La rehabilitación pelvi-perineal se define como el conjunto de técnicas específicas no quirúrgicas y no farmacológicas que pretenden tratar las alteraciones de la estática pelviana y las disfunciones del aparato urinario inferior, órganos pélvicos digestivos y sexuales.
La alteración de estos órganos y sus medios de suspensión repercuten en el buen funcionamiento de los mismos ocasionando: incontinencia urinaria, anal, prolapsos y trastornos de la función sexual.
La Fisioterapia uro-ginecológica consiste en la aplicación de diversas técnicas para la ayuda de la recuperación funcional de la musculatura abdomino/pelviana.
Necesitamos reaprender el comportamiento normal de las estructuras dañadas y normalizar lesiones si las hubiera;
- Tratamiento de la cicatriz (radiofrecuencia, electroestimulación, biofeedback, acupuntura, punción seca, miofascial)
- Reentrenamiento muscular
- Reintregración de las dinámicas y sinérgias musculares.
- Tratamiento de patologías dolorosas
- Normalización de estáticas pelvianas
- Restructuación de la correcta postura
¿En que me puede ayudar la Fisioterapia Uro-Ginecológica?
Es importante una revisión del estado de nuestra musculatura y estructura abdomino/pelviana. Con ello conseguimos una conciencia del estado de la misma. Nos puede ayudar a dar respuesta a mucha de la sintomatología que padecemos a causa de su alteración. Incluso nos recomendaran ejercicios, para que podamos integrar la utilización de estas estructuras en actividades más cotidianas.
¿Puede el estreñimiento afectar al suelo pelvico?
Es una de las causas más frecuentes de hiperpresión muscular sobre el periné. Mucha de la patología digestiva y estreñimiento tiene su origen en nuestras primeras digestiones. Hay que valorar posicionamiento de salida del recto, incidir en la relajación perineal y volver a enseñar a como hacer un correcto vaciado. “Para cagar no hace falta empujar”
Si no padezco Incontinencia ¿Debo revisarme suelo pélvico?
Es importante conocer nuestro cuerpo. El suelo pélvico sufre el peso de todo nuestro cuerpo a lo largo de la vida, tanto cuando estamos de pie, como sentados. La estática corporal influye en la carga que sufre, también nuestra forma de vida. Las mujeres además tenemos una hiperpresión cada 28 días con la menstruación. Por lo tanto se puede llegar a padecer patologías de falta de tono, incontinencia o dolor sin haber tenido ningún embarazo.
¿En que consiste una visita?
El Fisioterapeuta valorará el abdomen, tanto a nivel visceral como la competencia de los abdominales. Hará una valoración de la estructura lumbo-sacra, y de los pelvitrocantereos. Analizará la musculatura isquiotibial y aductores. Y hará una valoración intracavitaria de la musculatura perineal. Habiendo observado primero apariencia externa y luego interna.
Como todo lo anterior. Educación, Prevención. Algo muy necesario de hacerse una revisión con un profesional y conocer mejor cuál es nuestro estado y cómo podemos mantenernos o mejorarlo!!! 👏👏
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