Special programmes · Treatment guide
Pelvic Floor Rehabilitation
Pelvic floor rehabilitation: assessment of urinary leakage, muscle control and pelvic symptoms; privacy, exercise and follow-up.
Updated: · General information
Pelvic Floor Rehabilitation: what approach is taken?
For symptoms relating to pelvic floor health, the assessment and treatment plan are prepared individually. During consultations, the person’s needs and privacy are respected; the appropriate treatments are determined by the physician.
Areas of assessment and treatment
- Pelvic floor assessment
- Conventional physical therapy
- Electrical stimulation
- EMG biofeedback therapy
- Magnetic chair therapy
- Patient education and monitoring
Relaxation is assessed as well as muscle strength
Pelvic floor symptoms do not arise from weak muscles alone; excessive tension or difficulty with coordination may also be present. Bladder and bowel habits, pain, and the history of childbirth and surgery are discussed. Every step of the assessment is explained; privacy and the person’s consent are respected.
Why does the programme differ from person to person?
In some people strengthening is to the fore, in others relaxation and coordination. The need for biofeedback or other devices is determined by assessment. Records such as a bladder diary can help in understanding when the symptoms occur. Outcomes are monitored through the frequency of leakage and its effect on daily life.
What is assessed at the first consultation?
Your medical history, your current symptoms, the medicines you take and your needs in daily life are all discussed. You may share any previous investigations you have. Suitable options are considered together after the physician’s assessment.
Your questions
Patient information
Should everyone do Kegel exercises?
No. Continually contracting the muscles may not be appropriate for people who already have excessive tension. Muscle function and the cause of the symptoms should be assessed first.
Is the magnetic chair sufficient on its own?
Suitability and the expected contribution vary from person to person. Device treatment should not be considered in isolation from the assessment and, where needed, behavioural and exercise training.
