Pelvic Floor Physiotherapy

Physiotherapists:
Irene García and
Inmaculada Santos

Pelvic Floor Physiotherapy: Comprehensive, Individualized Care for Core Female and Male Health

 

Pelvic Floor Physiotherapy consists of preventing, treating, and re-educating the various conditions that can affect the functions of the pelvic floor. The functions of the pelvic floor include visceral support, continence, childbirth, sexual function, urination and defecation, postural support and pressure absorption.

In many cases, there is no sudden onset of symptoms, but rather a subtle worsening. That’s why the area should be checked at the slightest sign of change or deterioration. When it comes to the female pelvic floor, it’s important to remember that constipation, pregnancy, and childbirth are additional risk factors. In men, special attention should be paid to athletes who practice high-impact or hyperpressive sports (such as weightlifting, CrossFit, or cycling), which can put added stress on the pelvic area.

Several therapeutic approaches can be used in treatment, such as increasing awareness and perception of the pelvic floor, muscle strengthening exercises, manual therapy, posture correction, and breathing techniques. Various devices are commonly used in both diagnosis and treatment, such as ultrasound and radiofrequency.

The process begins with a health questionnaire, followed by a comprehensive assessment of the pelvic floor, abdominal wall, breathing patterns, and posture.

Once all data has been collected, an individualized treatment plan is developed with clear, personalized objectives for each patient.

Common indications

  • Urinary incontinence (stress, urge, mixed)
  • Fecal incontinence
  • Pelvic organ prolapse
  • Constipation or straining during bowel movements
  • Pelvic pain and chronic discomfort
  • Pain during or after intercourse (dyspareunia)
  • Postpartum pelvic dysfunction
  • Diastasis recti (abdominal muscle separation)
  • Lower back or pelvic girdle pain
  • Pre- and post-surgical pelvic rehabilitation
  • Dysfunctional breathing and postural imbalances

Our services

  • Postpartum Recovery: Rehabilitation of the pelvic floor and abdominal wall after childbirth.
    Pelvic Floor and Perineal Preparation During Pregnancy: Exercises and therapies to prepare the body for childbirth.
  • Surgical Scar Treatment: Care and mobilization of scars to improve tissue health and function.
    Comprehensive Menopause Approach: Focus on pelvic floor changes and symptoms associated with menopause.
  • Treatment of Recurrent Candidiasis and Cystitis: Targeted physiotherapy to support recovery and prevent recurrence.
  • Pelvic Organ Prolapse Management: Non-surgical methods to support pelvic organs and reduce symptoms.
  • Urinary Incontinence Treatment and Prevention: Care for various types of incontinence.
  • Coloproctology Issues: Management of constipation, idiopathic diarrhea, fecal incontinence, anal fissures, hemorrhoids, anismus, among others.
  • Post-Oncological Surgery Rehabilitation: Support after colon, ovarian, and bladder surgeries.
  • Fertility Process Support: Assistance in optimizing pelvic health during fertility treatments.
  • Chronic Pelvic Pain Treatment: Multimodal therapies to relieve and manage persistent pain.
  • Recovery from Trophic Disorders: Improvement of the quality and function of intrapelvic tissues.
  • Treatment of Sexual Dysfunctions: Care for dyspareunia, vaginismus, anorgasmia, and other dysfunctions.
  • Vulvar Dermatological Conditions: Treatment for lichen sclerosus, vulvodynia, vestibulitis, atrophy, and similar conditions.
  • Menstrual Cycle-Related Issues: Relief from pain, premenstrual syndrome, and heavy bleeding.
  • Hygiene Guidance During the Menstrual Cycle: Advice on menstrual blood collection methods (menstrual cup, tampons, pads, etc.).
  • Neuromodulation of the Autonomic Nervous System: Treatment of sleep disorders, chronic pain, hormonal issues, and stress.

Advanced Technology

Radiofrequency

The machine generates a high-frequency current flow that can penetrate deeply into the tissue, leading to controlled tissue heating. This effect can be used to treat scars, relieve chronic pain, improve blood circulation in specific muscles, enhance tissue quality, increase muscle thickness, improve mucosal tensegrity, and much more.

The use of radiofrequency therapy accelerates the regenerative process, making each treatment more effective and the overall progression faster. It has become an essential technique in the treatment of pelvic floor conditions and also facilitates lymphatic drainage.

Ultrasound

The go-to technique for visualizing internal tissues using real-time ultrasound imaging. It supports physiotherapy diagnostics through the interpretation of grayscale images.

It can also be used during treatment sessions and to assess the progression of various pelvic floor and abdominal conditions. With ultrasound, we can observe visceral positioning, tissue quality, organ movement, and muscle mobility.

We do not provide medical diagnoses or issue any official ultrasound reports.

Neuromodulation of the Autonomic Nervous System

The autonomic nervous system (divided into the sympathetic and parasympathetic branches) is responsible for cellular regeneration, hormonal regulation, sleep quality, and the functioning of all bodily systems. When a pathology is present, there is an imbalance in this system. This technique helps to rebalance the sympathetic and parasympathetic systems. It serves as a foundational therapy to help ensure the best possible outcome for subsequent treatments.