When Things Fall Down – They Can Get Back Up Again

There are many people in the world who experience prolapse of a pelvic organ. Prolapse simply means an organ has moved lower than its optimal position and pressure results. This condition can happen in women involving the bladder, rectum, and uterus and in men involving the bladder and rectum. When the bladder descends from its original position it can cause either pressure on the urethra or pressure on the vaginal wall. If there is enough pressure a physical change can occur causing protrusion of the urethra or vagina wall. When the rectum descends it can cause pressure on the anal opening or the vaginal wall and protrusion can then occur in these areas if the pressure continues to build. If the uterus descends it will protrude down into the vaginal canal. Pelvic organ prolapse sounds worse than it usually is. There are varying degrees of organ descent and the symptoms experienced are different for everyone. For most people I treat in physical therapy, they have a small degree of descent and they never knew about it because they do not have any discomfort related to it. Usually as the pressure builds and the organ descends more and more, this is when someone would experience symptoms related to pelvic pressure, pelvic pain, difficulty with controlling urine flow, and difficulty with evacuation of bowel movements. For these reasons it’s best for you to find a pelvic floor physical therapist early before the organ descent progresses so we can help you prevent future complications.

What can cause pelvic organ prolapse? There are many reasons why someone may experience descent of their pelvic organs. Common reasons I see with my patients in the clinic include: pregnancy, child delivery, chronic straining or constipation, being overweight, having weakened abdominals, breath holding during activity, weakened pelvic floor muscles, and trauma. If you have any concerns about having this condition it may be beneficial for you to schedule an appointment with a pelvic floor physical therapist to be evaluated. You will experience better long term results the earlier you receive treatment.

"For a sophisticated and finest physical therapy and for the warmest and most effective encouragement you can't find a better guidance then at Pouzol Physical Therapy. "

- Ansley Throckmorton

"I highly recommend Teri Carr, PT. She is an extraordinary physical therapist and care giver. Her years of experience and constant continued learning make her an absolute expert. She is such a caring person and very effective. She works with her patients to find a plan that will work for them. She focuses on pelvic floor issues – including nerves in the pelvis. She is the only expert listed for the state of Maine for pudendal neuralgia. I am so lucky to have her as my therapist.

The staff here is also excellent. Everyone is upbeat and helpful, from the owner (Doug) to the support staff (Katie). I’ll never go anywhere else for physical therapy! "

- Robin T.

"Teri Carr and the crew at Pouzol's Physical Therapy have been extremely helpful with dealing with my health issues. The Pelvic Floor therapy for my abdominal pain has increased my quality of life twofold and when I had back issues last year Teri helped me with pre and post surgery pain and recovery. The atmosphere there is a place of healing and the people are all very friendly and I consider them as friends. I would recommend them to everyone and come to think of it I have. "

- Tammy Light

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