• Ask a PT: Kneeling and Pelvic Floor Disorder

    Can kneeling make my pelvic floor disorder worse?  I kneel a lot for work (I can't squat due to low back problems) and getting up from that position seems to aggravate my pelvis, as well as bending down to pick up things.

    Getting up from kneeling, half-kneeling or squatting can all increase intra-abdominal pressure on the structures of the pelvic floor. Intra-abdominal pressure is the pressure that is created inside the belly when we hold our breath or strain during exertion. This increased pressure can create abnormal force on the bladder, uterus, rectum, and/or pelvic floor structures, which can result in leaking of urine, stool, or gas. In severe cases, the pelvic organs can actually drop out of their normal position, called prolapse.

    A physical therapist can provide a thorough examination of your strength and assess the impact of known risk factors for pelvic floor dysfunction and pain. The therapist will develop an individualized treatment program that may include instruction in control of intra-abdominal pressure through effective breathing techniques, pelvic floor strengthening (including Kegel exercises),  and pressure control techniques applied before and during exertion.

    January 10, 2012
    Topic: Pelvic Floor Disorder, Women's Health