Pelvic floor dysfunction (PFD)
Pelvic floor dysfunction is a condition where the muscles of the pelvic floor—the group of muscles that support the bladder, uterus/prostate, and bowel—do not work properly. These muscles may be too weak, too tight, or uncoordinated, leading to problems with urination, bowel movements, and sexual function.PFD can be of 3 types
Hypotonic weak pelvic floor muscles, Hypertonic (Tight, overused) pelvic floor muscles, Incoordination (Dyssnergia). Common symptoms which appear are Urinary leakage, urgency, frequency, Difficulty starting or fully emptying urine, Constipation or straining during bowel movements, Fecal leakage, Pelvic pressure or heaviness (especially with prolapse), Lower back, pelvic, or tailbone pain, Pain during intercourse (for women) or erectile issues (for men). There are many reasons which can cause PFD here are few of them Pregnancy and childbirth, Chronic constipation or straining, Heavy lifting, High-impact exercise, Pelvic surgery, Trauma (including sexual trauma)
Chronic coughing, Aging and hormonal changes, Stress/tension patterns in the body.Physiotherapy treatment may include-Biofeedback, Manual therapy (internal/external), Relaxation techniques if muscles are tight, Strengthening exercises (like modified Kegels) if muscles are weak, Coordination training for proper muscle engagement, Posture and breathing work.Here at Physionautics we take detailed history and discussion of symptoms, Optional assessment, Personalized exercise program Education on behavior, bladder habits, bowel strategies, Home exercises to continue independently.
