Feminine Physiotherapy Wrocław

Physiotherapeutic treatment of pregnant women is aimed at the elimination of:

• preparing the perineum for childbirth
• supporting the natural adaptation of the woman’s body during pregnancy – reducing tension, stiffness, and limitations
• reducing pain in the sacral region, pubic symphysis, groin, buttocks, and abdomen
• reducing pain in the spine, lower limbs, neck, and head
• counteracting numbness in the hands and feet
• reducing swelling of the lower limbs.

Before the first appointment, consult your gynecologist and ask him to issue a certificate of no contraindications to physical rehabilitation.

Postpartum rehabilitation should be started as soon as possible, already in the first days after giving the birth. During the postpartum period, a high level of relaxin hormone supports young mothers with eliminating the perinatal abnormalities. Physiotherapy in puerperium includes the therapy of abdominal and pelvic floor muscles, mobilization of the scar after cesarean section incision/episiotomy, alleviation of pain.

The cesarean scar mobilization is necessary to avoid numerous consequences, such as discomfort at the incision, pain in the area where the scar is situated, pain projected into places distant from the field of surgery.

Diagnosis and treatment of pelvic floor disorders involves palpation (transvaginal or, in some cases, transrectal). A urogynecological examination allows for accurate assessment of the condition of the pelvic floor muscles (tension, elasticity, strength, contractility, pain) and planning of treatment.

Diastasis recti – not all patients experience spontaneous resolution of diastasis recti after childbirth. If we find it during the examination, we implement manual therapy, functional training, and additionally secure the abdomen with special patches.

Urogynecological physiotherapy focuses on proper diagnosis and tailoring pelvic floor therapy to the specific patient, primarily through manual therapy and teaching muscle contraction and relaxation (self-control exercises, improving body awareness and sensitivity).

What do we treat?

• urinary incontinence, urinary urgency, frequent urination, burning/pain during urination, difficulty initiating urination
• pelvic floor prolapse (cystocele, rectocele)
• menstrual pain, ovulation pain
• vulvodynia (vulvar pain) – perineal pain, burning sensation in the vulva
• vaginismus
• pain during or after intercourse (dyspareunia) or inability to achieve sexual satisfaction
• weakened and/or overly tense pelvic floor muscles
• frequent vaginal infections
• vaginal dryness
• endometriosis
• postoperative conditions
• hemorrhoids, vulvar varicose veins
• passing gas, stool.

The basic diagnostic tool for pelvic floor problems is a transvaginal examination (per vaginum). In some cases, the examination may be performed per rectum.

Palpation allows for an accurate assessment of the basic tension of the pelvic floor muscles, their strength, endurance, elasticity, range of motion, and reaction speed (e.g., when coughing or straining). This type of diagnosis allows for precise examination and localization of the problem, as well as the development of a detailed treatment plan and exercise program.

The per vaginum/per rectum examination is most often performed in the supine position, with the legs bent and the feet resting on

Kinesiotaping aims to maintain the therapeutic effects obtained during the therapy. Tapes have analgesic and stabilizing effect and  stimulate tissues to work. They can also reduce swelling.

Electrostimulation of the pelvic floor muscles is used, among others in the rehabilitation of weakened muscles, lack of their conscious control, in the treatment of urinary incontinence or reduction of the reproductive organ.

Biofeedback enables learning muscle control: self-tensioning and loosening.

For each patient, the vaginal electrode is additionally paid once for PLN 150 at the first treatment.

WARNING! Qualifying pelvic floor physiotherapy performed on a separate visit is eligible for the service.