Physical Therapy for Pelvic Floor

Body: 

I am currently in therapy for weak pelvic floor and rectocele. I am wondering if anyone has had success with this (it is manual massage - for lack of a better word - to try to loosen scar tissue and adhesions in my pelvis) I just began and I am skeptical. Thanks

Hi and welcome. Have you had surgery? What caused the scar tissue and adhesions? i don't know a thing about the success rate of massage for adhesions. Can't hurt I guess, but if you have rectocele as well, you will want to address that with posture work. Check out the site, blog and forums here. Your PT is not a resource for prolapse management itself. She probably recommends kegels too, am i right? If so, please read these articles now:
http://wholewoman.com/blog/?p=1497
http://wholewoman.com/blog/?p=118

I have a question I've been meaning to ask...I hear that without surgery it will get worse. I'm just curious...I know there are stages and I'm not sure what stage I'm in...if I do the WWP and exercise won't it at least stay the same? Just wondering?? I don't want surgery !!! Feeling a little better tonight because I was busy running around. Trying to walk in WWP. It helps a lot!

Hi diz - Christine has provided a wealth of information to document the fact that there is no surgical cure for prolapse, and that surgeries often fail, leaving us worse off than before because the natural pelvic support dynamics have been permanently altered. The inevitable repeat surgeries just cause things to get worse and worse. The whole idea behind the WW work is to stabilize the organs and return them to their natural positions away from the pelvic outlet; to return us to our natural spinal shape which is so protective of our hips and pelvic organs. That's why we're here! I've been doing this for 4 years and I long ago lost my fear that things are going to get worse. If you're on the fence about surgery and still thinking that it might be the answer to prevent future worsening, definitely please keep studying and working on WW, because there will come a point that all this will become self-evident. I never considered surgery, my mind was made up in that regard about 60 seconds after I found this site in 2010. For others it can take longer to come to this realization. - Surviving

I have had lumbar spinal surgery and pelvic surgery for ovarian cancer which had also adhered to my broad ligament which they had to scrape and scrape. I also had a very large episiotomy. So I imagine I have a bunch of scar tissue.

Yes for certain I am being encouraged to do "muscle activation exercises" to bring back muscle memory - like I said, I am a bit skeptical. But since doing some therapy I do seem to feel less like I things are being pushed down and out all the time. However it does not seem like a reasonable thing to have to be constantly doing these exercises and I think it can actually fatigue things. The problem is for me, I have always had a decent curve to my spine when I stand, but I think because I sit more now and have other spinal issues I have been sitting too "straight". So I mostly practice the WW posture when I am sitting now.
I should also add that part of my exercises from my PT are learning how to breath into my diaghram and to relax the pelvic floor. She discovered that I was almost always pushing on it as if my mind/muscle info had gotten backwards. I think it is is because of the constant pressure from the recotcele but regardless, the breathing (which is also taught here) is a big help with teaching me when to relax the pelvic muscles. I have been either pulling them up or pushing them down and there has not been a *neutral* in along time.

If the "muscle activation exercises" are similar to Kegels, then for sure you should give them up because they are more likely making things worse. If you have't already, you can click over to the Blog page, put "kegel" in the search box and find her articles on this subject.

What type of pelvic surgery have you had? Any type will surely have had an effect on the ability of the organs to move around in a natural way. Staying in WW posture as much as possible throughout the day will help them to move forward, and some regular jiggling and firebreathing enhances this dynamic. But since you have already had surgery on the lumbar spine, you certainly need to proceed with caution and possibly consider a consult with Christine. - Surviving