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Hey guys, it’s Hina Sheth from Rebalance Physical Therapy here in Philadelphia and the Main Line of Pennsylvania.
Today I want to talk to you about a patient who called me worried because she is scheduled to have a rectocele repair or a repair for a prolapsed rectum.
What is that?
Many times, after you’ve had children, because of all the pushing and straining that can happen during the delivery and just from carrying the baby, your organs have a lot of pressure on them. That pressure can create looseness or laxity of the ligaments that hold these organs up and they start to fall into the vaginal or rectal canal.
There’s three different organs that can be the culprit - The bladder can fall, the vagina can fall and the rectal can fall.
Basically, any of these organs can start to fall into the vaginal or rectal canal. And it can cause pressure, discomfort, constipation or feeling like you have to move something out of the way to have a sufficient bowel movement. It can also just be cosmetically uncomfortable because there’s something falling out and there’s pressure in the vaginal or rectal canal or even in the low back in an area called the sacrum.
The woman I spoke to had already spoken with two different colorectal physicians and they both recommended she have surgery for the rectal prolapse she was experiencing. One of her friends referred her to me so we evaluated her and figured out
Figured out there were a lot of things she could be doing from an alignment standpoint, soft tissue standpoint and strength standpoint to improve the support of the rectum and possibly not have surgery.
She decided to postpone the surgery to see what we could do.
We found a lot of different alignment and soft tissue issues, both externally and internally. By soft tissue issues, I mean muscle spasms, scar tissue from scars – she had three different c-sections. By alignment, I mean she wasn’t in her optimal position from head to toe so her organs weren’t where they needed to be.
Within three visits, she was feeling great and we were able to prevent her from having surgery.
Nowadays, when you do have a prolapse, and it’s mild to moderate, one of the first things you should do is have an evaluation by an integrated holistic pelvic floor physical therapist to try to treat it conservatively treated before jumping into surgery.
For any of you out there diagnosed with a prolapse and you haven’t been treated in a holistic way, I encourage you to find a physical therapist to help you with this prior to you have surgery. If the physical therapist is skilled enough and they feel that the prolapse is too significant then they will be skilled enough to let you know if you perhaps do need surgical intervention.
If you live in the Philadelphia area, you can give us a call 267-282-1301 or www.rebalancept.com. If you don’t live in Philadelphia area, go to our website www.rebalancept.com and shoot us an email and let us know if you need help finding a physical therapist.
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