Pelvic Floor Physiotherapy: why bother with it?

Pelvic floor physiotherapy seems to many to be a “new” thing and something we haven’t seen before. However in actual fact Dr. Arnold Kegel first described pelvic floor contractions that we now call “kegels” in 1948.

We have come a long way since then and current evidence tells us that Pelvic Floor physiotherapy should be our first line of defence in urinary incontinence and pelvic organ prolapse. However we also know that Kegels are not always the best option; if there is an issue with tension in the pelvic floor there can be dysfunction including incontinence and pain.

Continually strengthening a tight muscle simply works to exacerbate the issue – if your bicep was tight you would not continue to work in the strength, the same way you would not squeeze into a shirt that was too tight and uncomfortable.

So how will you know the difference?

Truthfully your best option is to be assessed by a qualified professional, namely a Pelvic Floor physiotherapist, who has the specialist skill set to assess the muscles of the pelvic floor (internal assessments are a part of this), diagnose the cause of your problem and provide the most effective strategy for treatment.

Nicola Robertson

Pelvic Floor Physiotherapist