Rehabilitation of the short pelvic floor. II: Treatment of the patient with the short pelvic floor.
Several urogynecologic syndromes are associated with the clinical finding of a short, painful, tender and weak pelvic floor and a variety of connective tissue abnormalities. Techniques for rehabilitation include the avoidance of perpetuating factors, rehabilitation of extrapelvic musculoskeletal abnormalities, the use of manual techniques and needling to promote resolution of connective tissue problems, closure of any diastasis recti, and transvaginal/transrectal manual release of muscular trigger points and contractures. Therapy can be facilitated by pudendal or epidural nerve block. Patients contribute to their success through home maintenance programs.
FitzGerald
M P
MP
Division of Women's Pelvic Medicine and Reconstructive Pelvic Surgery, Loyola University Medical Center, 2160 South First Avenue, Maywood, IL 60153, USA. mfitzg8@lumc.edu
Kotarinos
R
R
D015670:Acupuncture Therapy / Q000379:methods; D000328:Adult; D005081:Exercise Therapy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D008991:Monitoring, Physiologic / Q000379:methods; D009119:Muscle Contraction / Q000502:physiology*; D017773:Pelvic Floor / Q000002:abnormalities; D017699:Pelvic Pain / Q000209:etiology / Q000503:physiopathology / Q000534:rehabilitation*; D026741:Physical Therapy Modalities / Q000379:methods*; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome