Physiotherapy-Perineale

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.)

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.

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.

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.

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.

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.