here I lie, slightly tense, and with bent legs, in therapy of the pelvic floor center at the Berner Lindenhof hospital and answer the question by Gregory Blank, whether I knew where the pelvic floor is spongy with “somewhere down there”. The pelvic floor is smiling therapist. I am no exception.
While many women, sooner or later, your pelvic floor thoughts (have to), because he may be about to weaken as a result of a pregnancy and lead to urine loss and prolapse of the pelvic organs, or restrictions of sexuality, many men are not even aware that they have “down there” at all a muscle. For the average man of the pelvic floor is a white spot on the map of his body.
support
“The term “ground” is”, explains Gregory Blank by using pictures and a model “sounds quite static, in reality, the pelvic floor is a dynamic mesh of muscle sheets, which connects the tuberosities to the pubic bone to the Tailbone and two Sitting bones.” He gives the internal organs. He supports you when you Run, Jump, cough and Sneeze. He must withstand the pressure, such as when Lifting heavy loads. “And he doesn’t care,” says Blank, “for the closure of the rectum and of the urethra.”
at the Latest, if the Latter does not function correctly, are also faced by men, inevitably, with your pelvic floor. For instance, following prostate surgery. Most of the year, around 120 men, to come to the Bernese pelvic floor centre, do this on a medical assignment after surgery on the prostate. If this needs to be removed, for example, due to a tumor or due to an increase in eroded, it can cause damage to the bladder sphincter and lead to incontinence.
“When you lose in everyday life, such as when Laughing, coughing or straining, the urine, its excretion can no longer control, can be derived from this massive psychological problems,” says Blank. Who wants to have to wear adult diapers? In the therapy, the cost of which will be taken to a doctor’s prescription of the health insurance, learn man, to feel his pelvic floor muscles and to be able to keep strong, and thus, the urine better.
same-sex therapy
A Training of the pelvic floor was displayed not only in the case of urinary incontinence, but also in many other complaints, says Gregory Blank: “in case of evacuation disorders after intestinal surgery, pain inflammation of the urogenital tract, chronic constipation, reduction of the pelvic organs, or in the case of disorders of sexual function.” But also the natural aging process can lead to complaints.
A powerful muscle mesh: pelvic floor model. Photo: Christian Pfander,
In contrast to most other clinics will be treated in the pelvic floor centre of the Lindenhof group, usually of the same gender. “We have come to the conclusion that this is due to the anatomical differences of a woman and a man make more sense. In addition, it is the most Affected in this very intimate topic easier for a same-sex therapist to confide in,” says Gregory Blank. The 50-Year-old is one of only a few men, which are formed in this part of the field of physiotherapy.
at the beginning of a therapy Gregory Blank for the recording of the main problems of in-depth discussions with his patients. He then examines the pelvic floor function. “From this, we derive measures and individual training exercises,” he says. In the investigation and to exercise the control he does not come occasionally but the patient, a probe or a Finger in the Anus.
Tensing and breathing
Some men find it hard to allow it. For these an alternative control method is the same as in my informative visit to the application: Blank me presses with the Index, middle and ring finger gently on the area between the Anus and scrotum, called the perineum. “Although this is less direct and revealing than imported Finger, but I can also feel quite clearly how the muscles move there,” says Blank and tells me those muscles tighten up. This is easier said than done. The biceps contract? Easy. But the muscles in the perineum area? It was only when the therapist me the tip to pull the perineum upwards, the body center, as I would to stop Urination the urinary stream, it works.
At the beginning of a therapy, such simple Exercises are often the pelvic muscles are tense, the tension ten seconds, keep calm, breathe, relax again, and the Whole repeated several times. Later, you will be connected with movements of the whole body, which act by pressure or by train from different directions to the pelvis. Some of the Exercises seem familiar, they resemble the bridge of the Yoga, the Sit-ups from the fitness training or stretching exercises from the Stretching. Are learns the individual Exercises, you can (and should) be executed easily at home, every day. Regular sessions with the therapists – in General, there are up to nine – are used to control and help maintain Motivation.
Prevention Training
Although there is, according to Blank no studies that show that pre-emptive pelvic floor can prevent training to get certain amount of discomfort at all. “But it is not good to deal early on with the theme. For example, many men do not come first, but prior to surgery on the prostate to therapy and learn how you can use your muscles in everyday life correctly.”This Knowledge, so Blank, to facilitate the Rehabilitation after the surgery.
to think, But even without a pending Operation, it is advisable to his pelvic floor. Overweight, he has to bear at every step difficult. Constant straining during bowel movements charged to him, as well as the air stop when you put the Decluttering of the basement or at the gym heavy Weights. “Especially in the case of young men engaged in intense strength training, the pelvic floor muscles, which belongs to the group of the stabilizing muscles of the trunk and is important for the optimal function of the back, too little conscious of: If you stop your Exercises constantly compressing the air, this can lead to an Overloading of the pelvic floor.”
so There I am with the legs bent on the therapy bed and take me, in the future, with better on my pelvic floor. With my 59 years, I still have no complaints. But prevention is better than cure.
(editing Tamedia)
Created: 07.04.2019, 18:10 PM
