy

EMERGENCY APPOINTMENT

LASALLE CLINIC

ONLINE APPOINTMENT

IN LASALLE OR CHARLEMAGNE

EMERGENCY APPOINTMENT

CHARLEMAGNE CLINIC

OUR EXPERTISE IN PERINEAL PHYSIOTHERAPY

Our experienced physiotherapists in perineal and pelvic can help you relieve your pain.

WHAT IS PERINEAL PHYSIOTHERAPY ?

Perineal and pelvic rehabilitation is a branch ofa physiotherapy that treats pelvic floor dysfunctions such as incontinence, prolapse, certain problems related to sexuality and pelvic pain. Through an internal assessment combined with a traditional physiotherapy assessment, we address, among other things, the problems of strength and weakness of the pelvic floor muscles as well as the abdominal muscles.

OUR EXPERTISE IN PERINEAL PHYSIOTHERAPY

  1. WHEN SHOULD I CONSULT A PERINEAL PHYSIOTHERAPIST?

You can consult one during pregnancy, after childbirth, or as soon as you notice a perineal and pelvic problem (urinary leakage, gas or stool leaks, pain, diastasis, discomfort during sexual activities, etc.)

Issues related to pregnancy and childbirth

During childbirth, the pelvic muscles become distended to the maximum of their capacity. As a result they sometimes don’t naturally recover their former muscle tone. Perineal rehabilitation intervenes to help the relaxed muscles to firm, and thus allows you to regain control of your pelvic floor.

Pelvic and genital pain

Vulvodynia and vestibulodynia refer to chronic discomfort in the vulva and/or vagina during touch or pressure, such as sexual penetration or inserting a tampon. These nerve-related disorders are not associated with a skin disease. They can be caused by a variety of factors, such as, but not limited to: poor lubrication, emotional stress, pelvic floor tension, or childhood trauma (such as abuse or neglect).

Perineal physiotherapy can help relieve pain related to vulvodynia and vestibulodynia. A rigorous evaluation allows the patient to discover if her condition requires relaxation of the pelvic muscles and tissues, or if she needs to strengthen relaxed muscles instead. Each person is different, which is why it’s important to take the time to establish a plan tailored to your needs.

Problems related to the rectum and anus

When the rectum protrudes beyond the anus, or when it begins to obstruct the vagina, it is called rectal prolapse. Targeted exercises, manual therapy, and reconditioning your body’s internal processes can help stabilize and improve your condition.

Given the natural fragility of the perineum, this dysfunction occurs more often than we think. However solutions exist to treat incontinence caused by a weakening of the pelvic floor. Come and meet us for a complete assessment of your condition, and, together we’ll find the most suitable solution for you.

Prolapse of the pelvic organs

More common in women, this problem can also appear in men. When the organs of the pelvic cavity are below their original position, it is called prolapse or descent of the pelvic organs. Patients may be asymptomatic, or may experience incontinence or difficulty passing urine and stools. This phenomenon is seen in people with a history of constipation or childbirth, and it can also be caused by weakening of the pelvic or abdominal muscles. Physiotherapy does not treat a prolapse, but it can reduce symptoms and prevent the problem from getting worse. It is best to act as soon as possible.

Evaluation

We start with the assessment of posture, back and hip movements, and then we evaluate the deep abdominals and breathing. Afterwards, we carry out an internal exam if the patient gives their consent. We start by assessing the external perineum, followed by the internal evaluation, either inside the vagina or rectum, as appropriate.

2. WHO IS PERINEAL PHYSIOTHERAPY FOR ?

3. WHAT EXERCICES ARE THERE FOR PERINEAL REHABILITATION ?

Generally, weight-bearing exercises, or impact sports such as running, contribute to the strengthening of the pelvic floor muscles. However, they are not recommended for everyone; It all depends on the person’s physical condition.

Pelvic floor strengthening exercises and tips

Pelvic floor strengthening and/or releasing exercises associated with breathing are usually suggested. Subsequently, you can integrate these exercises into physical training or everyday movements.

Muscle contraction to improve perineal rehabilitation

To contract the pelvic floor muscles, imagine trying to bring the tailbone closer to the pubis and pull towards the navel, without squeezing the buttocks.

A yoga pose to strengthen the perineum

Inspired by tantric yoga, Mula Bandha consists of harmonizing one’s breathing with contractions of the pelvic floor muscles. Focused on concentration and meditation, this posture promotes self-confidence, stability, clarity and awakens awareness. It supports our action and helps us face our fears. Used together with perineal rehabilitation therapy, this pose can be very beneficial.

4. HOW DOES A PERINEAL REHABILITATION SESSION WORK?

  1. Before the appointment, you’ll have a health questionnaire to fill out as well as a questionnaire oriented towards the different conditions treated in perineal and pelvic rehabilitation.
  2. At the assessment, we first discuss the reasons for your consultation and your overall health. We then proceed to a physical assessment of your condition (level of mobility, strength, etc.).
  3. Then, with your consent, we proceed with the internal pelvic floor assessment. These assessments will allow us to assess your overall health and that of the pelvic floor, to make an appropriate treatment plan for you.
  4. In addition, we’ll advise you on how to maintain the results in the long term. It’s important that you understand everything that is being done, and that you are comfortable throughout the treatment and exercises.
  5. Finally, an exercise program adapted to your situation and your life circumstances will be given to you.
  6. A receipt in physiotherapy will be given to you for insurance or taxes.

We take care of you.

We take care of you.

5. PESSARY FITTING AND MONITORING

The pessary is a surgical silicone prosthesis that is inserted inside the vagina to support one or more pelvic organ that has lost its natural ligament support. The pessary can therefore be used to support the bladder, the urethra, the rectum or the uterus. There are several types and shapes which all have different uses and functions.
The treatment of a prolapsed organ begins with pelvic physiotherapy with exercises adapted to your body and symptoms. The pessary is a tool that is generally used alongside pelvic rehabilitation treatments.
Installing a pessary requires several prerequisites:
  • Pelvic physiotherapy assessment to ensure that you are a candidate
  • Pessary fitting session to find the one that suits you
  • A medical appointment with gynecological examination to ensure that you have no contraindications and to obtain a prescription for the pessary.
  • After we order your pessary we need a follow up to tech you how to install, remove and clean it properly.
  • Medical follow-ups to ensure that your body tolerates the pessary
  • Individualized follow-up with your pelvic physiotherapist as needed and according to your condition

EMERGENCY APPOINTMENT

LASALLE CLINIC

ONLINE APPOINTMENT

IN LASALLE OR CHARLEMAGNE

EMERGENCY APPOINTMENT

CHARLEMAGNE CLINIC

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