World Physiotherapy Day: Managing pelvic problems with pelvic floor exercises for women of all ages

Pelvic problems in women are rampant and can take a toll on their overall well-being. It not only lead to discomfort but also impact their emotional and psychological well-being. Various problems such as urinary incontinence (accidental loss of urine causing wetting), fecal incontinence, prolapse (unintentional loss of stool), menstrual cramps, endometriosis, uterine fibroids, pelvic inflammatory disease (PID) means the infection of the uterus, fallopian tubes or ovaries, pelvic floor dysfunction (this condition affects the ability to control pelvic floor muscles), urinary stones can lead to pain and disrupt one’s daily routine. Hence, many women will experience pressure sensations, urinary or bowel irregularities, heavy bleeding, and stress.

All these problems will require timely intervention. Diet modifications, medications, better posture, regular exercise, and weight loss, muscle relaxants, hormone treatment can be important in helping women manage pelvic problems. However, pelvic floor exercises will be beneficial for these women to overcome pain and strengthen their muscles.

The importance of pelvic floor exercises for women• Pelvic floor exercises are essential for women throughout their life stages. It is a known fact that these muscles tend to support critical organs such as the bladder and uterus and prevent incontinence and prolapse. By doing pelvic floor exercises every day, women will be able to establish a deeper connection with their bodies.
• Women who opt for these exercises experience reduced anxiety and increased self-confidence. These exercises will help to increase core strength and stability. Women can do Kegel exercises for at least 2-3 months to notice the difference.

Exercises to strengthen the pelvic floor: Kegel exercises, are often the first choice for many women who wish to strengthen the pelvic floor muscles. Kegel exercises help to deal with urinary incontinence and other pelvic floor problems.

Mindful movements such as yoga or Pilates can also elevate awareness of pelvic alignment while promoting flexibility and balance and stabilizing the core.

Squats, bridge poses, bird dog exercises, and pelvic tilts can be beneficial.

Moreover, while sitting, squeeze your pelvic floor muscles and release them without holding the contraction. You can do 3 sets of it with 15 repetitions.

It is essential to do these exercises under the guidance of a physiotherapist who will be able to guide you about correct form and technique. The physiotherapist will however come up with a personalized plan based on one’s requirements. Pelvic floor therapy is a good option for women and will help them return to their daily activities by reducing pain.

(Author: Dr Sobiya Altaf Shaikh (PT), Consultant Physiotherapist, Motherhood Hospitals, Pune, Lullanagar)