Using biofeedback to retrain the pelvic floor
Biofeedback is a non-invasive, drug-free method used in pelvic floor therapy to treat pelvic floor disorders, typically performed by trained clinicians. Its purpose is to teach patients to self-regulate involuntary functions and improve their overall quality of life.
Pelvic floor physical therapy usually involves a series of exercises focused on strengthening the pelvic floor muscles, administered by a specialized nurse or physical therapist. These can include a rectal examination, progressive overload, and EMG biofeedback, which teaches patients how to contract and relax the pelvic floor muscles using special sensors and computer monitors. The goal is to enhance the coordination and endurance of the pelvic floor muscles.
Biofeedback also helps strengthen weak muscles and can be combined with electrostimulation. Some people pick it up right away, while others need time to learn the technique. Pelvic floor disorders addressed this way include functional anorectal pain, structural disorders, and pelvic floor dyssynergia, conditions that affect the muscles and bladder controlling bowel and bladder function.
Kegels and targeted pelvic floor exercise
Whether you're dealing with urinary incontinence or want to improve sexual function, there are exercises that strengthen the pelvic floor. These target the deep abdominal muscles that help support the bladder and rectum, and can be done standing or seated, though many people find lying down works best.
Kegel exercises are one specific type of pelvic floor exercise: contracting the muscles, holding for up to ten seconds, then relaxing for three to four seconds. Using biofeedback devices placed on the abdomen or vagina, a therapist can help you isolate the right muscles and feel when you're contracting them properly.
How pelvic floor disorders affect sexual health
Pelvic floor disorders, including fecal incontinence, urinary incontinence, and pelvic pain, can also affect body image, nerve function, muscle function, and sexual function. Addressing these symptoms can help improve sexual function and support a healthy sex life.
Sexual dysfunction is common among women with pelvic floor disorders, which have been associated with infrequent orgasms, pain during sex, and reduced libido. The causes are complex, involving both biological and psychosocial factors, and can relate to pelvic organ prolapse, vulvodynia, and post-prostatectomy complications, as well as conditions like endometriosis, lichen planus, irritable bowel syndrome, and pelvic pain syndrome. Research has found that sexual complaints are common among women with pelvic floor disorders, though findings have not always been consistent.
Treating urinary incontinence
Pelvic floor therapy is a safe, non-invasive treatment for urinary incontinence, focused on strengthening and improving the muscles of the pelvic floor to reduce the frequency of leaks. In the process, patients regain control of their bladder and strengthen the muscles that prevent leaks during everyday activities.
Alongside pelvic floor exercises, some patients are also prescribed medication or surgery, or advised to make lifestyle changes such as reducing stress or adjusting habits around frequent sneezing or laughing. Studies show that pelvic floor muscle training combined with biofeedback can meaningfully reduce symptoms of overactive bladder, including significant reductions in urinary frequency and improved quality of life.
Our highly-trained physical therapists can design a treatment plan around your needs, starting with a physical exam at your first appointment to assess your condition, along with a review of your medical history and any other health considerations. Don't delay if you're experiencing pain or injury, call our office today to book your appointment.