Physiotherapy for pelvic floor hypertonia in Valencia
It’s not always about strengthening. Sometimes the pelvic floor is too tense and what it needs is to learn to let go. We help you get there.
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What pelvic floor hypertonia is
It is an increase in the tone of the pelvic floor muscles and sphincters. The muscles don’t know how to relax, which can narrow the vaginal canal and cause pain. It is an increasingly common dysfunction.
When it usually appears
- Endometriosis.
- Painful scars after an episiotomy or tear.
- Dyspareunia and vaginismus.
- Athletes doing a lot of high-impact activity, such as running, jumping, horse riding or weightlifting.
Most common symptoms
- Pain during sex.
- Pain on vaginal touch, during a check-up or when inserting a tampon.
- A feeling of pressure in the vagina.
- Constipation.
- Incomplete bladder emptying.
- Urine leakage and urgency.
“A tense pelvic floor is not a strong pelvic floor”
How we treat hypertonia
It is the most recommended treatment. The physiotherapist does it first, and then you can continue at home with the same technique.
With lubricant, they are used for gentle stretching at the points of greatest tension, from smaller to larger sizes.
Applying heat beforehand and breathing deeply during the work helps loosen the area.
It lets you see when you contract and when you relax, so you learn to let go.
If you do a lot of sport or train your pelvic floor on your own, we check whether you should change anything.
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Be careful doing Kegels on your own
If the muscles are already tense, doing more strength exercises can make the symptoms worse. That’s why it’s best to have your pelvic floor assessed before you start training it.
What do we work on in physiotherapy for hypertonia?
The goal is for the muscles to learn to relax and respond well. We teach you techniques to continue at home and boost the effect of treatment.
Conscious relaxation of the muscles.
Reducing pain and pressure.
Manual stretching and stretching with dilators.
Guidelines to follow at home.
Your journey at the clinic starts like this
STEP 1.
Initial assessment
All patients start with an initial one-to-one session.
- We analyze your case in depth.
- We carry out the necessary examination.
- We explain what is happening and why.
- We design a personalized treatment plan.
- All with no further commitment.
STEP 2.
STEP 3.
Follow-up and progress
Your process doesn’t end after one session. It evolves with you.
- We regularly reassess your progress.
- We adjust the plan when necessary.
- You can combine one-to-one and group sessions depending on your progress.
Frequently asked questions
If you’re asking yourself these questions, you’re not the only one. Here we answer them clearly.
They can cause similar symptoms, such as urine leakage. A pelvic floor assessment tells them apart.
Check first. With hypertonia, the first step is usually learning to relax.
Not always. We assess it with you and teach you how to use them if they suit your case.
About 15 minutes, with gentle back-and-forth movements, although we adapt it to your plan.
Yes, reviewing the type of training. Sometimes you need to adjust the impact or add relaxation work.
It depends on each patient: your starting point, whether there is a deeper injury or condition, and how committed you are to the exercises at home. After the first session we decide on the right treatment. If you need individual follow-up, most people notice an improvement with a first pack of 5 sessions. From there, if you follow the guidelines at home, you may only need to come back for occasional check-ups. If there is a deeper injury, you may need to go beyond that first pack.