Muscle strains of abdominal muscles and groin muscles may occur while being active with exercise or performing more strenuous activities of daily living. Some other common causes of pelvic-related pain may be pelvic floor muscle dysfunction such as weakness or high tonicity, abdominal surgeries (hysterectomy, C-section, prostatectomy), and infections. Effective treatment requires a comprehensive evaluation of the pelvis, lumbar spine, hips, and abdominal area. Hands-on therapy may include joint and soft tissue mobilisation accompanied by muscular re-training and (or) strengthening/muscular endurance training. Treatment may also include modalities such as biofeedback, ultrasound, electrical stimulation, or dry needling. These are effective techniques for normalising muscle tone, improving muscle function, and reducing problematic symptoms.
1) Strains
2) Post Surgeries
3) Post delivery
4) Urinary incontinence
Incontinence is the loss of bladder or bowel control, resulting in the involuntary leakage of urine or faeces. Pelvic floor muscle weakness, resulting in a reduction of muscular support for the bladder, uterus or rectum, maybe the cause. The muscles, because of disuse, are unable to tighten and keep the openings closed.
Incontinence of urine may be termed:
- Stress (leakage with physical activity, coughing, sneezing or laughing)
- Urgency or Frequency (involuntary bladder emptying whenever the sensation of urge is felt)
- Involuntary leakage of faeces and gas can be the result of chronic constipation or trauma.
Behavioural assessment of food, beverage and medication consumption can identify contributing factors.
Physical therapy Treatment often includes:
- Retraining bowel and bladder habits
- Abdominal muscle rehabilitation
- Pelvic floor muscle rehabilitation (with or without electrical stimulation)
- Biofeedback