Symptoms such as urinary dribbling after urination, frequent urination, leakage during coughing or sneezing, or tailbone pain may indicate an underlying pelvic floor dysfunction. When the pelvic floor becomes overactive (hypertonic) or underactive (weak), various symptoms arise, which are often normalized as part of aging. Many individuals manage these symptoms using daily aids like diapers, often unaware of the available treatments.
Pelvic floor physiotherapy is a specialized form of therapy designed to assess and treat dysfunctions of the pelvic floor muscles. While often overlooked, these muscles play a critical role in our daily lives by supporting the bladder, bowel, and uterus (in women), maintaining continence, and contributing to sexual health.
Additionally, they contribute to core stability and play a vital role during pregnancy, childbirth, and postpartum recovery. When the pelvic floor becomes weakened, overactive, or otherwise dysfunctional, it can lead to a range of issues that significantly affect quality of life.
Even men can be silent sufferers of pelvic floor dysfunctions, experiencing symptoms such as urinary dribbling, incomplete bladder or bowel emptying, and increased frequency or urgency to pass urine. These issues often go unaddressed due to a lack of awareness or stigma.
In one instance, a patient experiencing tingling and burning in the foot was thought to have diabetic neuropathy or nerve compression from the spine. However, a pelvic floor muscle examination revealed a bladder prolapse that had gone undiagnosed, underscoring the importance of comprehensive assessments.
It is important to note that Kegel’s exercises are not a one-size-fits-all solution. In cases of a hypertonic or overactive pelvic floor, Kegel’s exercises can worsen the condition and even cause pain. Only after a thorough pelvic floor muscle examination performed by a trained pelvic floor physiotherapist can the appropriate course of treatment be determined.
Chronic pelvic pain, pain during intercourse (dyspareunia or vaginismus), and erectile dysfunction may all indicate an underlying pelvic floor muscle dysfunction. Additionally, the pelvic floor plays a key role in conditions such as low back pain.
Pelvic floor issues are common but treatable. Pelvic floor physiotherapy provides confidence, empowerment, and lasting solutions for individuals of all ages and stages of life. Early intervention can prevent symptoms from worsening and help restore quality of life. Let’s normalize the conversation around pelvic health and encourage everyone to prioritize it as part of their overall wellness.
Dr. Dhairav Shah, Asiya Physiotherapy and Rehabilitation Clinic. Address: Unit 4 A, 2nd floor, Aman Chambers Premises Co-op Society Ltd 113, M.P. Marg, Charni Road East, Opera House. Clinic contact number: 9819598306
