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Valleyfield: 450-371-0321
Vaudreuil-Dorion: 450-455-8500
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Perineal rehabilitation
Perineal rehabilitation is the field of physiotherapy which takes care of the urogenital and anorectal systems in men and women. Muscles in the perineal area are called the pelvic floor muscles. Like every other muscle in the body, they can lack strength, develop muscle tension and lose coordination over time. Physiotherapists assess the pelvic floor muscles as well as all the other surrounding structures (skin, scar tissues, nerves, tendons, coccyx) and pelvic structures (pelvis, hips, low back, abdomen) to plan a personalized treatment based on your specific needs and provide recommendations. The goal is to re-establish the urinary, anorectal and sexual function in people who suffer from issues in the perineal and pelvic areas.
Which conditions can be treated in perineal rehabilitation?
- Urinary and fecal incontinence
- Frequent urination
- Urgency
- Difficulties to urinate
- Difficulties to defecate (constipation)
- Prolapse
- Perineal pain (vulva, vagina, penis, scrotum)
- Sexual dysfunction (erectile dysfunction, pain during intercourse)
What to expect during the assessment?
First, you will complete a questionnaire with the physiotherapist to better understand the issue and contributing factors. Then, there will be a physical assessment. It usually includes a gynecologic exam, if the person consents to it, through the vaginal or anal canal. It can also include posture, neurological, respiratory, hip and low back abdominal assessment.
What to expect from the perineal rehabilitation?
The treatment sessions can include various exercises for the pelvic floor muscles, abdominal region, hip and low back, manual therapy in the perineal area and other implicated joints and soft tissues, education on different related matters and vesical training.
