Any of the following may suggest some pelvic floor malfunctioning
Stress urinary incontinence, urinary urgency, urge incontinence, frequency, painful urethra and bladder (interstitial cystitis) and on the other end of the scale inability to initiate flow.
Haemorrhoids, rectal prolapse, Irritable Bowel Syndrome, abdominal pain and discomfort. Symptoms may include faecal incontinence, faecal urgency, defecation dysfunctions (constipation or inability to evacuate completely) and rectal pain.
- Pelvic organ descent
Prolapse of the urethra, bladder, uterus or rectum or small intestine may occur through the vagina or through the back passage. May coincide with feelings of vaginal bulging and heaviness.
- Pelvic pain
Includes vulvodynia in women and chronic prostatitis in men. Pudendal neuralgia, coccydynia, anismus, sexual dysfunctions, low back, abdominal and pelvic pain patterns.
- Sexual functioning
Vaginismus (pain or inability to penetrate), poor sensation, difficulty reaching orgasm.
Erectile dysfunction (may or may not be pelvic floor related), pain with erection or ejaculation.
It is often assumed that pelvic floor dysfunction is a problem that woman experience, this is however untrue and many men have undiagnosed pelvic floor dysfunction.
Pelvic physiotherapy would involve a detailed history taking and examination. This may include examination of the abdomen, low back, posture, pelvis, pelvic floor and any other area that could be interlinking.
Treatment may include pelvic floor strengthening, relaxation, timing, breathing retraining, postural retraining, muscle and fascial mobilisation, visceral mobilisation, biofeedback and any other supportive treatment.