pelvic floor

Dr. Li from the Maternal and Child Health Hospital of Foshan City, Guangdong Province, has been engaged in obstetrics and gynecology and women’s health care for more than 20 years, who is very good at non-surgical treatment of pelvic floor dysfunction diseases. We specially invited her to participate in explaining how to use biofeedback therapy to solve pelvic floor dysfunction diseases, and share clinical knowledge and pelvic floor muscle rehabilitation training experience with you.

She mentioned that pelvic floor rehabilitation needs to pay attention to the three-early principle, namely, early prevention, early intervention, and early treatment. In the early stage of the disease or those with mild symptoms, the pelvic floor muscle recovery can be promoted by means of Kegel exercise at home.

 Kegel Exercise

Kagel Exercise:

That is, the pelvic floor muscles are consciously contracted to improve the ability of urinary control:

  • Method: Repeatedly tighten the anus
  • Frequency: no less than 3s each time, 150-200 times a day
  • Number of groups: do 2-3 groups of intensive training
  • Advantages: simple, safe and non-invasive

For new mothers who need pelvic floor rehabilitation, biofeedback training is also one of the options for rehabilitation training.

HF3000 EMG Biofeedback Instrument
EMG biofeedback device

EMG Biofeedback Training:

The instrument collects real-time EMG signal values and converts them into visual information for feedback to the patient
Method:
Participate in pelvic floor rehabilitation training
Perform muscle training according to the sound-light signal instructions
Advantages:
Professional doctor guidance ensures more efficient training
Multi-program adjustable to adapt to different needs
Equipped with a visual pelvic floor assessment program

Answers to Hot Button Issues

Q1: Is there a good solution for pelvic floor muscle pain?
First of all, we must first understand what causes muscle pain, which part of the pain is. Is it deep muscle or wound pain? It will be painful if the hidden thread of the side-cut wound is not absorbed. You can wait some time for the wound to heal or improve it with hot compress. The rehabilitation device also has some analgesic therapies. Heal Force EMG biofeedback device has a TENS transcutaneous neuromuscular electrical stimulation mode.

Q2: Can the rectus abdominis separation training and pelvic floor rehabilitation be done at the same time?
It is recommended that the pelvic floor recover to a certain extent before doing rectus abdominis separation training. However, if the pelvic floor muscle strength is relatively good, level 3 or higher, and there is no uterine prolapse, it is simply a slight bulge of the front wall of the vagina, and you can train at the same time.
However, if the pelvic floor muscle strength is only Grade 1 or 2 and there is a prolapse of the uterus, it is recommended to do pelvic floor rehabilitation first. Wait for the pelvic floor muscle strength to be level 3 or higher, and then do rectus abdominis separation exercises. Heal Force is here to remind everyone that the above tests must be carried out under the guidance of professional doctors.

Q3: Can people with uterine fibroids/ovarian cysts do biofeedback?
Yes, as long as it is not a malignant tumor, you can participate in the training.

Q4: My pelvic floor muscles are normal, but I occasionally leak urine when I cough. Do I need to do pelvic floor rehabilitation?
Normal muscle strength but stress urinary incontinence. Generally, the urethra and bladder are shifted downward, and the urethral sphincter function is not in a good state, and urine leakage occurs. Some people have improved their muscle strength through exercise, but the prolapse has not been improved, and there may still be leakage of urine. You can do a three-dimensional color Doppler ultrasound to see if the anterior chamber-bladder is prolapsed, the degree of mobility, and if there is any funnel formation.

Q5: How long will it take for rehabilitation training to improve postpartum urine leakage? Will it relapse later?
Urine leakage is generally better to improve because of symptoms. Clinically speaking, postpartum urine leakage through electrical stimulation and biofeedback, such as A3 reflex, under normal circumstances, basically will be improved with 15 times a course of treatment. Occasionally, there are some more stubborn situations, which may require longer training, so be sure to tell the patient to insist on doing Kegel exercise at home.

Q6: After electrical stimulation, urinary frequency and urgency appear, how is this caused? How to solve it?
If this happens several times in a row, you can see if the electrical stimulation current is too strong, causing the muscles to be overactive, which causes irritating frequent urination. In view of this situation, you can appropriately adjust the amount of current to suit your own tolerance.

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