Pelvic floor health plays a crucial role in overall well-being, particularly for women. Pelvic physiotherapy, also known as pelvic floor physiotherapy, offers specialized care to address pelvic floor dysfunction and related issues.

A key component of this therapy is the assessment of the pelvic floor. In this post, we will explore how physiotherapists check the pelvic floor, shedding light on the techniques and tools used in the assessment process.


Understanding Pelvic Physiotherapy:

Pelvic physiotherapy is a specialized branch of physiotherapy that focuses on assessing and treating conditions related to the pelvic floor muscles, which provide support to the pelvic organs, including the bladder, uterus, and rectum. The pelvic floor plays a critical role in various bodily functions, including urinary and bowel control, sexual function, and core stability.


Assessment of the Pelvic Floor:

During a pelvic physiotherapy session, a physiotherapist conducts a comprehensive assessment of the pelvic floor to evaluate its function and identify any potential issues. The assessment may include the following techniques.


External Observation:

The physiotherapist will observe the external structures of the pelvic area, including the position, alignment, and symmetry of the pelvis, hips, and lower back. They may also assess for signs of muscle imbalances or postural abnormalities that could impact pelvic floor function.


Internal Examination:

To gain a more detailed understanding of the pelvic floor, the physiotherapist may perform an internal examination. This involves the use of a gloved and lubricated finger inserted into the vagina (for women) or rectum (for men) to assess the strength, tone, and flexibility of the pelvic floor muscles. The internal examination helps identify any areas of tension, weakness, or dysfunction within the pelvic floor.


Pelvic Muscle Strength Testing:

The physiotherapist may assess the strength of the pelvic floor muscles using manual resistance or specialized equipment. This testing provides valuable information about the individual’s ability to contract and relax the pelvic floor muscles effectively.


Functional Assessment:

In addition to evaluating the pelvic floor muscles, the physiotherapist may assess the functional aspects related to bladder and bowel control, sexual function, and core stability. This may involve asking questions about urinary and bowel habits, sexual health, and any symptoms experienced during physical activities or daily routines.


Tailored Treatment Plan:

Based on the findings from the pelvic floor assessment, the physiotherapist will develop a personalized treatment plan to address the specific needs and goals of the individual. This plan may include a combination of techniques such as pelvic floor muscle training, manual therapy, relaxation techniques, and lifestyle modifications.

Regular reassessment and modification of the treatment plan are essential to ensure progress and address evolving needs.


The Role of Pelvic Physiotherapy:

Pelvic physiotherapy aims to optimize pelvic floor function, alleviate symptoms, aznd enhance overall well-being. It can be beneficial for various conditions, including pelvic pain, urinary and bowel incontinence, pelvic organ prolapse, sexual dysfunction, and pregnancy-related issues.

By addressing underlying pelvic floor dysfunction and providing appropriate interventions, pelvic physiotherapy plays a vital role in improving quality of life and promoting pelvic health.