Pelvic Floor Physiotherapy is becoming more established in the literature as a first-line of management against incontinence and Pelvic Pain. The 2010 Cochrane Collaboration concluded that physiotherapists with specialized training in pelvic floor rehabilitation (using internal examination to teach the exercises) should be the first line of defence, before surgical consultation, for stress, urge and mixed incontinence in women.
Pelvic Floor Dysfunction can be caused by:
As a result, 'Kegels' are NOT always indicated for pelvic floor problems. Sometimes they do more harm than good, and often they are NOT performed correctly.
Physiotherapy treatment options vary, depending on the diagnosis, but may include: