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Physiotherapy for Pelvic Organ Prolapse

Physiotherapy for Pelvic Organ Prolapse

What Is Pelvic Organ Prolapse?

Pelvic organ prolapse is a functional problem that occurs when the pelvic floor muscles and tissues are weakened and no longer support the pelvic organs as optimally as they should. The pelvic floor organs can drop into the vagina, causing an annoying sensation of fullness in the vagina or a protrusion at the vaginal opening. 

There are various types of pelvic organ prolapse, but the most common types include:

  • Cystocele: bladder bulging into vagina
  • Rectocele: rectum bulging into vagina
  • Uterine: uterus bulging into vagina 

What Causes It?

Pelvic organ prolapse can result from straining during childbirth, straining with persistent constipation, obesity, or a persistent cough. The likelihood of getting a pelvic organ prolapse increases with age and is commonly seen in women who have given birth. 

What Are the Symptoms?

The most common symptoms of prolapse are sensations of fullness in the vagina or protrusions at the vaginal opening, but a person experiencing prolapse may also notice difficulty urinating or changes in bowel movements. Pelvic organ prolapse does not often cause any pain but the protruding organ may cause pressure at the perineum, the region between the pubic bone and the tail bone. The symptoms can be aggravated with standing or when doing movements that increase the intraabdominal pressure, and can be relieved with lying down.

How Can Physiotherapy Help?

Evidence shows that pelvic floor muscle training can help to improve prolapse symptoms. Our physiotherapist, Jennifer Mildon, can guide you through an exercise program tailored specifically to you that can help to strengthen your pelvic floor muscles. Jen can also provide you with strategies or lifestyle modifications that can help to prevent further aggravation of your symptoms so that you can get back to feeling confident with functional movements. 

What Can Be Done to Prevent It?

Maintain a healthy weight, avoid straining with bowel movements, and exercise your pelvic floor to help your muscles stay strong!

For Prolapse Treatment in Victoria, B.C.

Contact Diversified Health Clinic today to book an appointment with Jen, and to learn more about the Pelvic Floor Physiotherapy treatments we offer.

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Don’t Let Runner’s Knee Interfere With Fall Running Season 

Don’t Let Runner’s Knee Interfere With Fall Running Season 

The cool, crisp climate of autumn in Victoria marks the start of another running season, including local running events and marathons. If you’re just getting back into running, as you increase your training frequency, it’s essential to prevent injury by paying attention to aches and pains and addressing them before they become more troublesome. For example, here are the typical signs and symptoms of Runner’s Knee, which is especially common amongst new and experienced runners. 

What Is Runner’s Knee? and What Causes It?

What Runner’s Knee Is and What Causes It

Runner’s Knee is an umbrella term used to describe patellofemoral pain syndrome: a variety of conditions that contribute to pain surrounding the knee cap (technically referred to as your patella). The patella is prone to overuse injuries caused by activities that place repetitive pressure and strain on the knee joint and surrounding muscles and tendons.

Examples of activities that put stress on the knee are sports that involve lots of running and directional changes (such as soccer, lacrosse, skiing, and rugby), and activities that result in repeated knee flexion and extension (such as cycling, swimming, and weightlifting).

Runner’s knee can also be caused by direct injury, obesity, misalignment of the knee joint, arthritis and inflammation, muscle and tendon strain, high-arches, fallen-arches (flat feet), or over-pronation of the feet. Regardless of the cause of Runner’s Knee, prompt treatment can help relieve pain and prevent further damage to the complex biomechanics of your knee joint. 

Signs & Symptoms

The most common symptom of Runner’s Knee is a dull, aching, or throbbing pain that radiates around the knee cap. The pain can also be felt in the back of the knee where the thigh connects to the patella. Pain can come on suddenly or worsen during repetitive movements that flex the knees such as running, cycling, climbing stairs, squatting, or kneeling. 

Summary of Contributing Factors

  • Obesity
  • Incorrect form during exercise
  • Repetitive strain on knee cap/patella
  • Direct trauma or injury to the knee
  • Fallen-arches, high-arches, over-pronation, and other gait issues
  • Occupational injury and overuse of the knee joint
  • Arthritis and inflammation of the joints
  • Overstretching of the tendons and muscles surrounding the knee
  • Knee joint alignment issues

Things You Can Do to Help Prevent Runner’s Knee

How to Prevent Runner’s Knee

  • Weight management and regular exercise
  • Adequate stretching before and after sports and exercise
  • Icing knees and elevating legs after repetitive strain from cycling or squatting sessions to help reduce inflammation
  • Wrapping knees with compression bandages or knee sleeves for added support during sports, leg-pressing, and heavy squatting
  • Gait assessment and correction if needed for flat feet or fallen arches
  • Adequate rest and recovery following training
  • Focus on proper form and hip, knee, and ankle alignment during sports and squatting
  • Nutrition that incorporates anti-inflammatory foods including healthy proteins and fats
  • Proper footwear to prevent excess shortening and tightening of thigh muscles
  • Core conditioning to support proper body dynamics
  • Investing in proper footwear for each activity—replace worn out training shoes and address gait issues with orthotics
  • Running on low-impact surfaces such as turf and soft chip trails

And finally, two other important things you can do to prevent Runner’s Knee and other injuries:

  • Ease into new activities and training frequencies. Avoid pushing your body too far too soon. Instead, give your body a chance to adapt to the new stimulus. Previously underactive muscles such as glutes and stabilizer muscles need time and deliberate focus to properly fire according to the new movement patterns and stressors.
  • Book a professional assessment with your kinesiologist, chiropractor, or physiotherapist to identify and correct any joint alignment issues and chronic muscle tension. 

Here Are a Few Local Running Groups and Clinics to Consider Joining

While many running and racing events are subject to last minute cancellations, some are being substituted with virtual runs. The RunGuides website offers regular updates on local running events, and the AllTrails website displays reviews, photos, directions, and maps of Victoria’s best outdoor walking, hiking running trails.

Island Road Racers: The Facebook Group of a Victoria running club that welcomes running enthusiasts of all ages and abilities. 

BDHQ Run Clinic: Ironman Triathlete, Jason Ball, offers seasonal running clinics and workouts for beginner to advanced runners.

Prairie Inn Harriers Running Club: Official website for Victoria’s longest-standing running club. Established in 1978, PIH is a running community that welcomes runners of all ages and abilities to partake in their running clinics, workouts, weekend, morning, and evening runs and youth programs. 

Greater Victoria Trail Running: The Facebook Group of a local running club that welcomes participants to their outdoor trail runs within the Greater Victoria area. 

Effective Treatments for Relieving Runner’s Knee in Victoria, B.C.

Runner’s Knee Treatment in Victoria BC

As we’ve mentioned before in other articles: pain indicates that it’s time to seek treatment. When it comes to knee pain, the sooner you have things checked out, the better. A damaged knee joint is difficult to repair, and so prompt treatment when pain arises is crucial. 

Because Runner’s Knee can be caused by a variety of contributing factors, at Diversified Health Clinic, we take a comprehensive approach to treating Runner’s Knee. Effective treatment often requires a combination of kinesiology, physiotherapy and chiropractic care, which may involve targeted treatments, including:

The first step in proper treatment is to book an appointment with our kinesiologist. When we meet with you, we’ll start with a thorough initial consultation before tailoring a treatment plan for you that relieves pain while specifically addressing your condition. Our goal is to help you return the activities you love and enjoy without the interference of pain or risk of injury. 

If You Suffer From the Symptoms of Runner’s Knee:

Give our team of practitioners a call at Diversified Health Clinic today at (250) 382-0018 or book an appointment online. We’re happy to help answer your questions, address the cause of your pain and discomfort, and get you on the road to recovery.

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