Understanding Pelvic Organ Prolapse and the power of intraabdominal pressure management
Pelvic organ prolapse (POP), occurs when the muscles and connective tissues supporting the pelvic organs weaken, leading to the descent of one or more pelvic organs (e.g., bladder, uterus, rectum, or vaginal vault) into the vaginal canal. It is a prevalent condition, and risk factors include pregnancy and childbirth, particularly those involving prolonged second-stage labor or forceps assistance, aging and menopause, related to estrogen deficiency, genetic predispositions related to connective tissue disorders, and chronically increased intraabdominal pressure.
Studies indicate that approximately 46% of women have some degree of prolapse upon clinical examination, yet only 12.5% report symptoms.
Symptoms of vaginal bulging or pressure, pelvic discomfort, urinary and/or bowel dysfunction, and pain with intercourse can be distressing and difficult to discuss. Physical therapy should be the first line of conservative management for mild to moderate POP, particularly to aid in the management of intraabdominal pressure.
Intra-abdominal pressure (IAP) refers to the pressure within the abdominal cavity, which is influenced by the diaphragm, abdominal wall, rib cage, muscles, and internal organs. It is usually low in healthy individuals, ranging between 0-5 mmHg, but it can rise during activities like coughing, lifting, or straining, or from pregnancy, childbirth, and breath holding.
The diaphragm is the primary muscle of breathing. When you inhale, the diaphragm contracts and moves downward, increasing intra-abdominal pressure by compressing the abdominal cavity. When you exhale, the diaphragm relaxes and moves upward, reducing that pressure. A properly engaged core uses IAP to protect the spine during lifting or other strenuous movements. Shallow or dysfunctional breathing can therefore lead to poor IAP regulation, increasing the risk of injury or core instability. Excessive IAP without proper core engagement can cause issues like pelvic floor dysfunction or hernias, and contribute to worsening pelvic organ prolapse. .
A thorough evaluation of your postural alignment, breathing patterns, lifting mechanics, and pelvic floor can provide us with valuable information about your ability to appropriately manage intraabdominal pressure. We can then provide you with individualized techniques to manage your pressure- including lifestyle modifications, 360 breath training, manual therapy, and corrective exercises.
Pelvic organ prolapse is a prevalent yet manageable condition. Synergy Physiotherapy & Wellness provides a patient-centered approach, ensuring each individual receives a tailored plan addressing their specific needs.
Comprehensive Evaluation at Synergy Physiotherapy & Wellness
A multidisciplinary approach ensures a thorough assessment and individualized treatment plan.
Medical and Gynecological History Review
Detailed analysis of pregnancy and birth history, menstrual cycles, genetic predispositions, and lifestyle factors.
Postural, Strength, and Stability Assessment
Evaluation of spinal and pelvic mobility, muscular imbalances, and overall functional stability.
Soft Tissue and Scar Tissue Evaluation
Examination of abdominal fascia, diaphragm function, and scar tissue mobility from prior surgeries or childbirth.
Rib Cage and Breathing Pattern Analysis
Identifying dysfunctional breathing patterns that contribute to intra-abdominal pressure dysregulation.
Pelvic Floor Examination (Optional and Consent-Based)
External assessment of muscle activation, skin integrity, and scar tissue healing.
Internal palpation for strength, tension, and prolapse severity grading.
Customized Treatment Plan Development
Based on objective findings and patient goals, a structured rehabilitation program is provided.
Individualized home exercise programs with ergonomic and behavioral recommendations.
Contact us for more information or to schedule an evaluation!
