Urogynaecological physiotherapy is modern approach to treatment. It is gaining popularity not only in physiotherapy practices, but also in gynaecology clinics. As part of this approach, the physiotherapist works with the gynaecologist to comprehensively examine the patient's specific problems, establish a treatment plan and gradually improve her daily fitness. The use of urogynaecological physiotherapy in the context of pregnancy is particularly relevant. Where the combined efforts of specialists enable effective prevention and treatment of disorders related to the lower pelvis and pelvic floor muscles. With this approach, pregnant women can benefit from comprehensive care. Patients, take care of the health of the lower pelvic system and ensure optimal conditions for the development of your baby!
Who is urogynaecological physiotherapy for?
- Urogynaecological physiotherapy provides excellent support for women at different stages of life, covering both those who are planning a pregnancy or are already pregnant and those who have recently undergone childbirth. This form of therapy also caters for women in menopause and those who are actively involved in sport. Regardless of life stage or physical activity style, urogynaecological physiotherapy offers a personalised approach, tailored to the individual needs of patients.
- In the context of preparing for pregnancy, urogynaecological physiotherapy can help to strengthen the pelvic floor muscles, which contributes to better control during childbirth. For women after childbirth, this form of therapy aids the recovery process, helping to return to full fitness.
- During menopause, urogynaecological physiotherapy becomes an important part of looking after the health of the genitourinary system. It helps to alleviate discomfort associated with possible muscle weakness and supports the maintenance of normal function of this area.
- For physically active women, urogynaecological physiotherapy can help prevent injury and improve overall muscular performance. At the same time, it provides effective support for the treatment of the most common urogenital diseases.
Consultation
At MTS Holistic Therapy, we pay particular attention to an individual approach to each patient, allowing us to effectively tailor therapy to her needs. The therapeutic process We start with a detailed interview, during which the physiotherapist carefully analyses the problems reported by the patient. The questions concern not only the complaints, their location and severity, but also previous forms of treatment. Although some of the questions may seem personal, their purpose is to better understand the patient's situation so that we can help her more effectively.
We then proceed to assess the patient's posture and movement patterns, conducting examinations in various positions such as standing, sitting and in motion. The physiotherapist analyses in detail how the ribs move, the sternum and how the diaphragm works during breathing. The next stage is a palpation of the abdominal cavity and an assessment of the abdominal muscles and the activity of the white crease, which is where the rectus abdominis muscles meet.
In the final stage, we focus on exploring the pelvic floor muscles. This is an important part of the therapy and is carried out in two ways - by palpation in the perineal area or transvaginally (per vaginum). It is worth noting that the second method requires the patient's prior written consent, which is part of our concern for her comfort and privacy. Through this comprehensive approach, each patient receives personalised care that takes into account her unique needs and comfort, which is the foundation of successful therapy at MTS Holistic Therapy.
Urogynaecological physiotherapy in pregnancy
At the MTS Holistic Therapy Centre, pregnant women can count on the support of a physiotherapeutic approach. Both women who wish to consciously prepare for childbirth and those who experience a variety of discomforts related to their condition. Pregnancy brings with it enormous changes to a woman's body, shifting the centre of gravity, modifying the position of the pelvis, and causing abdominal expansion and stretching of the abdominal muscles due to the development of the foetus. Although these changes are typical, they can also generate some discomfort.
The role of the urogynaecological physiotherapist is to guide mothers-to-be on how to minimise discomfort, for example through appropriate gymnastic exercises or maintaining the correct position during daily activities. The specialist instructs patients in correct breathing, as well as in tensing and relaxing the pelvic floor muscles. All these activities are primarily aimed at preparing the woman for childbirth and reducing the risk of potential complications, such as perineal tears.
When working with pregnant women, physiotherapists often use kinesiotapingThe technique involves applying elastic bands to specific areas of the body. With this tool, it is possible to relieve pressure on the lumbar spine or sacroiliac joints. Kinesiotaping is also an effective means of relieving swelling in the limbs, which is often experienced by mothers-to-be.
However, it is worth emphasising that cooperation with a physiotherapist should begin in the second trimester of pregnancy at the earliest. This is when the woman already feels a certain improvement in her wellbeing, while minimising the risk of miscarriage. With this approach MTS Holistic Therapy Centre provides comprehensive and individually tailored care for each woman during this special period.
Urogynaecological physiotherapy after childbirth
After childbirth, the urogynaecological physiotherapist specialises in providing physiotherapy targeted at women's problems related to the postpartum period. Our specialised therapists tailor a set of exercises and procedures to the individual needs of patients. As a result, patients can expect a faster return to their pre-pregnancy fitness. The ideal time to visit a urogynaecological physiotherapist for the first time after childbirth is:
- Approximately 6 weeks after natural childbirth,
- approximately 12 weeks after delivery by caesarean section.
In particular, it is advisable to seek the services of a gynaecological physiotherapist after childbirth for certain complaints such as:
- surgical scars,
- painful menstruation,
- bladder problems,
- sexual dysfunctions,
- problems with gas, urine or faecal incontinence,
- lowering of the reproductive organs,
- chronic pain in the pelvic region, tailbone, pubic conjunctiva, spine or rectum,
- dilation of the rectus abdominis muscle,
- loss of vaginal tone and elasticity.
Diastasis of the pubic conjunctiva is common after pregnancy and childbirth and can be fraught with pain, especially when lifting heavier objects. Treatment is based on a careful approach to activity and the performance of specially adapted exercises under the supervision of a physiotherapist.
