I have been talking about ... 'June is Pelvic Organ Prolapse Awareness Month'! And as the month has progressed I’ve realised from talking to lots of women, that although you may have heard the word ‘prolapse’ or even been given the diagnosis of ‘prolapse’ ...you may still be wondering what I am talking about!
So let’s get down to the details:
What is Pelvic Organ Prolapse?
How do I know I have a Prolapse?
And What Causes Pelvic Organ Prolapse?
Are there ways Prolapse can be avoided and treated?
What Is Pelvic Organ Prolapse?
"Prolapse" refers to a descending or drooping of organs. Pelvic Organ Prolapse (POP) refers to the prolapse or drooping of any of the pelvic floor organs, including: the bladder, the urethra, uterus, vagina, small bowel, or rectum. These organs are said to prolapse if they descend into or outside of the vaginal canal or anus.
Different Types of Pelvic Organ Prolapse
Prolapse is sometimes given these specific names to describe which organ is descending:
How do I know I have a Prolapse?
Symptoms depend somewhat on which organ is in descent. If the bladder prolapses, urine leakage may occur but in some cases you may have no leakage. If it's the rectum, constipation and uncomfortable intercourse often occur. A backache as well as uncomfortable intercourse often accompanies small intestine prolapse. Uterine prolapse is also accompanied by backache and pain or discomfort with intercourse.
Some people will feel nothing at all and can live with prolapse without even knowing it is present!
Common symptoms include:
What Causes Pelvic Organ Prolapse?
Prolapse occurs when pressure in the abdomen is greater than the strength of the pelvic floor and deep core muscles that help keep organs in their place.
Common causes and risk factors include:
How is Pelvic Organ Prolapse Treated?
Treatment methods for pelvic organ prolapse depend on the severity of symptoms. These may include different therapies like:
Tips to Prevent Pelvic Organ Prolapse
Many risk factors that contribute to pelvic organ prolapse cannot be controlled including:
● Genetics and family history
● A strenuous vaginal delivery
However, the risk of experiencing the symptoms and problems associated with pelvic organ prolapse can be reduced through:
● Daily Kegel exercises for the maintenance of good pelvic muscle strength(making sure you are doing them correctly!!)
● Maintaining a healthy weight
● Avoiding constipation
● Avoiding/or not smoking – reducing risk of chronic cough & respiratory problems
● Treatment of chronic cough and constipation that apply strain on the pelvic floor
● Strengthening the core muscles and pelvic floor muscles.
Pelvic organ prolapse is a common problem among women. The types and symptoms vary, but effective treatments are available.
Though the word prolapse can be scary, the research supports pelvic health physiotherapy as an important treatment option for POP. In addition to strengthening your pelvic floor muscles, physiotherapy helps to coordinate your pelvic floor with the rest of your body, especially with functional movement patterns (correct lifting techniques) and lifestyle modifications.
You are more than your pelvic floor and pelvic floor physiotherapy is more than just kegels!
Remember it’s NEVERTOO LATE to seek help
You are not alone and if something doesn’t feel right or normal you should talk to someone about it. There might be many ways to improve it!
Bernadette Nolan is a Specialist Pelvic Health Physiotherapist based at Clinic rooms of Carlyle Medical Centre, in Napier
For further Information on Bernadette check out her websiste: www.hawkesbaypelvicphysio.co.nz
Being a new mum brings with it many challenges: recovering from a birth, sleep deprivation, constant feeding, changing, lifting... are just a few! Why not throw a bit of wrist pain into the mix? I like to call it Baby Wrist and it’s something I experienced myself and I see & hear a lot of during my working day with mums, so I thought I would help to explain what exactly causes it and how it can be managed.
What is ‘baby wrist’?
‘Baby wrist’ is essentially an overuse injury that is triggered by the often repetitive tasks of having a new baby, like feeding, lifting, carrying and rocking. New mums are prone to overuse conditions like these because of the softening effect certain pregnancy hormones (like relaxin) can have on the ligaments and tendons. It can range from a niggle when you hold your baby to more severe pain that prevents you from gripping ... (a bit of nuisance to say the least when caring for a new baby)
The most common cause of ‘baby wrist’ is DeQuervain’s Tenosynovitis, which involves inflammation of two tendons in the thumb. It normally produces pain on the thumb side of the wrist during lifting/carrying and gripping.
Another possible cause is Carpel Tunnel Syndrome. This involves compression of the structures in the carpel tunnel of the wrist, which can cause tingling, numbness and pain in the wrist & hand. It is quite common during pregnancy, because the extra fluid we retain can compress the tunnel. After pregnancy, the cause is usually more related to overuse; specifically spending too much time with the wrist in flexion (i.e bent – think how many times you are doing that!!!).
What you may feel
What can you do to help?
Often making just a few changes to your wrist position in feeding, carrying & lifting postures can make a huge difference. Try:
What can I do to help?
I can help by determining what the exact cause of your wrist pain is. Sometimes the wrist or thumb needs hands on treatment and support to help alleviate the pain - especially if the tissues are very inflammed and the pain is not alleviating with the above strategies.
I can then help by:
Bernadette is a pelvic health & women’s physiotherapist, a mother & female advocate. She specialises in treating ALL conditions affecting women, especially new mums and mums-to-be. She runs Hawkes Bay Pelvic Health & Women’s Physiotherapy, empowering & helping women through all stages of life – www.hawkesbaypelvicphysio.co.nz. She can also be found on facebook @hawkesbaypelvichealthphysio
Give Bernadette a call today 021 02554238 to see how she can help you enjoy your motherhood journey & beyond.
Bernadette is a pelvic health & women’s physiotherapist, a mother & female advocate. She specialises in treating ALL conditions affecting women, especially new mums and mums-to-be. She runs Hawkes Bay Pelvic Health & Women’s Physiotherapy, empowering & helping women through all stages of life