Pelvic Organ Prolapse

Dealing with Pelvic Organ Prolapse?

Did you know pelvic floor physical therapy can help with this? Pelvic Organ Prolapse (POP) is the descent of one or more pelvic structures/organs through the vaginal and rectal openings from their normal anatomical position. Although POP is more common in older women, it can affect women of all ages. Research shows that its cause is multifactorial (i.e. the effects of aging, vaginal childbirth, decreased muscle strength, etc.). At Shift Physical Therapy we understand how POP can negatively influence physical activity, self-image, and quality of life. 

Our physical therapists have advanced, specialized training in the management and treatment of symptoms and dysfunction associated with pelvic organ prolapse. We are devoted to providing one-to-one care with individualized treatment programs in a peaceful and supportive environment.

Symptoms

Common symptoms of pelvic organ prolapse include:

  • Heaviness

  • Vaginal Bulging

  • Pressure or fullness in the pelvic area

  • Unable to fully empty bladder or bowels

  • A feeling that something is falling out of the vagina

Types of Pelvic Organ Prolapse

Posterior Vaginal Wall

  • Rectocele

  • Enterocele

Anterior Vaginal Wall

  • Cystocele

  • Urethrocele

  • Cystourethrocele

Apical Prolapse

  • Vaginal vault prolapse

  • Uterine/cervix prolapse

  • Enterocele

Rectal Prolapse

Can pelvic floor physical therapy help?

The goal of physical therapy is to normalize pelvic floor muscle tone/activity, motor control, and coordination to assist in improving the support to aid in reducing symptoms associated with pelvic organ prolapse. Pelvic floor strengthening will be incorporated once pelvic floor musculature is in its optimal length and control/coordination is present. In addition, education regarding proper bladder/bowel habits, postural needs, and movement assessment will be performed to improve outcomes.

Treatment options vary by condition and may include:

  • Neuromuscular re-education to either down train and/or uptrain the pelvic floor musculature

  • Patient education about normal defecation mechanics (coordination of abdominal muscle contraction with pelvic floor muscle relaxation) to prevent straining and maintain good intra-abdominal pressure.

  • Patient education about normal voiding mechanics

  • Behavioral training, bladder/bowel education, postural training, and self-management techniques

  • External and internal soft tissue mobilization and trigger point release

  • Treatment of related back, hip, SI joint, tailbone, and pelvic girdle conditions that may be perpetuating POP

  • Functional movement assessment to ensure good pressure management strategies

  • Home exercise program instruction delivered straight to your phone

Are you needing a little more help?

If you are needing a little more help, make an appointment today with Shift Physical Therapy in St. George, UT. We set aside time in our schedule where you can talk directly with a healthcare professional who specializes in pelvic organ prolapse and helping women get back to activities symptom/pain-free.

We offer this as a courtesy to our clients so can get your questions answered before committing to booking an appointment. If you a ready to take action, let’s chat. Schedule a consultation now.