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Understanding Pelvic Floor Physiotherapy

Pelvic floor physiotherapy, also known as pelvic floor physical therapy, is a specialised treatment that strengthens the pelvic floor muscles and addresses various pelvic floor dysfunctions.

When a rectal prolapse occurs, it means that the tissue inside the rectum loosens and comes out through the anus. This can happen if the muscles around the rectum become weak. At first, the rectum might come out and then go back in, but if it’s not treated, it could stay out all the time.

Pelvic Floor Therapy Treats:

Check IconOveractive pelvic floor muscles
Check IconBladder problems
Check IconPelvic floor dysfunction
Check IconDiastasis rectus abdominis (tummy gap)
Check IconMusculoskeletal pain
Check IconBowel problems
Check IconPelvic pain
Check IconPelvic floor weakness

Understanding Pelvic Floor Physiotherapy

Pelvic floor physiotherapy, also known as pelvic floor physical therapy, is a specialised treatment that strengthens the pelvic floor muscles and addresses various pelvic floor dysfunctions.

When a rectal prolapse occurs, it means that the tissue inside the rectum loosens and comes out through the anus. This can happen if the muscles around the rectum become weak. At first, the rectum might come out and then go back in, but if it’s not treated, it could stay out all the time.

Pelvic Floor Therapy Treats:

Check IconOveractive pelvic floor muscles
Check IconBladder problems
Check IconPelvic floor dysfunction
Check IconDiastasis rectus abdominis

(tummy gap)
Check IconMusculoskeletal pain
Check IconBowel problems
Check IconPelvic pain
Check Icon Pelvic floor weakness

How Does the Pelvic Physiotherapy Work?

Pelvic Floor

Treating tight pelvic floor muscles usually involves manual therapy, breathing exercises, awareness exercises, biofeedback, and techniques to help relax and stretch the pelvic floor. Depending on the situation, an internal vaginal or rectal examination may be recommended, with consent always sought beforehand. Patients can ask for someone to be present during the examination for extra support. It’s important for patients to communicate any discomfort or request to stop the examination.

Treatment may involve learning to perform pelvic floor exercises independently and monitoring fluid intake and urination. Some patients may also be advised to use specific equipment to strengthen their pelvic floor muscles. Patients are encouraged to voice any concerns they may have to ensure their comfort throughout the process.

The primary goal is to comprehensively understand the patient’s condition and provide customised treatment. Patients will receive guidance on pelvic floor-strengthening exercises and may be required to track their fluid intake and urination. Patients may also receive recommendations for specific equipment to support their treatment when necessary.

Treatment At a Glance

Purpose

Purpose

Improve the functionality of pelvic floor muscles
Procedure Duration

Procedure Duration

30-90 minutes per session
Anaesthesia

Anaesthesia

Not required

Purpose

Improve the functionality of pelvic floor muscles

Pain

No Pain to mild

Procedure Duration

30-90 minutes per session

Recovery Time

Improvements are seen within 4-6 weeks

Drive

Immediately after sessions

Anaesthesia

Not required

Recovery Time

Recovery Time

Improvements are seen within 4-6 weeks
Pain

Pain

No Pain to mild
Drive

Drive

Immediately after sessions

Benefits of Pelvic Floor Physiotherapy

Management of Incontinence

Helps in managing urinary and bowel incontinence by strengthening the pelvic floor muscles.

Pelvic Pain Relief

Effective in easing chronic pelvic pain through targeted exercises and manual therapy.

Postpartum Recovery

Helps to recover pelvic floor function after childbirth, improving overall pelvic health.

Improved Pelvic Organ Support

Improves the support for pelvic organs, effectively reducing symptoms of prolapse.

Enhanced Pelvic Floor Functionality

Improves the strength, coordination, and endurance of pelvic floor muscles, promoting better overall pelvic health.

Enhanced Bladder Control

Helps in managing urinary incontinence by strengthening the pelvic floor muscles.

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Pelvic Floor Physiotherapy Cost

Consultations start at £200. Please request a callback by filling out the contact form. We look forward to assisting you!

Why Choose Leicester Bowel Clinic?

At Leicester Bowel Clinic, we focus on bowel health and conditions, digestive issues, and cancer care. Our clinic offers minimally invasive procedures for bowel problems, ensuring effective results and patient comfort. We aim to provide personalised care for our patients and offer the latest treatments for hernias, bowel conditions and rectal disorders

Our Locations

Leicester Bowel Clinic at Spire Hospital

  • Wednesdays evenings (Mr Runau) from 6:00 pm until 9:00 pm at: Spire Leicester Hospital Gartree Road Leicester LE2 2FF
  • To arrange an appointment directly with the Spire Leicester Hospital, please call the booking line on 0116 2653685

*Free on-site parking is available.

Meet The Team

Sanjay Chaudhri

Mr Sanjay Chaudhri

Francois Runau

Mr Francois Runau

Pippa Powley

Pippa Powley

Rebecca West

Rebecca West

FAQs

Frequently Asked Questions about Pelvic Floor Physiotherapy

01. What are the signs of rectal prolapse?

  • Leaking stool or having no control over bowel movements.
  • Leaking mucus or blood from the anus.
  • Feeling like you need to have a bowel movement right away and feeling like your bowels are full.
  • Having many small bowel movements.
  • Feeling like you couldn’t completely empty your bowels.
  • Anus discomfort, including pain, itching, and bleeding.
  • Seeing red tissue sticking out of the anus.

02. Can pelvic floor therapy be useful for rectal prolapse?

Pelvic floor physiotherapy and biofeedback may help lessen the effects of rectal prolapse. Learning better ways to have bowel movements and avoiding straining can reduce the chances of rectal prolapse coming back or making the symptoms worse.

03. What are the common causes of rectum prolapse?

When the supporting tissues of the rectum weaken and stretch, they stop working properly, causing the rectum to prolapse. These tissues, like the pelvic floor muscles, act as a supportive hammock.

Some common reasons for rectal prolapse are:

  • Getting older
  • Chronic constipation and straining during bowel movements
  • Chronic diarrhoea
  • Pregnancy and giving birth
  • Anal intercourse
  • Cystic fibrosis

04. What's the most effective way to deal with rectal prolapse?

Surgery is the most effective treatment for serious rectal prolapse. Other options include lifestyle changes, such as eating more fibre, staying hydrated, and getting regular exercise.

05. Can pelvic floor physiotherapy help with prolapse?

Pelvic organ prolapse can lead to pressure, urination issues, and pain. Many women find that doing pelvic floor exercises or using a vaginal pessary can improve the symptoms.

06. How do you treat rectal prolapse?

Gently apply pressure to slide the prolapse back into place. This process may take a few minutes. If swollen tissue makes it difficult, a sugar solution can be used to reduce the swelling and make it easier to fix.

07. Can rectal prolapse get better on its own?

Rectal prolapse happens when the rectum slips down into the anus. Unlike haemorrhoids, they won’t go away on their own and will eventually need surgery to fix them.

08. What is the success rate of pelvic floor therapy?

Pelvic floor exercises are effective in 29-59% of cases. The therapy’s success depends on the type and severity of the dysfunction.

09. How long does pelvic physiotherapy take?

The initial appointment can last 60 to 90 minutes for questions and evaluation. Subsequent sessions usually take 30 to 60 minutes.

10. How long until pelvic floor exercises work for prolapse?

Most people notice some improvement after 4 to 6 weeks, but major changes may take up to 3 months. Additionally, doing pelvic floor exercises when you are likely to pass urine can help.

11. What are the common complications after rectal prolapse repair?

The risks of rectal prolapse surgery include bleeding, bowel obstruction, and damage to nearby nerves or organs.

12. Is it okay to push my prolapse back up?

No, you should not try to push a prolapsed vagina back up yourself. Only your healthcare provider should treat a prolapsed vagina. You might feel the prolapse and need to push it back up to go to the bathroom, but doing so is just a temporary solution and won’t fix the prolapse permanently.

Contact Us Today
Schedule a consultation to discuss your symptoms and the best treatment options for you. For more information about the treatments, book a consultation and contact our Leicester clinic.