The pelvic floor muscles work around the clock and we practically never think about them - until they stop working properly. The symptoms then vary widely: from leaking urine when you cough, through painful periods, to pain during intercourse.
Assessment begins with a detailed history and a functional examination, including an internal examination where appropriate, which allows resting tone, contraction strength and the ability to relax to be assessed, along with ultrasound and biofeedback. Without that examination, therapy is guesswork - a weak pelvic floor and an overactive one produce similar symptoms but require the opposite approach.
In Wrocław I see women with urinary and faecal incontinence, overactive bladder, painful or absent periods, endometriosis, chronic pelvic pain, scars and adhesions after surgery, painful intercourse, and those undergoing fertility treatment.
What you can come with
Overactive bladder
Needing to pass urine far more often than usual, with an urgency that becomes compulsion - even though the bladder is not full.
Read more →Physiotherapy after surgery in the pelvis
Rehabilitation after gynaecological and urological procedures - preventing complications, speeding up healing and restoring function.
Read more →Absent periods
Absent periods and the position of the pelvis, pelvic floor tone and adhesions in the lesser pelvis - therapy that rebalances the pelvis and uterus.
Read more →Painful periods
Painful periods affect a growing number of women (as many as 25% of young women).
Read more →Physiotherapy and fertility
Support alongside fertility treatment: breathing, releasing pelvic floor tension and osteopathic work on the pelvis.
Read more →Physiotherapy in endometriosis
Endometriosis is treated medically and surgically - physiotherapy improves quality of life and reduces pain alongside that treatment.
Read more →Incontinence of urine, gas and stool
A properly working pelvic floor muscle system is responsible, among other things, for holding and storing gas and stool, and for holding urine.
Read more →Fibroids, adhesions, scars and pelvic pain
Women in pain from the pelvis, from fibroids or from cysts often curl up against it, tensing the whole body - in the foetal position, for instance.
Read more →Chronic pelvic pain
Pelvic pain syndromes are characterised by pain below the navel lasting more than six months. They occur more often in women than in men.
Read more →Painful intercourse (vulvodynia, vestibulodynia, vaginismus, dyspareunia)
Many women suffer chronic pain in the internal and external genitalia, and pain during intercourse.
Read more →Menopause and the pelvic floor
Falling oestrogen changes pelvic floor tissue: incontinence, urgency, dryness and pain during intercourse follow. Physiotherapy genuinely changes the course of these symptoms.
Read more →Read on the blog
Book a visit
Appointments are booked online through znanylekarz.pl. If you are not sure whether physiotherapy is right for your problem, call me - we will sort it out in a few minutes.
In-person visit: 210-350 zł · Monday to Friday, 12:00 - 19:00 · every other Saturday 10:00 - 12:00