What is it?

Prolapse can be a scary word but it does not need to be a scary condition. Prolase means that the uterus, bladder, or rectum rest slightly lower down in the pelvis and may be putting pressure on the vaginal canal.

This occurs when there is extra stretch or laxity of the pelvic organ ligaments. This extra or laxity may is often the result of the mechanical stress of pregnancy & delivery, chronically straining on the toilet, chronic poor core activation patterns , or congenital hypermobility.

A physical therapist, gynecologist or uro-gynocologist can all assess for the presence of a prolapse.

When do I receive care?

There are different degrees of prolapse and many women will have some degree. People with minor or low-grade prolapses may be asymptomatic, and if their core and pelvic floor are well coordinated, there is no reason for concern.

A prolapse becomes problematic when habits that stress the system persist. Symptoms indicating a need for treatment include a sense of heaviness especially during endurance based activities, or difficulty emptying the bladder or bowels.

What does therapy do for it?

Therapy helps improve the muscle strength and endurance, which can often mitigate symptoms. We don't stop there!  We also work with you manage any factors that may be contributing to the problem, and minimize your symptoms. 

What are other management options for this?

Depending on the severity, your uro-gynecologist may recommend that you try conservative care first.  Other options may include use of a pessary, which is a removable device made of rubber or silicone that is placed into the vagina for passive stability.  A pessary may or may not be the best option for you depending on your comfort level, the type of prolapse, and the severity prolapse.  Surgical options should be used as a last resort after an attempt at rehab has been tried.