Phoenix Rehab Novena Clinic Launch
Dear doctors, patients and friends, we are going to launch Phoenix Rehab @ Novena tentatively on Monday, 8th January 2018 (see clinic location and details here), subject to finalizations related to renovations and pre-launch activities. There is lots more to do, including the completion and upgrading of this website, but we are very excited for this opportunity to serve you.
Update you soonest!
Phoenix Rehab Group
Pelvic Floor Physiotherapy
What is Pelvic Floor Physiotherapy?
And should we kegel or not?
These are some of the questions
that our patients post to us, some are not even aware these are
questions that women should raise up especially during and after
In a nutshell, kegels are not for everyone...plus,
even when they're prescribed, they're often not done properly, which can
be either non-useful or even causing pain.
Pelvic Floor Dysfunctions can be caused or aggravated by the following:
- HYPO-TONICITY (Weakness in the pelvic floor muscles) which contributes to incidences of stress
incontinence, urge incontinence and pelvic organ prolapse. Incontinence
is NOT a normal part of aging, but refers to a condition
- HYPER-TONICITY (Tightness/tautness in the pelvic floor muscles) which contributes to Urinary
and Fecal Urgency, Urge Incontinence, Chronic Pelvic Pain, Dyspareunia,
Vaginismus, Vulvodynia, Pudendal Neuralgia, Interstitial Cystitis and
Please take note that kegel exercises
are not always the one and only solution to pelvic floor problems; they
can exarcebate the problem and often they are not done properly.
a study called the Cochrane Collaboration 2010, the conclusion was that
physiotherapists with training in pelvic floor physiotherapy and
rehabilitation should be the first line of defence for pelvic floor
abnormalities, before surgical consultation in women.
women with pelvic pains have pelvic floor dysfunctions, but usually it's
very specific to either over-tight (hypertonic) muscles.
see, the pelvic floor muscles are a group of muscles that attach to the
front, back and sides of your pelvic bone and sacrum (see picture). They
behave somehwat like a sling or a hammock, and it serves to support
your bladder, uterus, prostate and rectum.
The same muscles also wrap around your urethra, rectum, and vagina (in
These muscles must be able to contract (tighten) and relax
properly to ensure continence, allowing for normal functioning of
urination, bowels, and in women, for sexual intercourse.
happens when these muscles have too much tightness (hypertonic), they
will cause pelvic pains or urgency/frequency of the bladder and bowels.
When the same muscles are lax (termed as hypotonic), it will cause
stress incontinence and even organ prolapse.
You can also have a combination of both too tight and too laxed pelvic muscles at the same time.
Hypertonic muscles can cause the following :
- Urinary frequency, urgency, hesitancy, stopping and starting of the urine stream, painful urination, or incomplete emptying of the bladder
- Constipation, straining, pain with passing motion
- Unexplained pain in your low back, pelvic region, hips, genital area, or rectum
- Pain during or after intercourse, orgasm, or sexual stimulation
- Uncoordinated muscle contractions causing the pelvic floor muscles to spasm
Pelvic floor dysfunction is diagnosed by specialist doctors and physiotherapists using internal and external manual techniques to evaluate the function of your pelvic floor muscles (for your comfort, we only practice external manual techniques)
They will also assess your ability to contract and relax these muscles. At the same time, your bones, muscles and joints of your lower back, hips and sacro-iliac joints will need to be assessed as well, as they can also strain your pelvic floor muscles.
If/when your pelvic floor muscles are too tight, causing weakness, then pelvic floor physiotherapy will begin with treating the tension first before treating the weaknesses - only once the muscles have reached a normal resting tone, and able to contract and relax normally, then the strength is assessed and strengthening exercises are prescribed.
Self Care Is Vital
Education for the purpose of self care is a very important part of pelvic floor physiotherapy.
You have to avoid pushing or straining when urinating, and do ask your health care provider how you can manage constipation.
Being able to actively relax the pelvic floor muscles is important, and doing reverse kegels may be one of the solutions that will help you lengthen these muscles.
Having warm baths twice daily can also help to relax the muscles, as heat therapy does encourage muscle relaxation and blood flow.
In some situations, medications such as compounded vaginal or rectal diazepam can be quite useful and they may be prescribed by your doctor - they help as muscle relaxants in your vagina or rectum.
You will also need to have good posture to keep unnecessary pressure off your bladder and organs, as well as employ other stretching methods such as yoga to help prevent tightening and spasms in your pelvic floor muscles.
Educating on managing persistent pain is a very important part of treating and managing pelvic floor dysfunction, as the pelvis/pelvic area is an area where we often hold our stress.
Stress, anxiety, negative thoughts and beliefs can actually aggravate the pain in our pelvis, which is why understanding how our pain system works has been proven to be an effective method to reduce the problem of pelvic floor dysfunction.
Visit our women's health physiotherapy singapore page here
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Our Physio & Rehab Expertise
Phoenix Rehab Group works with specialist physiotherapists and specialist rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.
Areas of specialization
- physiotherapy: back and neck (spine), sports, shoulder, hip, knee, ankle
- hand therapy: forearm, wrist, hand and fingers
- podiatrist: leg, calf, ankle, foot and toes
- read more on our specializations here
All our therapists are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCM). See our entire team here by location and specialization.
Initially, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover. They then provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
To call for inquiries or appointments, please contact us at:
Tell A Friend About Us
We appreciate you as a patient and want you to know that the #1 way we grow as a clinic is through word of mouth referrals from valued patients like yourself.
We do not rely on advertising - instead, we prefer and appreciate the goodwill and positive reinforcement from patients.
When you have the opportunity, please take the time to tell your family, friends and physicians about the positive results and experience you have had in our clinic.
Thank you so much, and stay healthy!
PHOENIX REHAB APPOINTMENTS & ENQUIRIES
Please Call/SMS/WhatsApp to xx, thanks!
We are a wholly Singapore Private Limited group of licensed physiotherapists, hand therapists, podiatrists, chiropractors, sports massage therapists, clinical pilates practitioners and TCM physicians practicing in our scope of rehabilitation and its areas of specializations.
As listed in our website are the list of services we provide our clients as referred by their medical doctors or by self referrals/word of mouth, but you can also make an appointment without seeing any doctors (that being said, if you do need a referral to a specialist orthopedic surgeon or sports GP, we will recommend you too as value added service at no additional costs to you).
The range of rehabilitation results vary from patients to patients, depending on a variety of factors and reasons such as severity of condition, genetics, gender and age. However, we will still deliver the best evidence-based-practice of physiotherapy, hand therapy, TCM, sports training and deep tissue release therapy that we can deliver (we are proud to say that we try our best to only engage the most experienced and specialist therapists - which makes a big difference in clinical outcomes).
The information available on this site is for educational purposes only, if you need a full professional advise on physiotherapy, hand therapy and occupational therapy, please schedule an appointment with us by contacting our staff by Call/SMS/WhatsApp at xx or email firstname.lastname@example.org, thanks!