Has your GP advised you to exercise your pelvic floor? Such exercises involve exerting and relaxing the pelvic floor muscles. They may be performed for prevention but will more commonly be used by women or men who have already experienced some difficulties in holding urine or stool. Whether your referral comes from your gynecologist, urologist, neurologist, physiatrist, proctologist, or gastroenterologist, we at My Clinic will find the ideal therapy plan for you to alleviate the aforementioned complaints.
The pelvic floor is part of your deep core stabilizing system, which operates through groups of muscles and ensures the optimal functioning of your body during all static and dynamic activities, whether in the course of an ordinary day or during sports.
Incontinence, i.e., the unintentional passing of urine, often plagues women after giving birth; in men, similar complaints may result from certain types of surgery. Control over the muscles of the pelvic floor can be regained by exercising with the guidance of a therapist or with supporting therapeutic devices – or, ideally, a combination of both. At My Clinic, clients have access not only to experienced physical therapists but also to the MYO 200 by Kardio-Line, a device that facilitates exercises with immediate biofeedback and thus allows users to improve control over their bodily functions.
Where the pelvic floor muscles require support through stimulation, as is the case, e.g., of varying degrees of incontinence, we make use of electrostimulation via a vaginal (or, in the case of men, anal) probe; another device (BTL-4825SL Combi Premium) stimulates muscles through external electrodes placed on the skin in the pelvic region. Screening and exercises using the MYO 200 are painless, low-effort, and discreet. Patients insert the probe themselves, and the probe is included in the costs of treatment (for hygiene reasons, each patient has their own reusable probe).
It all begins with the first appointment at our physical therapist. Patients practice pelvic floor muscle exercises under the therapist’s guidance, combined with electrostimulations administered by the MYO 200 and a device that operates based on the placement of transdermal electrodes in the area of the sit bones and the front of the lesser pelvis (lower abdomen). It is important to know that if you want to actively resolve complaints related to the pelvic floor, regular domestic exercise is an absolute must.
The recommended frequency of visits is once weekly during the first month and later drops to, e.g., once every 2-3 weeks. The right number of visits differs from person to person, though the recommended regimen usually ranges from 5 to 15 visits. Follow-up examinations at the specialist usually take place after two months of regular exercising, at which point the specialist will advise you whether to continue exercising. Recognizable improvement usually occurs within 2-6 months of active and device-supported exercise.
This type of exercise is well-suited for all women who suffer from involuntary urine leakage to various degrees, whether only during sports or heavy exertion, during ordinary activities such as housework, or even during slight physical exertion or a change in position. Pelvic floor exercises are also advisable for women who find themselves unable to actively engage their pelvic floor musculature during day-to-day activities. Exercises are also recommended in the case of complaints such as dyspareunia (painful intercourse) or tailbone pains.
Device-supported exercising has its limits. For instance, electrostimulation cannot be used by clients whose bodies contain metal implants, surgical clips, or projectiles or by clients with a pacemaker. Using the device is also not advisable during acute illness or for cancer patients or clients suffering from heightened bleeding tendency. Nor can the device be deployed if the client is pregnant, menstruating, or wearing an IUD with metal parts. In the case of underage clients below 18, parental presence is required.
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