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1. Is Physiotherapy for the pelvic muscles the same as Kegels exercises?
Kegel is the name of the physician who first promoted the concept of consciously working the internal pelvic muscles.

2. I tried Kegels - why didn´t they work to solve my problems?
Women have not been taught to develop awareness of the genital area so in attempting Kegels most women unknowingly tighten the wrong muscles thus not targeting the specific muscles that can make a difference.

3. Why do I have a strong urge to pee so often?
Function of the bladder is affected by poor support and as a result the bladder muscles contract inappropriately causing the urge sensation. This response can be corrected by behavior modification, bladder training, muscle strengthening, and restoration of the normal reflexes involved in bladder emptying.

4. Why does sneezing, coughing, running, skipping and jumping on a trampoline cause me to lose urine?
All of the above circumstances increase abdominal pressure resulting in a ´giving way´ of the weakest link which is usually the pelvic muscles which support the bladder and urethra.

5. Why do I have pain during intercourse or when using tampons?
At times our body responses involve too much muscle tension which becomes a new normal and is usually not evident until we feel the discomfort of the muscles resisting stretch during penetration.

6. How can strengthening the pelvic muscles enhance sensation during sex for me and my partner?
Strong muscles have better tone for a more tailored fit. Also blood flow and nerve impulse transmission are improved in healthy muscle tissue, which enhances the intensity of orgasm.

7. Can strengthening the pelvic muscles prevent prolapse of the pelvic organs?
Yes, the stronger the muscular support the less likely the organs will shift, drop or herniate through the pelvic floor.

8. Can exercise reverse a prolapse?
It is unlikely that a well established prolapse can be reversed but strengthening can prevent it from getting worse

9. How long do I need to continue the exercises?
For prevention, exercise for life to laugh, love, and live fully.

Pelvic Pain Disorders
Recent research has established that persistent pelvic pain leads to neuroplastic changes within the peripheral and central nervous systems creating a "pain processing abnormality"?.
The brain constantly evaluates all sensory input from the body and makes a sensible story based on context, memory, belief, emotions and thoughts. Pain is an OUTPUT. Hypersensitivity of the pain perception system results from changes in the chemicals released by the nervous system (this is known as neuroplasticity).
Various mechanical causes of pain ie. muscle weakness or tightness, joint stiffness, poor posture etc must be addressed but other key factors can amplify pain processing. When any part of the brain perceives danger from a threat or a perceived threat such as stress, anger depression, fear, grief, negative thoughts and attitudes or painful memories the output result can be persistent pain ( pain beyond the normal tissue healing time of 12-16 weeks).
Normalizing input to the brain and nervous system can reverse the neuroplastic changes and re-establish an effective pain inhibition system. Strategies to reduce the alarm sensitivity include: understanding pain; no longer fearing pain; having a positive attitude; resolving issues of emotion and self-esteem; setting life goals; pursuing graded movement and activity pacing. To reduce nerve hypersensitivity you must address the six essentials of life and health: oxygen, water nutrition, sleep, sun, joy and happiness.