2023/01/23: Pelvic Physiotherapy

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For the last couple of years, I had noticed a sign on a local wellness centre regarding Pelvic Physiotherapy.
Have you heard of it? Since I went, I have heard of a few young women that I know who had it post baby delivery. Swear by it.

I have issues with both bladder and bowel incontinence as I previously shared in these posts. They are a result partially of the cancer treatments but not fully -- diabetes, diet, and inactivity all play a part.

I went in unsure what to expect.
Dr. Google states that "Pelvic floor physical therapists have specific, high-level training to assess the muscles, nerves and connective tissues that make up the pelvic floor, and we do this by performing an internal exam of the vagina and/or the rectum, depending on what area we need to assess"
I am not a fan of another person doing an internal, but, dang nab-it, if it helps, so be it.

The physiotherapist spent a significant amount of time explaining the pelvic floor muscles, things that impact. I had filled out the MOST extensive health check that i have every done anywhere. She reviewed it at length, and asked questions. Very thorough.

For the physical examination, there were tests of how long I could hold the muscles, how intense that I could, etc.
Uncomfortable, but, hey, if it helps.

As a result, I learned a lot about the state of my muscles and why some things happen.
As it turns out the different muscles are in different states and so require different plans to get them working properly.
I was given exercises to do as well as health items to review

As a result,
  1. I cut out diet coke completely -- yeah, yeah, I know. Have done it before based on previous feedback, but, it is an addiction, like other items can be.
  2. Luckily, I don't drink anyways, just an occasional glass of wine, so no changes.
  3. Increased my water intake. Bought a bottle which has timings on it.
  4. Greatly reduced my coffee consumption
  5. Started doing relaxation techniques for pelvic floor
My next appointment was cancelled, as wouldn't you know it, got COVID for the first time.

I am looking forward to continuing these treatments. my next appointment is now scheduled, and hopefully, I will be in relatively good shape for it.

pelvic-floor.jpg
 
I knew a woman in FSJ who was a physio who specialized in women's pelvis therapy. She was really interesting. I hope it works out for you.
 
One thing that is interesting is that the pelvic therapist and the nurse practictioner both said increase water intake.
The urologist, on the other hand, said the idea of drinking a lot of fluids to help was not accurate. I must admit my mind was focussed on other words, such as "not cancer".
Urologist also said "not likely UTI"; however, in recent conversations, GP advised they were UTIs.
Anyhow, we shall see.

Currently, dealing with a situation which appears to be another UTI which I likely left longer than I should have due to urologist's messaging. Sigh. Hope to have antibiotics on board soon, and that I will be feeling better in a day.
 
Is the GP suggesting UTIs because those are common UTI symptoms? Will the GP still say UTIs with the additional information you have now?
 
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