Pelvic Floor Rehabilitation

Pelvic floor muscles provide support to the bladder, intestines, uterus in women and prostate in men. Therefore, a malfunction in the pelvic floor muscles prevents these organs from functioning properly. At the same time, disorders in these organs cause dysfunction in the pelvic floor muscles.

Pelvic floor rehabilitation is a treatment method aimed at optimizing pelvic floor muscle function. The goal in rehabilitation is to ensure that the muscles work in a balanced and coordinated manner. It is a method applied by expert therapists in this field.

Pelvic floor muscles are affected during pregnancy, birth and menopause in women. Prostate problems in men cause pelvic floor disorders. In addition, abdominal-genital area surgeries, excess weight, and diseases that cause chronic cough can cause pelvic floor problems. During these periods, pelvic floor rehabilitation helps to eliminate problems in disorders that occur.

Pelvic floor rehabilitation offers multiple benefits for patients with pelvic floor dysfunction:

- Provides regulation of pelvic floor muscle functions. - It increases the circulation of the pelvic floor area. - It provides regulation of waist, hip and respiratory functions. - It provides the regulation of urine and stool functions. - It helps to eliminate sexual disorders. - It improves the life quality.

Pelvic floor rehabilitation is indicated for a wide range of conditions affecting urinary, bowel, and sexual function:

- **Frequent urination:** Urinating more than 7 times a day is not normal and requires treatment. - **Incontinence:** Urinary or fecal incontinence, including leakage during coughing, laughing, sneezing, or exercising. - **Difficulty passing urine or feces:** Not feeling full relief during discharge, pain during discharge, or needing prolonged effort. - **Bed wetting at night:** Bedwetting at night is not normal in children after the age of 5. - **Constipation:** Defecating less than 3 times a week, pain during defecation, inability to provide complete discharge, or excessive straining. - **Chronic pelvic pain:** Pain felt in the lower abdomen, waist, hip and genital area, which may be caused by musculoskeletal disorders. Endometriosis is a common condition in painful menstruation. - **Painful sexual intercourse and vaginismus:** Inability to have sexual intercourse or pain during sexual intercourse. Tense pelvic floor muscles can cause this condition.

Pelvic floor rehabilitation employs a combination of evidence-based techniques tailored to the individual patient:

- **Patient education** — Understanding pelvic floor anatomy, function, and healthy habits. - **Pelvic floor exercises** — Targeted exercises to strengthen, relax, or coordinate pelvic floor muscles. - **Manual therapy** — Hands-on techniques to address muscle tension, trigger points, and soft tissue restrictions. - **Biofeedback applications** — Using sensors to provide visual or auditory feedback, helping patients learn to control pelvic floor muscles. - **Electrical stimulation** — Applying mild electrical currents to activate or relax pelvic floor muscles.

Pelvic floor rehabilitation can be applied to all patients with pelvic floor problems. The methods used in women, men and children are different from each other. Treatment is applied by determining the appropriate methods for the age, gender and clinical condition of the person. In addition, neurological patients also benefit from treatment.

In our center, pelvic floor rehabilitation is applied to patients diagnosed by a specialist physician. The patient coming for treatment is evaluated in detail and an individual treatment program is created for the patient. The treatment is started by determining the appropriate methods for the needs of the patient. The treatment program is constantly revised in accordance with the progress of the patient.