The pelvic floor muscles form a sling-like sheet within the pelvis. They support the pelvic organs; the bladder and urethra (where we pee from), the uterus and vagina and the rectum pass out to the exterior through this muscular sheet. In addition, the deep veins of the pelvis form a network within this muscle sheet and pass through it to connect the veins around the ovaries and the uterus with the veins of the legs. A strong, well-functioning pelvic floor squeezes blood from these veins back towards the heart and prevents it from pooling in the pelvis in the form of varicose veins in the case of Pelvic Venous Disorder (PeVD) or Pelvic Congestion Syndrome (PCS).
Pregnancy and childbirth can stretch and damage these muscles, causing them to not function properly and lead to symptoms such as incontinence, increased urgency and/or frequency, retention (not being able to empty your bladder or bowels), and pelvic pain. Poor pelvic floor function is also present in many women with Pelvic Venous Disorder (PeVD) or previously known as Pelvic Congestion Syndrome (PCS), causing leakage of blood from the pelvic veins to the legs, or to collect within the pelvis and not drain back properly towards the heart.
The goal of pelvic floor physiotherapy is to improve pelvic floor function through targeted exercises, lifestyle modifications, education, and hands on treatment to decrease and eliminate Pelvic Venous Disorder (PeVD) or previously known as Pelvic Congestion Syndrome (PCS) symptoms. It is a key part of the treatment especially in women who experience pain in the lower back or under carriage after sitting or standing for long periods, pain after sex (post coital pain) and those who experience symptoms of POTS (postural orthostatic tachycardia syndrome). In many women, pelvic floor physiotherapy done well can provide excellent symptom control and eliminate the need for surgical procedures and operations.
At The Venus Clinic, we work closely with clinical pelvic floor physiotherapy specialists at Physio Down Under. Founded by Monica Donaldson and Tamara Gerdis, Physio Down Under opened in August 2018 and was the first of its kind physiotherapy centre in Singapore. Between them, Monica and Tamara have over 40 years of combined women’s health physiotherapy experience and bring unrivalled passion and knowledge to this field. Their contribution to developing diagnostic protocols for pelvic floor dysfunction in our patients as well their advice and expertise as part of the Venus Clinic multi-disciplinary team helps us provide our patients the highest level of holistic care they need.