Physiotherapy Management in O&G Disorders

Question 1

When is physiotherapy used in O&G?

Answer 1

Pregnancy-related MSK problems

Pelvic floor dysfunction

Question 2

Give some common pregnancy-related MSK problems

Answer 2

Back pain
Pelvic girdle pain
Diastasis of rectus abdominis muscle (DRAM)
Carpal tunnel syndrome

Question 3

How does pelvic floor dysfunction commonly present?

Answer 3

Incontinence (faeces/urine)
Difficulty with defaecation
Pain (vulvodynia/pelvic pain)
Prolapse

Question 4

How are bladder symptoms managed in physiotherapy?

Answer 4

Caffeine reduction
Bladder training
Voiding techniques
Pelvic floor exercises

Question 5

How are bowel symptoms managed in physiotherapy?

Answer 5

Stool regulation

Pelvic floor exercises

Question 6

What can be used for biofeedback in pelvic floor exercises?

Answer 6

EMG

Transabdominal/vaginal USS

Question 7

Give some over the counter methods of pelvic floor exercises

Answer 7

Vaginal cones
Kegel exerciser
Pelvic floor trainer
Muscle stimulator