Pelvic Organ Prolapse
Pelvic organ prolapse occurs when one or more structures within the pelvis shift downward from their usual position. This may involve the uterus, bladder, urethra, small intestine, or rectum.
Prolapse is relatively common, and symptoms can vary widely from person to person. Some people have very few symptoms, while others may experience pelvic pressure or heaviness, discomfort, changes in bladder or bowel function, incomplete emptying, or sexual symptoms.
The degree of prolapse does not always match the severity of symptoms, which is why treatment should be based on how you feel, how you function, and what you want to be able to do.
How Physical Therapy Can Help
Physical therapy can play an important role in both the conservative and postoperative management of pelvic organ prolapse.
Evaluation and treatment focus on how your body manages pressure throughout the abdomen and pelvis and how well your deep core system works together. This system includes the pelvic floor, abdominal muscles, back muscles, and respiratory diaphragm.
By improving coordination, breathing strategies, strength, and pressure management, we can help reduce unnecessary strain through the pelvic structures and support your ability to move, exercise, lift, and stay active with greater confidence.
Treatment is individualized based on the structure involved, the degree of prolapse, your symptoms, and your goals. It truly is a top-down and bottom-up approach rather than simply focusing on the pelvic floor in isolation.