Women's health physiotherapy

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Uro-gynecological physiotherapy

Perineum dysfunctions have a negative impact on quality of life and well-being. Uro-Gynecological Physiotherapy, with a view to perineal rehabilitation, can make a significant contribution to the prevention, education and rehabilitation of these conditions.

CONDITIONS 

• Urinary and fecal incontinence;
• Sexual dysfunctions related to the pelvic floor;
• Genital prolapses;
• Pelvic pain;
• Pre and post-delivery conditions;
• After uro-gynecological surgery with perineal muscle consequences.

ACTIVE AND PASSIVE PERINEAL REHABILITATION PROTOCOL

Consists of an individualized and challenging intervention protocol, based on the physiology of exercise, with the aim of re-educating and rehabilitating the muscles of the perineum, through contraction, relaxation and stretching.
Initially, a specific and detailed assessment of the patient’s clinical condition is carried out. The protocol consists of 14 individual sessions (depending on the clinical condition), divided into 3 phases: teaching / body awareness, agility / muscle coordination and finally, muscle hypertrophy.

INTERVENTION

An electrostimulation and biofeedback device is used, through an intracavitary probe. This methodology allows a continuous objective assessment of the patient’s performance and evolution. In addition, other techniques, active and / or passive, can be used, such as:

• Motor Awareness;
• Muscular Strengthening with Vaginal Cones; 
• Healing Massage;
• Manual Stretching and Perineal Massage;
• Vaginal Dilators;
• Among others.

Through these techniques, we seek to promote an improvement to the quality of life of patients, who have an active and responsible role in the evolution of their clinical condition. 

Grupo HPA Saúde - Physical Medicine and Rehabilitation

HPA – Alvor: Physical therapist Joana Pacheco

HPA – Faro: Physical therapist Beatriz Gonçalves

Postnatal rehabilitation

During pregnancy and after childbirth, several physical and physiological changes take place in the woman’s body: hormonal changes, changes in the reproductive system, renal, cardiovascular, respiratory, dermatological and musculoskeletal system.
Physiotherapy in the postnatal period has as its main objective the recovery, treatment and prevention of dysfunctions/symptoms that may arise, which have a significant impact on women’s quality of life and well-being. Sessions can begin between the 6th - 8th week. It is recommended for the patient to have an appointment with an obstetrician/gynaecologist before beginning physiotherapy.

THE MOST COMMON CONDITIONS/SYMPTOMS: 

> Lower back pain/discomfort;
> Abdominal muscle seperation; 
> Decreased ability/inability to contract the pelvic floor muscles;
> Posture changes (ligament laxity, centre of gravity alteration, joint instability);
> Urinary and/or faecal incontinence;
> Constipation;
> Perineal pain and/or discomfort;
> Pain in the pubic symphysis and /or in the sacroiliac joints;
> Tissue trauma; 
> Genital prolapse.

WHAT STRATEGIES ARE USES?

Varied techniques are used in physiotherapy such as: manual therapy; therapeutic exercise in order to increase well-being, muscle strength, improve posture and mobility, restore pelvic floor function; specific techniques for treating scars; teaches and re-educates patterns of behaviour; among others.
Through an individual assessment and the use of appropriate techniques, we seek to re-educate and restore pelvic floor function, health and well-being, increasing the quality of life of the woman.

Grupo HPA Saúde - Physical Medicine and Rehabilitation

HPA – Alvor: Physical therapist Joana Pacheco

HPA – Faro: Physical therapist Beatriz Gonçalves