Pelvic floorShe gave me more advanced core ecpxercpppp

Women's health
1

i am 8.5 weeks post hysterectomy SSF A and P repairs.  All ok as far as surgeon is concerned. Cleared to exercise etc but limit lifting to 10 kgs..

I went to see a woman’s health physio this week for exercise advice. She checked I was engaging pelvic floor correctly when exercising it  She gave me more advanced core and glute exercises to support pelvic floor.  She also corrected my posture to put hips in optimal position for PF to work properly. The thing that she also stressed was relaxing your PF with deep belly breathing. she suggested trying it standing but I couldn’t relax and breathe in this position  so doing it lying down. 

i had been aching a lot in the afternoon/evening so wondering if I have been tiring these muscles out by over clenching.

Anyway, I seem to now have lost the ability to stand sit and walk without overthinking what I should do. So questions 

1 Do you hold or relax PF when walking and sitting?

2 Aching PF muscles....how long does this go on for, is it normal?

3 if PF is tense/aching....should I reduce Kegels?

I will see her again in a few weeks but advice from any that has had similar problems would be great.

Thanks

2

Hi! Same thing here what the Pelvic floor is concerned. Mine is too tensed. I am absolutely not allowed to do kegels until I have less tensed pf muscles. I am only allowed to do deep breathing relaxation exercises a couple of times a day and that's it.

A normal pf is always a bit engaged when walking or sitting, and you do not need to tense them extra. If your pf muscles are too tensed you will probably clench them too much (unconsciously) when sitting and walking which will give you pain.

What my pf physio told me is that it will probably take a while to get that all back to normal.

I have the same thing.... It burns down there off and on during the day, my pf hurts, and I have the urge to urinate more on and off. This all can be caused by and overactive pf

3

Getting the frequent urge too. Especially after walking for a while. I wasn’t told not to do Kegels, just to add in the relaxation. This bit feels quite frightening, letting go makes me feel like everything will fall out again. 

4

Hi

I have seen a woman s pelvic floor specialist and she told me to draw up pelvic floor when sneezing and holding things.

You will have a burny ache in vagina if you are clenching to tight so lessen up on them.

Are you also doing the quick flicks? These are very important as your muscles need to relax also.

I am doing 3 reps of 10 and 10 quick flicks also.

I refuse to carry anything heavier than 1 pint of milk till my flooring stronger.

My consultant told me info feel an ache in the tummy area I'm clenching tummy rather than floor and that's incorrect.

I feel the burn in vagina if I hold to tight.

Also I can take up to 12 mths for floor to recover and strengthen.

Best to lay down also to do them.I was told not to do that standing at this early on.

Good luckxx

5

I get urge to wee more if I over clench.

I got no stress incontinence though or leaking.x

6

I find it so interesting that so many ladies who have had the prolapse surgeries are involved in pelvic floor physical therapy. I am in the U.S. and my dr did not say anything about pelvic floor exercises much less actual therapy. I do remember at the appt when I was first diagnosed with my prolapse, I did tell my female gynocologist that I had always faithfully done me kegel exercises and her reply, “Oh I don’t think they help all that much”.... I had my 4 month post anterior and posterior surgery check up  and all was fine and am not to return for a year unless I have a problem. My gynocologist did not mention any kind of therapy yet many of post surgery ladies here actually go to pelvic floor physical  therapist. Has anyone else had pelvic floor prolapse repair and pelvic floor physical therapy was not mentioned/recommended? Thanks 😄

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I am not allowed to train my pf by doing kegels is what I got told. To be able to relax them when for example clenching them unconsciously is the most important at the moment.

8

I was always told to, because a well functioning Pelvic floor is very important to prevent repeat prolapse

9

If you got a weak pf then you will get issues in the future. You obviously have a weak floor hense why you had repairs..

I'm sorry but I don't agree with your consultant hun.

I wish I was told after my 2 babies that pf needs strengthen after childbirth.

I will never stop now after my surgeries.x

10

Yes hun my proff consultant told me to see a pf therapists so I am correctly doing my squeezes and to check how well they are doing. Have 3 sessions.xx

11

Has anyone tried the NHS Squeezy App? It’s useful. 😃

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I also use a app. KPFE. It is good. You can set reminders and alter the lengths of squeeze/relax times and the number of repetitions. 

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Yes it's good.. Been around for quite a while now,when I had my first op they were talking about it on here. I tend not to need it as I do them morning afternoon and night.. A good idea though if you need reminding.x

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Yes it's good.. Been around for quite a while now,when I had my first op they were talking about it on here. I tend not to need it as I do them morning afternoon and night.. A good idea though if you need reminding.x

15

So who knows if this is also because of pf muscle tension/spasms? I have episodes varying from two to six/seven hours each day of burning near the clitoris/urethra area which make me urinate more often. And then....suddenly that all stops and the rest of the day everything is normal. II am really worried about this . 

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I think I have it if I squeeze to tight.

Only a physio would know but I feel I get it into over do.

Remember quick flicks are important too. They relax the musclexx

17

Quick flicks?  Same as quick squeezes? 

18

Yes 👍👍👍but not holding tight just connecting.

19

Hello Everyone,

Thanks everyone for your input on pf physical therapy. I will continue to do my kegel exercises that  I have always done even though I found it odd that my gynecologist who is FEMALE is the one that told me she did not find them all that helpful AND is of an older age. I did read a study that said by 6 months women who did

pf physical therapy soon after pelvic floor repair and those that did not do any pf exercises of any kind

had equal strength in the pelvic floor area by the 6 month mark after pelvic floor surgery, so it may fall back to it depends on what you read and believe. Maybe my gynecologist reads and believes that study haha. Since I don't think they can hurt and I have done them every since my first baby was born 40 years ago, I will continue them. Thanks again for your input.

Also, I am 8 weeks post posterior and anterior repair and still have pain in my lower left side just below my abdomen. I am not really sure what that is about. Anyone else have isolated pain on one side.

Thank you again for all your replies!