Overview of the Pelvic Floor

MyKORI is a tool used to help improve & exercise the pelvic floor

What is the Pelvic Floor?

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The pelvic floor is often described as hammock that provides support for important structure within the pelvis. The supporting layers consist of the anterior vaginal wall and the connective tissue that attaches to the pelvic bone through the pubovaginal portion of the levator ani muscle and the uterosacral and cardinal ligaments comprising the tendinous arch of the pelvic fascia.

Pelvic Floor Trainer & Massage Tool

Using the pelvic floor resistance trainer and massage tool is an excellent way to strengthen your pelvic floor muscles and to relieve symptoms that manifesting in the pelvic region. Pelvic floor conditioning is not only effective but also necessary in the prevention and treatment of pelvic floor dysfunctions and to maintain core stability and visceral function.

It is the pelvic floor condition that prevents incontinence when the abdominal pressure is increased either through lifting, the weight if our viscera, exercise or coughs and sneezes, it is the sphincter mechanisms and the myofascial support system prevent leakage and support to our pelvic organs.

Over time our pelvic floor fascia, ligaments and tendons will stretch if the pelvic floor muscles are no longer able to support them. If our pelvic floor becomes relaxed or is damaged our organs are not supported pelvic dysfunction can lead to the following symptoms:

• Urinary incontinence
• Faecal incontinence
• Pelvic organ prolapse
• Sensory abnormalities
• emptying abnormalities
• Sexual dysfunction
• Chronic pain syndrome

Predisposing factors include; gender, genetics, neurological, anatomical, collagen, muscular, culture and environment.
Inciting factors include; child birth, nerve damage, muscle damage, radiation, tissue disruption and radical surgery.
Promoting factors: constipation, occupation, recreation, obesity, surgery, lung disease, smoking, menstrual cycle, infection, medication, and menopause.
Decompensating factors include; ageing, dementia, debility, disease environment and medication.
Having a conditioned pelvic floor muscles is essential for general body function and fitness levels. We are all guilty of knowing that we should be performing our pelvic floor exercises regularly, but knowing about them and doing them seem to be two different things.

Quality pelvic floor contractions are paramount for pelvic floor stability and function, but we need to work hard to maintain and condition it.

Types of Incontinence

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The most common types of Urinary incontinence are Stress, Urge and Mixed incontinence.

Stress Incontinence

Stress incontinence is when you leak urine when your bladder is put under extra sudden pressure – for example, when you cough. It's not related to feeling stressed.
Other activities that may cause urine to leak include:
• sneezing
• laughing
• heavy lifting
• exercise
The amount of urine passed is usually small, but stress incontinence can sometimes cause you to pass larger amounts, particularly if your bladder is very full.

Urge Incontinence

Urge incontinence is when you feel a sudden urgency to pass urine and you're unable to delay going to the toilet. There's often only a few seconds between the need to urinate and the release of urine, but this may include leakage and also the urgency to void without leakage.
Your need to pass urine may be triggered by a sudden change of position, or even by the sound of running water or triggered by the action of putting your key in the front door. You may also pass urine during sex, particularly when you reach orgasm.

This type of incontinence often occurs as part of group of symptoms called overactive bladder syndrome, which is where the bladder muscle is more active than usual.

As well as sometimes causing urge incontinence, overactive bladder syndrome can also mean you need to pass urine very frequently and you may need to get up several times during the night to urinate.

Mixed Incontinence

Mixed incontinence is when you have symptoms of both stress and urge incontinence.

Overflow Incontinence

Overflow incontinence, also called chronic urinary retention, occurs when the bladder cannot completely empty when you pass urine. This causes the bladder to swell above its usual size. Overflow incontinence, which is a serious condition that can cause increased pressure to the kidneys and lead to kidney failure. If the patient has a high PVR If you have overflow incontinence, you may pass small trickles of urine very often. It may also feel as though your bladder is never fully empty and you cannot empty it even when you try. This situation can arise from neurological damage affecting the pelvic nerves, diabetic neuropathy, cauda equine lesions, acute infection, and fibrosis.

Total Incontinence

Urinary incontinence that's severe and continuous is sometimes known as total incontinence. Total incontinence may cause you to constantly pass large amounts of urine, even at night. Alternatively, you may pass large amounts of urine only occasionally and leak small amounts in between.

Incontinence is a medical condition that can impact your physical, emotional, social & sexual Health

Lower urinary tract symptoms (LUTS)
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The lower urinary tract comprises the bladder and the tube urine passes through out of the body (urethra). Symptoms are common in both men and women as they get older.
Symptoms include:
• Storing urine in the bladder by not completely emptying after voiding
• Urgent or frequent need to go to the toilet
• Feeling like you need to go straight after you have just been
• Problems with passing urine, such as a slow stream of urine, straining to pass urine, or stopping and starting as you pass urine.
• Nocturia

Hormonal imbalances and abnormal metabolic processes maybe associated with lower urinary tract symptoms.

Preventing Urinary Incontinence

It's not always possible to prevent urinary incontinence, but there are some steps you can take that may help reduce the chance of it developing.
These include:
• controlling your weight
• avoiding or cutting down on alcohol
• keeping fit – in particular, ensuring that your pelvic floor muscles are strong
• Pelvic floor exercises
Being obese can increase your risk of developing urinary incontinence. You may therefore be able to lower your risk by maintaining a healthy weight through regular exercise and healthy eating.
If you have urinary incontinence, limit your alcohol and drinks containing caffeine, such as tea, coffee and cola. These can cause your kidneys to produce more urine and irritate your bladder.
If you have to urinate frequently during the night (nocturia), try drinking less 2 to 3 hours before bedtime. But you must make sure you still drink enough fluids during the day.
Being pregnant and giving birth can weaken the muscles that control the flow of urine from your bladder. If you're pregnant, strengthening your pelvic floor muscles may help prevent urinary incontinence. Stay active during pregnancy.

Using a Pelvic Floor Exerciser can help with Incontinence

MyKORI is expertly designed by a British State registered and Chartered Physiotherapist