FAQ

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I experience frequent Urinary Tract Infection’s (UTI’s) but there is never a proven infection when testing, yet I seem to still be given antibiotics. Why is this?

Symptoms of a UTI can often be traced to pelvic floor trigger point pain arising from an irritated pelvic floor, so it's always good to ensure that there is a proven infection prior to taking another dose of antibiotics.

Tight bands of tissue within the pelvic floor termed trigger points are often painful as well as tight. These muscles need to relax whilst urinating but often don’t and remain sensitive and thereby mimic the pain of a UTI whilst urinating.

Trigger points in the pelvic floor can also refer pain deep into the pelvis, so whilst urinating if these muscles are being forced to stretch, they can refer pain over the bladder area. The pelvic floor and bladder also share the same nerve supply, so in this way they can mimic each other’s symptoms.

For help with this or any other Women’s Health problems call our FREE WOMEN’s HEALTH CONFIDENTIAL ADVICE LINE on 01302 511755 or email info@blizardphysiotherapy.co.uk and ask to speak to Jenny or Kate our specialist Women’s Health Physiotherapists who will arrange to call you at a convenient time. ...more

I have been doing pelvic floor exercises for some time now and they are actually making my bladder symptoms (frequent leakage under stress) worse. Why is this?

Pelvic Floor Dysfunction (PFD) is where the pelvic floor muscles are no longer working in a co-ordinated manner. Some of the muscles may be too tight (high tone) and some too relaxed (low tone) or a mixture of both. It is important to relax the “high tone” muscles before starting a pelvic floor strengthening program.

Symptoms of PFD include:
  • Urinary urgency, frequency, hesitancy, stopping and starting of urine stream, painful urination, or incomplete emptying
  • Constipation, straining, pain with bowel movements
  • Unexplained pain in the low back, pelvic region, genital area, or rectum
  • Pain during or after intercourse, orgasm, or sexual stimulation
  • Uncoordinated muscle contractions causing the pelvic floor muscles to spasm

For help with this or any other Women’s Health problems call our FREE WOMEN’S HEALTH CONFIDENTIAL ADVICE LINE on 01302 511755, or email info@blizardphysiotherapy.co.uk and ask to speak to Jenny or Kate, our specialist Women’s Health Physiotherapists, who will arrange to call you at a convenient time. ...more

Why does my bladder appear more troublesome when I have low back pain? 

You’re not on your own with this one. A recent study* has shown that there was a 44% increase in stress urinary incontinence (which is the involuntary leakage of urine) reported in women with low back pain compared to those without.

This can be due to a number of factors, but the main one that we see frequently is, in basic terms, the irritation of the nerve supply to the bladder. The bladder is supplied by the pudendal nerve which tracks back up to its origin in the lower back and sacral area. ??

If this sounds familiar, then your stress incontinence could be as easy as having your back problem treated. 

For help with this, or any other Women’s Health problems, contact our clinic on 01302 511755 or email info@blizardphysiotherapy.co.uk to make an appointment with Jenny Blizard or Kate Stowers, our specialist Women’s Health Physiotherapists?

*Bush HM et al. The association of Chronic Back Pain and Stress Urinary Incontinence: A Cross Sectional Study. Journal of Women’s Health Physical Therapy 2013;37:11-18 ...more