Uncertain what you can vs. can’t do with prolapse?
Prolapse can make you feel like you’re living with limits, avoiding activities that matter to you. You deserve to feel steady and supported. We’ll help address the symptoms and create a plan that restores your confidence and keeps you moving forward.
Problem:
You can’t rebuild your strength because you’re scared to exercise, worried about making your prolapse worse, and avoiding activities or participation altogether.
DiagnosEs:
Cystocele
Rectocele
Uterine Prolapse
Enterocele
Rectal Prolapse
Vaginal Vault Prolapse
Urethrocele
Problem:
You can’t rebuild your strength because you’re scared to exercise, worried about making your prolapse worse, and avoiding activities or participation altogether.
DiagnosEs:
Cystocele
Rectocele
Uterine Prolapse
Enterocele
Rectal Prolapse
Vaginal Vault Prolapse
Urethrocele
How It's Treated:
Prolapse may be caused by a variety of factors such as straining, constipation, pregnancy, labor, and/or poor pressure management. Your Doctor of Physical Therapy will do an assessment to determine what are the root causes of the heaviness and pressure you are experiencing. Once your Doctor of Physical Therapy has done this, she will target any areas of poor functioning muscles to retrain them using our signature 3-step method. In the final phase of our method, your Doctor of Physical Therapy will reintroduce any activities or movements you have had to avoid due to prolapse!
STep 1: Breakdown
Determine root causes of your prolapse
Address any pelvic floor or abdominal muscle tension causing additional pressure on your prolapse through hands-on therapy and exercises
Learn correct core management to prevent prolapse from worsening
STep 2: Build Up
Address root causes of your prolapse
Retrain muscle imbalances exacerbating your pelvic pressure
Strengthen pelvic floor muscles, hips/glutes, and core to prevent pressure from returning
Step 3: Be Confident
Add back activities that previously caused increased pressure symptoms like running and weight lifting
Return to activities and spending time with friends and family
FAQs
What is pelvic organ prolapse?
What is pelvic organ prolapse?
Pelvic organ prolapse (POP) is a condition where one or more of the pelvic organs shift downward and may bulge into the vaginal canal or rectum. It’s common, especially after childbirth, because of the extra demands placed on the pelvic floor muscles during pregnancy. Prolapse can become more severe with prolonged labor and pushing during delivery. It can also happen from straining on the toilet or lifting heavy items over time.
Can you get my prolapse to go back in?
Can you get my prolapse to go back in?
It depends! Prolapse happens when the demands on the pelvic floor are greater than what the muscles can handle, or when there’s too much pressure on them. Pelvic floor therapy focuses on strengthening the pelvic floor and core muscles to provide better support for your organs, which can help reduce or even prevent the downward shift.
While results of a prolapse “going back in” vary depending on the grade of your prolapse, a 16-week pelvic floor therapy program will significantly improve your symptoms such as discomfort or pressure AND provide you with the tools to manage and support your body effectively in the future to prevent worsening symptoms in the future.
What exercises are safe for prolapse?
What exercises are safe for prolapse?
It depends on you! The safety of specific exercises varies based on how well you use your pelvic floor and core during each movement. A pelvic floor PT can assess what your pelvic floor is doing to support your prolapse during different exercises to help you find the ones that are safe and beneficial for your body. With the right guidance, you’ll learn how to modify if necessary and strengthen safely.
Do I have to stop lifting if I have a prolapse?
Do I have to stop lifting if I have a prolapse?
No! Lifting heavy does not increase the risk of prolapse. In fact, research shows that women who lift heavier weights tend to have a lower instance of prolapse compared to those who only lift lighter weights.
Why? Because women who lift heavier are generally stronger overall, which includes having a stronger pelvic floor. The key is learning how to properly use your core and pelvic floor during lifting, which is something pelvic floor PT will help you with! The myth that lifting weights is bad for your prolapse comes from individuals who have prolapse and haven’t learned how to properly use their core and pelvic floor during lifting, which can worsen prolapse.
Read this review from one of our patients with prolapse who has to lift for her job:
Do I need surgery for my prolapse?
Do I need surgery for my prolapse?
That’s entirely up to you! However, keep in mind that prolapse repair surgery isn’t always a permanent fix. Studies show that many people who undergo surgery may still experience symptoms, like leakage and pelvic pressure, within two years.
Why? Because without pelvic PT, you don’t learn how to move and use your pelvic floor muscles properly, which increases the risk of re-injury. Surgery does not fix the root cause of your prolapse. It only addresses the symptoms that resulted from the cause. This means most individuals experience a prolapse again after surgery because they did not make the necessary changes to prevent re-injury.
Prolapse often happens due to poor movement patterns and incorrect use of pelvic floor muscles. With pelvic floor therapy, you can learn how to use your muscles correctly, which may help you avoid surgery altogether.
Read this review to see how we helped a patient cancel her surgery and regain control of her pelvic health!
Testimonials
After much research I came across Pelvic Prescription. I have a mild prolapse & the only option my OB gave me was “to do kegels”. I was frustrated, in pain & knew from the research I did there was more to it than that. After reading all their success stories, I knew I had to give them a shot. I am sooo glad I did! I drive almost 2hrs for my weekly appointment. It’s truly the highlight of my week. Dr. Nicole is an answered prayer! She’s very thorough & listens to all my concerns. She’s excellent at helping me identify problem areas & addressing it. She has tailored everything I’m doing based on where I’m at. I am still early on in my program but I have already seen progress. If you are remotely thinking of trying them out, do it! You owe it to yourself!
– D.M.
I highly recommend Pelvic Prescription for pelvic floor issues & bowel/bladder problems. Dr. Nicole is my PT & she is so awesome! She is very easy to talk to about personal issues like prolapsed uterus & bowel/bladder problems. She is teaching me how to strengthen my pelvic floor with home exercises. She is teaching me how to breathe when lifting my patient & when exercising. She is helping me with my bowel & bladder issues. I wish I knew about Pelvic PT years ago when my uterus first prolapsed. I was very happy to see Pelvic Prescription on social media. It’s so good to know that there are other women with pelvic floor issues, that I am not alone.
Feeling something isn't quite right "down there"? Pelvic organ prolapse is when one or more pelvic organs fall through the vaginal canal or rectum, often due to poor pressure management or pelvic floor weakness.
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