Interstitial cystitis (IC), also known as painful bladder syndrome, is a chronic condition characterized by bladder pain, urinary urgency, and frequent urination. While the exact cause of IC is still not fully understood, it significantly impacts the quality of life for those affected. One effective, yet often underutilized treatment for IC is pelvic floor physical therapy. This approach addresses the musculoskeletal components of the condition and can provide significant relief from symptoms.
IC is marked by discomfort or pain in the bladder area, and it can vary in severity from mild to debilitating. Common symptoms include frequent urination, sometimes more than once an hour, and severe pain, which can be worsened with bladder filling. The condition is chronic and can lead to increased anxiety and depression due to its impact on daily life and overall well-being.
The pelvic floor consists of muscles, ligaments, and connective tissues that support the pelvic organs, including the bladder. With bladder pain the pelvic floor muscles tighten to try to protect from the pain. Due to the pain, it is hard for the pelvic floor muscles to relax. As these muscles stay in a more contracted state, they can become tight or develop spasms which continues the pain cycle.
Pelvic floor physical therapy (PFPT) is a specialized form of physical therapy that addresses issues related to the pelvic floor muscles. This type of PT can be especially beneficial for individuals with IC due to its focus on relieving muscle tension, improving muscle function, and enhancing overall pelvic health. Some of the ways that pelvic floor PT can help address pain from IC include:
1. Improved muscle length and mobility: One of the goals of PFPT is to release tension in the pelvic floor muscles. Chronic pelvic pain and bladder discomfort can often result from muscle hypertonicity—when the muscles are too tight. A physical therapist will use techniques such as manual therapy and gentle stretching exercises to help relax these muscles, which can help reduce pain and bladder symptoms.
2. Improve pelvic stability: When assessing someone with bladder pain, pelvic floor PTs will also look at how the person moves. Often, due to that pain and increased muscle tension, they will have less stability in other parts of their trunk or pelvis. A supported pelvic floor can help support the bladder and improve overall bladder function. Improving stability in the pelvis and trunk can also help reduce the frequency of urinary urges and improve bladder control.
3. Improved bladder and pelvic floor awareness: PFPT often incorporates techniques to help individuals gain awareness of their pelvic floor muscles. With different exercises, tactile cues, and visual cues, patients can learn how to better control and coordinate their pelvic floor muscles, which can be particularly useful in managing IC symptoms.
4. Education and lifestyle modifications for bladder health: A crucial component of PFPT is patient education. Therapists provide guidance on lifestyle modifications, including strategies for managing stress, dietary adjustments, and techniques to avoid activities that exacerbate symptoms. Educating patients about their condition and how to manage it effectively can empower them to take control of their health.
Pelvic floor physical therapy is typically used in conjunction with other treatment modalities for IC. This may include medications, dietary changes, and mental health therapy aimed at managing symptoms. By incorporating PFPT, patients can address the musculoskeletal aspects of IC and potentially experience significant improvements in their symptoms and overall quality of life.
If you are struggling with interstitial cystitis, visit a pelvic floor physical therapist. PFPT offers a non-invasive, supportive treatment plan and provides relief from the symptoms of IC. A personalized approach with a skilled pelvic floor therapist is essential for achieving the best outcomes. We offer a free phone consultation so you can ask questions and make sure you are in the right place. Click here to schedule a FREE 15 minute phone consultation and start healing now.
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