Kegels that STOP Prolapse Worsening - Beginners Guide to Prolapse Repair Exercises

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  • เผยแพร่เมื่อ 15 มิ.ย. 2024
  • Kegels for prolapse can help stop prolapse worsening and reduce prolapse symptoms. Pelvic Floor Physio Michelle guides you through Kegels and pelvic prolapse for beginners. These exercises are most likely to help you with bladder prolapse (cystocoele), uterine prolapse and/or bowel prolapse (rectocoele).
    ** DOWNLOAD NOW Prolapse Exercises eBook www.pelvicexercises.com.au/pe... **
    Scientific research has shown pelvic floor muscle training can reduce prolapse severity and improve prolapse symptoms in women with mild to moderate prolapse Grade 1- 3 (1). Specifically training can lift your pelvic floor higher to reduce prolapse severity AND reduce prolapse symptoms.
    Video Contents: Kegels for Prolapse
    1. Best time to do Kegels with prolapse problems
    2. The best position to out start with
    3. How to do your Kegels to repair your prolapse
    4. How many Kegels to do for best results
    1. Best Time to do Kegels
    The best time for your exercises is when your muscles are well rested and your prolapse is sitting higher than later in the day. Do your kegels when you first wake up and then again during the morning. Kegels will be more difficult after you've been standing and moving around especially towards the end of the day.
    2. Best Position for Kegels Exercises
    The best beginners position for Kegels and prolapse is usually lying down either on your back or on your side, perhaps with a pillow between your legs for comfort. In these lying down positions your prolapse will be less likely to bulge down with gravity and bodyweight. If you're able to do your exercises sitting or standing, then choose these positions especially at the start of the day when your pelvic floor muscles are ready to exercise.
    3. How to do Kegels for Prolapse
    The correct Kegel technique for prolapse repair involves lifting inwards and squeezing in and around the entrance to the vagina, the opening to the urine tube and anus all at once.
    Some women with prolapse tend to bear down rather than lifting inwards and doing this can make prolapse symptoms worse, so you need to make sure you're using the correct lifting inwards action.
    4. How Many Kegels?
    Sample Daily Beginners Kegels Prolapse Guide
    If you can do 2-3 Kegels at the moment, then start out with:
    * 2-3 Kegel exercises in a row
    * Hold each exercise as long as you can up to around 6 seconds to start with
    * Rest for 10 seconds between each exercise
    * Practice this routine 3 times during the day (3 sets) for example when you first wake up, again after breakfast and then after morning tea or lunch.
    Sample Intermediate Kegels for Prolapse Guide
    *8 -12 Kegel exercises
    *Hold each exercise up to 10 seconds
    *Close to maximum intensity
    *3 sets of exercises daily
    Focus on correct technique at first. Start out doing the number of exercises you can manage.
    How Long for Results?
    Some women notice pelvic heaviness and bulging start to decrease within a couple of weeks whereas for others it can take a couple of months to start noticing changes.
    The key is to persevere and to see a Pelvic Floor Physiotherapist for help if you need assistance managing your prolapse.
    References
    (1) Braekken IH, Majida M, Engh ME, Bø K. Can pelvic floor muscle training reverse pelvic organ prolapse and reduce prolapse symptoms? An assessor-blinded, randomized, controlled trial. Am J Obstet Gynecol. 2010;203(2):170.e1‐170.e1707. doi:10.1016/j.ajog.2010.02.037
    (2) Prolapse Exercises Inside Out - Michelle Kenway www.pelvicexercises.com.au
    (3) Images
    141895776 Adobe Stock licensed user
    170576056 Adobe Stock licensed user
    - - - - - - - -
    Music by Aiden Kenway: th-cam.com/channels/EeJ.html... Lights by Sappheiros / sappheirosmusic Creative Commons - Attribution 3.0 Unported - CC BY 3.0 Free Download / Stream: bit.ly/LightsSappheiros Music promoted by Audio Library • Lights - Sappheiros (N...
    - - - - - - - -
    Disclaimer
    The information provided in this video is intended as general information and not a substitute for individual medical advice regarding your medical condition. To the extent permitted by law, neither Healthy Fit Solutions Pty Ltd, as trustee for the P & M Kenway Family Trust (“we”), nor any of our officers, employees, agents or related bodies corporate will be liable in any way (including for negligence) for any loss, damage, costs or expenses suffered by you or claims made against you through your use of, or in connection with, this video or information supplied or offered to be supplied on this video. Although we use our best efforts to provide accurate information and other materials on this video, the video is provided “as-is”. To the extent permitted by law, all warranties, conditions and representations provided about or by this video are excluded.

ความคิดเห็น • 280

  • @michellephysio
    @michellephysio  ปีที่แล้ว +6

    Prolapse Exercises Complete Guide for Women eBook download NOW www.pelvicexercises.com.au/pelvic-exercise-products/prolapse-exercises/prolapse-exercises-ebook/

  • @shloke383
    @shloke383 2 ปีที่แล้ว +169

    Thank you for important tips. My stage 2 prolapse will improve with perseverance n God's healing power.

    • @michellephysio
      @michellephysio  2 ปีที่แล้ว +8

      @SH Loke My pleasure indeed and I wish you all the best for your recovery 🙏

    • @givingyourlifeameaning7865
      @givingyourlifeameaning7865 2 ปีที่แล้ว +17

      Amen stay strong and believe God

    • @veronica6475
      @veronica6475 2 ปีที่แล้ว +32

      Amen! Reading your comment gave me hope! God is the Healer of all! Keep the faith and know that God is in control! “I can do all things through Christ who strengthens me.” Philippians 4:13 ❤️

    • @mariamarmar8321
      @mariamarmar8321 2 ปีที่แล้ว +13

      @@veronica6475 Amen sisters, to God be the Glory! Jesus the Great Healer will take care of this. He saves all who call on His name, Jesus is God and He is Holy!! ✝️✝️✝️

    • @LovinDebsFit50s
      @LovinDebsFit50s ปีที่แล้ว +4

      @SH Loke Thank you for this beautiful comment. 🙏 I will be 60 this year and I just got diagnosed with uterine prolapse on January 5, 2023. Today my doctor responded to my message and it’s a Grade 2. First available for me to start Pelvic Floor Therapy is on March 3rd. I couldn’t get a gynecologist appointment last year because I waited too late to schedule it. I had no idea that my life was about to change. I was Obese before I started my healing journey in 2016 and I love working out and when she recommended a Full Hysterectomy, I’m just feeling overwhelmed and it’s why I am here searching. I’m praying for all you beautiful people. 🫶🙏❤️

  • @emmah9952
    @emmah9952 2 ปีที่แล้ว +14

    Thank you for such great videos. I'm waiting for a rectocele repair and referral to physio but the waiting lists are long due to the pandemic so I'm finding them very useful!

  • @suzieyoung9970
    @suzieyoung9970 3 ปีที่แล้ว +12

    This seems excellent. I must persevere. Her voice is soothing.

  • @LovinDebsFit50s
    @LovinDebsFit50s ปีที่แล้ว +2

    Your voice is very soothing. This is so helpful. Thank you so much!! ❤I can feel it while doing the Kegel Exercises.

  • @KingsDaughter.
    @KingsDaughter. 3 หลายเดือนก่อน +5

    I started 3 days ago, i could bearly squeeze , today I have a lot better awarness of muscles there

  • @susanpillinger8664
    @susanpillinger8664 ปีที่แล้ว +4

    Thank you Michelle.very informative and very helpful education to us women with the condition.❤

  • @vanis5001
    @vanis5001 2 ปีที่แล้ว +1

    I am facing this problem for long.. now getting confidence after seeing ur video. Let me try this and see if things improve.

  • @jessstrack7759
    @jessstrack7759 3 ปีที่แล้ว +2

    Thank you so much for sharing this very informative video 😊🙏💐

  • @zaranugent8904
    @zaranugent8904 3 ปีที่แล้ว +50

    This video is superb. She has compiled an engaging, informative & educational session. Thank you SO much Ms Kenway, you have efficiently covered what I need to know & given me confidence moving forward.

    • @michellephysio
      @michellephysio  3 ปีที่แล้ว +1

      I’m so glad Zara and thanks for the lovely feedback!

  • @Serel25
    @Serel25 3 ปีที่แล้ว +23

    I found your prolapse vids after commenting on another of your excercise videos 😊 you give women hope 🥰 thank you ❤ i think we should all be doing these daily no matter our age 🥰

    • @loodyz15
      @loodyz15 3 ปีที่แล้ว +2

      100% I prolapsed at 23, I’m now 25 and loving the physio exercises I do x

    • @nomthandazokunene6274
      @nomthandazokunene6274 2 ปีที่แล้ว +1

      @@loodyz15 do you see any change and how long did it take if u did?

  • @ellecharlton3432
    @ellecharlton3432 ปีที่แล้ว +3

    You have such a lovely presence and energy thank -you for helping us all 😊

    • @michellephysio
      @michellephysio  ปีที่แล้ว

      @Elle Charlton Thank you for your lovely comment Elle. Pleasure to help💖

  • @lisettalily677
    @lisettalily677 ปีที่แล้ว +3

    Many thanks for uploading this, it is really helpful. May you be very blessed.

    • @michellephysio
      @michellephysio  ปีที่แล้ว

      @Lisetta Lily You are very welcome! Happy to help❤️

  • @malinichandra6953
    @malinichandra6953 3 ปีที่แล้ว +22

    You were one of the first people out there in u tube 10 years ago when I needed to understand abt pelvic floor health to manage my uterine prolapse
    Thanku

    • @michellephysio
      @michellephysio  3 ปีที่แล้ว +2

      Wow Malini we've been on a long journey together. What a privilege for me to be able to help you with your health and wellbeing. Thank you so much for your message and support ❤️

    • @yesyeahyes1
      @yesyeahyes1 4 หลายเดือนก่อน

      I'm experiencing a uterine prolapse now. How long did you have to do these exercises to notice a change in your experience? Were there any other exercises or tips you did as well?

  • @kulwantbrar8649
    @kulwantbrar8649 3 ปีที่แล้ว +2

    Sister love you a lotttt... No word to say thanks 😘 you saved me by correct me🙏

  • @sarahkagoya8882
    @sarahkagoya8882 3 ปีที่แล้ว +6

    Thanks am trying hope to get a change because I normally feel a lot of pain around the waist

  • @annwalsh5519
    @annwalsh5519 4 ปีที่แล้ว +5

    Thank you Michelle. I find your videos the best point of reference.

    • @michellephysio
      @michellephysio  4 ปีที่แล้ว +1

      Glad this helps Ann all he best!

  • @michellepicken-honeypuddle2708
    @michellepicken-honeypuddle2708 ปีที่แล้ว

    Superb video, I so needed to watch this, this is the best explanation I have heard. Really given me hope that I can improve my symptoms. Thank you so much.

    • @michellephysio
      @michellephysio  ปีที่แล้ว +1

      @Michelle Picken - Honeypuddle • my pleasure! I do hope this helps you. All the best!🙏

  • @camillehill8795
    @camillehill8795 3 ปีที่แล้ว +14

    Thank you so much...Fantastic instructions and lovely voice....so encouraging....I still not sure if I am doing it correctly. Thanks again. for providing this vital info for women. Unfortunately, we do not get this kind of information and instruction from doctors , even gynecologists.

    • @susanthepowerseller
      @susanthepowerseller 2 ปีที่แล้ว +3

      It's important to breathe out while you pull in. Makes a big difference in the quality of your keggle!

  • @evelynwilliams457
    @evelynwilliams457 3 ปีที่แล้ว +3

    Thank you so much for the tips of this exercise.very helpful..

  • @user-bq3my2qo1r
    @user-bq3my2qo1r 3 ปีที่แล้ว +4

    HI Michelle. Thanks for making this video. Can these exercises reverse rectal prolapse?

  • @MegaTaylor24
    @MegaTaylor24 ปีที่แล้ว +18

    Thank you, your exercises are excellent and in just one day I can feel a difference. I am 60 years old and I was at the point where I felt my only alternative was surgery until I found your video. I also, heard from another video that a particular doctor said that most prolapses can be corrected with exercise. Most women my age do not exercise as they use to in our youth. So, this is so encouraging for me and I already feel the difference between yesterday and today.

    • @michellephysio
      @michellephysio  ปีที่แล้ว +2

      @Sarah Tinkham My pleasure Sarah , thank you so much for commenting - wishing you all the best! 🙏

    • @antanidareutov9959
      @antanidareutov9959 ปีที่แล้ว +1

      Thank you

    • @Lauren-vd4qe
      @Lauren-vd4qe 3 หลายเดือนก่อน +2

      did you have uterine prolapse or bladder prolapse; and did the kegel exercises help or prevent the need for surgery?

  • @mayjohnson4754
    @mayjohnson4754 2 ปีที่แล้ว +2

    Good morning thank you so much I was suffering for a long time but thank to God I feel much better first degree so feel much better thanks

    • @michellephysio
      @michellephysio  2 ปีที่แล้ว

      @May Johnson My pleasure! I'm so glad this is helping you feel better. Wishing you well!🙏 ❤️

  • @MR-kn3so
    @MR-kn3so 4 ปีที่แล้ว +3

    Thank you Michelle!

  • @wandajoycewyatt9395
    @wandajoycewyatt9395 2 ปีที่แล้ว +3

    Just like having my own personal trainer. Thank you so much Aussie Girl😘

    • @michellephysio
      @michellephysio  2 ปีที่แล้ว

      @Wanda Joyce Wyatt my pleasure! So glad to read this Wanda , thank you for your lovely comment- Stay safe and all the best!🙏

  • @Broons3619
    @Broons3619 2 ปีที่แล้ว +34

    Thank you so much. This is the most helpful demonstration of correct technique I’ve come across. My prolapse is only mild and recent but I’ve been terrified of it worsening. This has alleviated my fear and I now feel comfortable in managing the symptoms for now. Thank you again very much 🙏😊

    • @michellephysio
      @michellephysio  2 ปีที่แล้ว +9

      My pleasure Bella, you can manage this - you know the stats are so high, so many women suffer from this issue and don't discuss. If your prolapse is mild you have a good chance at improving your condition. All the best to you!

    • @Broons3619
      @Broons3619 2 ปีที่แล้ว

      @@michellephysio 🙏💖🙌

    • @kameshwarsingh9583
      @kameshwarsingh9583 2 ปีที่แล้ว +1

      @@michellephysio Is it possible to treat early prolapse completely without surgery?

    • @Julie-my6ds
      @Julie-my6ds 2 ปีที่แล้ว +3

      @@kameshwarsingh9583 yes, absolutely.

    • @taibamalik1975
      @taibamalik1975 ปีที่แล้ว

      @@Julie-my6ds how??

  • @anaana-ci8pf
    @anaana-ci8pf 4 ปีที่แล้ว +7

    Hola Michelle, Thank you for your videos, they do help people's lives. You are the best teacher. A big hug all the way from Costa Rica. Blessings 🙏

    • @michellephysio
      @michellephysio  4 ปีที่แล้ว +2

      You are so welcome Ana! all the best to you in Costa Rica take care

  • @allteaallshade7195
    @allteaallshade7195 2 ปีที่แล้ว

    Thanks going to give it a try thanks

  • @lillianlopez8794
    @lillianlopez8794 ปีที่แล้ว +2

    Thank you for your good information!

  • @widowswatch6610
    @widowswatch6610 3 ปีที่แล้ว +1

    Thank you your the best

  • @mariebarker4499
    @mariebarker4499 2 ปีที่แล้ว +1

    Thank you! Will definitely try these exercises.

    • @michellephysio
      @michellephysio  2 ปีที่แล้ว

      @Marie Barker my pleasure! Hope this helps you - best of luck! 🙏 ❤️

    • @mariebarker4499
      @mariebarker4499 2 ปีที่แล้ว

      @@michellephysio Thank you so much! 🙏♥️

  • @ksradhaa
    @ksradhaa 3 ปีที่แล้ว

    Thankyou so much !

  • @Nik-tb9xz
    @Nik-tb9xz ปีที่แล้ว

    Thank you so much for the helpful instructions how to do the kegel exercises. Now I finally know how to do them properly.

  • @samahf1669
    @samahf1669 3 ปีที่แล้ว +1

    You are awesome!

  • @staciecade7387
    @staciecade7387 4 ปีที่แล้ว +1

    Very useful

  • @glendachedick1951
    @glendachedick1951 4 ปีที่แล้ว +8

    Thank you Michelle. I have had my prolapse for a few months. In my country I visited a Psychiotherapist for 4 months. Since Covid-19 my visits stopped. I continued my exercises. I am now experiencing that heaviness at the end of the day. Very frustrating. I will start your exercises with the hope of receiving some results

    • @michellephysio
      @michellephysio  4 ปีที่แล้ว +2

      You're welcome Glenda, all the best and I hope this helps you during this challenging time

    • @shelleythomson1002
      @shelleythomson1002 3 ปีที่แล้ว +2

      I had the heaviness too but started using a pessary it really helps . I still feel it if I have exercises a lot but I feel a lot better with it in for support .

    • @chaithrayellur6034
      @chaithrayellur6034 2 ปีที่แล้ว

      @@michellephysio hi, it will correct the prolapse?

  • @LanPham-ss8mz
    @LanPham-ss8mz ปีที่แล้ว

    Hi there!
    Thank you for the wonderful tips. Can you please do a video of how to sit and stand with a prolapsed uterus. My symptoms are very bad and I am so afraid of standing and sitting because it starts hurting and cramping very bad after a few minutes. Thank you!

  • @ladieslovestephen
    @ladieslovestephen 4 ปีที่แล้ว +7

    That was amazing. Thank you, Michelle. #ILoveMichelleKenway

    • @michellephysio
      @michellephysio  4 ปีที่แล้ว +1

      So glad!

    • @smoothgent1011
      @smoothgent1011 3 ปีที่แล้ว +1

      @@michellephysio hello Michelle, I'm a 29 man that have Ed. I went on different websites and youtube videos. Early last year I fix the problem by doing glute bridges and started to jog. I'm not sure what happen after that. I did squats, pelvic stretches, lunges. Now I have Ed and going to the bathroom often. I do have a lump between my rectum and sack. I think I over stretch my muscle. The other day I did a glute bridge and have fully erect penis. I do not know what to do. Please help

  • @isabelbeveridge21
    @isabelbeveridge21 7 หลายเดือนก่อน

    great thank you

  • @psychologicalfacts9785
    @psychologicalfacts9785 3 ปีที่แล้ว

    It’s really good 👏🏻

  • @carmenbugeja8722
    @carmenbugeja8722 2 ปีที่แล้ว +3

    Thanks for sharing. I have stage 1 prolapse, unfortunately got a fibroids one of them situated on my bladder, if I do these exercises would it help?

  • @Kasweetie_254
    @Kasweetie_254 4 ปีที่แล้ว +2

    Very nice and a reference

  • @sabineletchworth1973
    @sabineletchworth1973 3 ปีที่แล้ว +1

    Thank so much for explaining you are awsome

  • @WorldRenownedPsychicBearMedium
    @WorldRenownedPsychicBearMedium 2 ปีที่แล้ว +6

    I started doings your pelvic exercises and noticing already tightning still have urthea prolapse, but only started two days. Thank you. Im so grateful after my diagnosis today. I felt scared and alone as im young and not had children. Im feel like im gaining control already it moved further in. Im going to buy you book aswell before my session start with gynaecologist trying to prevent surgery’s.

    • @michellephysio
      @michellephysio  2 ปีที่แล้ว

      @Living best life I can great idea to get your Kegel exercises going now, then you can see the effect hopefully by the time you see your specialist. All the best with your training! 🙏

  • @cecilegauvreau5342
    @cecilegauvreau5342 3 ปีที่แล้ว +1

    Very helpful

  • @denisemorales9652
    @denisemorales9652 2 ปีที่แล้ว

    Very helpful.

    • @michellephysio
      @michellephysio  2 ปีที่แล้ว

      @Denise Morales I'm glad you find this helpful, thank you so much for your support ❤️🌺

  • @evelynoliver
    @evelynoliver 3 ปีที่แล้ว

    Thanks

  • @mammahbelle1946
    @mammahbelle1946 2 ปีที่แล้ว

    Thank you so much

  • @r-series8528
    @r-series8528 2 ปีที่แล้ว

    Thank you so much

    • @michellephysio
      @michellephysio  2 ปีที่แล้ว +1

      @RANjana phn my pleasure! Hope this helps.🙏 ❤️

  • @mr.butterfly695
    @mr.butterfly695 2 ปีที่แล้ว +1

    tank u for saving my life god bless

    • @michellephysio
      @michellephysio  2 ปีที่แล้ว

      @Mr. butterfly you're most welcome! Happy to help ❤️

  • @barbarahilton6091
    @barbarahilton6091 4 หลายเดือนก่อน +1

    Thank You Michelle, what good excercises ❤

    • @michellephysio
      @michellephysio  4 หลายเดือนก่อน

      @barbarahilton6091 You're so welcome! I appreciate your support - wishing you well! 🙏

  • @evelynwilliams457
    @evelynwilliams457 3 ปีที่แล้ว

    Thank you,

  • @solangeamato2949
    @solangeamato2949 2 ปีที่แล้ว

    Thank vou very much!

    • @michellephysio
      @michellephysio  2 ปีที่แล้ว

      @Solange Amato You're welcome! Hope this helps 🙏

  • @yggstar7735
    @yggstar7735 ปีที่แล้ว

    What a lovely lady you are. Thank you

    • @michellephysio
      @michellephysio  ปีที่แล้ว

      @yggstar you're most welcome! Thank you so much for this beautiful comment - much appreciated. ❤️🌺

  • @gauntlettolife833
    @gauntlettolife833 3 ปีที่แล้ว +1

    Is it better to do Kegels for the above reason with or without a Pessary? ( pessary for Stage 2 Cystocele ) Thanks Michelle ; D

  • @janettweedy2193
    @janettweedy2193 2 ปีที่แล้ว

    Thanks!

    • @michellephysio
      @michellephysio  2 ปีที่แล้ว

      @Janet Tweedy you're most welcome! ❤️ Thank you so very much for your kind donation, I really do appreciate this!❤️🌺

  • @vanis5001
    @vanis5001 2 ปีที่แล้ว +1

    I don’t want surgery. But leakage is there when I walk fast .. I will try these exercises regularly and see.

  • @101rosebud
    @101rosebud 3 หลายเดือนก่อน +1

    Thanks for the excellent instructions. I just found out I’m stage three prolapse (bladder going into vagina ). Do you think you can stop it from getting worse when your prolapse is as advanced as mine? i’m not in pain, but I have urinary retention and I’m prone to UTIs due to my prolapse. I would prefer not to have surgery. thank you so much!

  • @teresas1019
    @teresas1019 หลายเดือนก่อน

    Grazie

  • @lilianwal2385
    @lilianwal2385 3 ปีที่แล้ว

    Thank you very much! 3:46

  • @pilarboutte392
    @pilarboutte392 2 ปีที่แล้ว +9

    Especially important exercise for menopausal women. This stage of life can certainly affect the strength of the pelvic floor and the resulting “problems”☹️😞

  • @e.krams7777
    @e.krams7777 3 ปีที่แล้ว +11

    Hi Michelle! Very much so appreciate your informative videos. Is it normal to experience UTI symptoms with a prolapse? I have a bladder, uterine, and rectal prolapse. At 30 years old this is very troubling! And I drink a lot of water! Hopefully these exercises will help relieve the UTI symptoms at least! Thanks in advance! -Erin

    • @herlinramadhani8219
      @herlinramadhani8219 2 ปีที่แล้ว +3

      How do you feel now?

    • @areli6133
      @areli6133 2 ปีที่แล้ว

      What did you do to recover?

    • @biancabrown3914
      @biancabrown3914 2 ปีที่แล้ว +1

      Hello. I am 27 and have woken up to pain and a slight vaginal bulge. I cannot put my finger on what exactly it is but I will set an appointment soon. I will try these exercises. I am just worried because I haven’t even had any children yet…

    • @mrudulaseelamsetti4566
      @mrudulaseelamsetti4566 2 ปีที่แล้ว

      @@biancabrown3914 what is it and are you ok now?

    • @cookiesundae1449
      @cookiesundae1449 ปีที่แล้ว

      @@biancabrown3914 how's your appointment? Is it rectal prolapse? Cuz we have the same situation,.🤧

  • @zakiausa
    @zakiausa 4 ปีที่แล้ว +3

    Very nice 👍👍👍💐💐💐💐

  • @phillipsmith4485
    @phillipsmith4485 2 ปีที่แล้ว +4

    Thank you. Pelvic floor physiotherapy does help relieve musculoskeletal pelvic discomfort and can help with stress incontinence. With uterovaginal prolapse the main specific symptom is the awareness of bulge or a lump coming down. As you say, once this is present, exercises will not reduce the bulge/lump, but if there is associated musculoskeletal discomfort too, this may be helped. Patients may decide to put up with the bulge or perhaps use a pessary. If the bulge is bad and pessaries are not helpful, then surgery can reduce this specific symptom.
    The paper you have did not really show a worthwhile reduction in the size/stage of prolapse, and measured reductions in the few ladies who were thought to reduce the anatomical bulge was of the order of 0.3 to 0.5 cms only.
    This is well within the normal daily variation. Even Kari Bo I think would agree!
    I think we should separate 'prolapse' and pelvic muscle discomfort/symptoms. Urogynaecologists deal with the bulges if necessary, and know that any symptoms of general discomfort, pain, dyspareunia, backache will not be improved with surgery. All we can acheive with surgery is removal of the 'lump coming down', and the associated difficulties with defecation and micturition.
    Pelvic floor physiotherapists deal with musculoskeletal problems which may occur with or without appreciable prolapse, but cannot really reduce bulge symptoms once they are persistent (usually stages 2-4). Stage 1 is no prolapse at all, and is normal. BW

    • @phillipsmith4485
      @phillipsmith4485 2 ปีที่แล้ว

      Also I don't think we can really say that there is good evidence that PFE's will stop a prolapse progressing. It's a fascial, connective tissue problem by then.

    • @michellephysio
      @michellephysio  2 ปีที่แล้ว +15

      Hi Phillip thanks for your thoughtful response. Agreed I don't think we can definitely say we don't know the natural history of prolapse progression however I beg to differ on a number of your points. Prolapse stage 1 is not normal. As defined by IUGA prolapse Stage 0 is actually defined as NO prolapse and 'Stage I: The criteria for stage 0 are not met, but the most distal portion of the prolapse is >1 cm above the level of the hymen' (Bump et al The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction) incidentally coauthored by Kari Bo. If we delve further into Delancey's assessments of the role of the pelvic floor muscles, he states that the levators are the critical element of support and when these fail to support the secondary supports (fascia) are loaded and when overloaded can result in connective tissue failure. In other words the pelvic floor muscles are the primary supports and the fascia are the stabilisers ie his ship in the dock analogy (Functional Anatomy of the Pelvic Floor and Lower Urinary Tract In book: Pelvic Floor Re-education 2008 (pp.3-21). In view of that we know, it would seem naive to disregard the role of the pelvic floor muscles in prolapse progression and in prolapse recurrence don't you think? Yes once the prolapse has descended beyond moderate stage, then if pessary support combined with pelvic floor retraining is not a solution then prolapse repair would be indicated I agree and I make this point in this video. Furthermore from a clinical perspective I have treated many women with mild to moderate prolapse with pelvic floor training along with reduction in their prolapse risk factors, specifically those factors that increase IAP such as excess visceral fat and many (not all) have had such a reduction in their prolapse symptoms and improved quality of life that they no longer required prolapse surgery in the short term. I think you would agree that the longer we can delay prolapse surgery in women, particularly in young women then we reduce the risk of repeat prolapse surgery. This is why we also focus on PFMT post op too. Finally Braekken et al (2010) who investigated PFMT in prolapse stages 1-111 found that 18% of women with stage 1 prolapse had a significant reduction in their prolapse severity and conclude with the important points that "pelvic floor muscle training reduced frequency and bother of symptoms compared with controls" (in all stages). Pelvic floor muscle training is without adverse effects and can be used as treatment for prolapse". Phillip I think we are at the stage where pelvic floor physiotherapists, gynaecologists/urogynaecologists and colorectal surgeons should work together to improve overall surgical and non surgical outcomes for patients because at the end of the day, this is our ultimate goal and that of our patients; improved quality of life.

    • @phillipsmith4485
      @phillipsmith4485 2 ปีที่แล้ว +2

      @@michellephysio Thanks Michelle. I am sure now that everyone is agreeing that so called stage 1 is a normal state and does not cause anatomical symptoms. There may be associated musculoskeletal myofascial symptoms that you can help with, but there is no real 'prolapse'. See this months IUJ article on definition of prolapse. It essentially makes the point that we should probably only use the term for symptomatic descent to -1 cm and beyond. Thats were we come in with pessaries and surgery. I am obviously aware of J deLancey work and have spent time with him in the past. We published an editorial together. Childbirth causes muscle and fascial damage, but surgically if required we can only repair the fascial problems. I fully appreciate that you help women with associated pelvic symptoms which are often found with

    • @phillipsmith4485
      @phillipsmith4485 2 ปีที่แล้ว

      @@michellephysio P.S.The Braekken study quoted changes in mms, not even cms. and 82% had no change. BW

    • @naziazaffar8732
      @naziazaffar8732 2 ปีที่แล้ว +1

      @@phillipsmith4485 Thanks for such a detailed explanation.it would help many women suffering from it....
      I would like you shed some light on how we get it n how to avoid getting this,in the first place....

  • @joannasamson3428
    @joannasamson3428 3 ปีที่แล้ว +1

    Hi. Can we practice it if we have a relaxed bladder/ neurogenic bladder

  • @msooza999
    @msooza999 3 ปีที่แล้ว +3

    it lessen the pain...omg!

  • @julielee-wilkins1712
    @julielee-wilkins1712 4 ปีที่แล้ว +4

    Hi Michelle,
    Thank you for this great informative video , can you please tell me if Kegel excerises can be done while sitting with an open crossed leg yoga position ? Also how many are good to do in a day 3x10 ?
    I really have enjoyed all your videos, your amazing the way you explain everything so well , thank you .

    • @michellephysio
      @michellephysio  4 ปีที่แล้ว +2

      Hi Julie yes 3x10 is appropriate, I usually focus on functional training where possible so encourage training in standing where possible but this could be done sitting cross legged - perhaps it may be somewhat challenging by changing the length of the pelvic floor muscles? I'm not sure let me know

  • @aadilrasheed2984
    @aadilrasheed2984 ปีที่แล้ว +1

    Good to see such informative videos. Ma'am i have rectal Wall mucosal prolapse and i suffer from obstructive defecation bcoz of prolapse, blocking the faecal matter, can i reverse this through these exercises, i wonder how this prolapse is coming again and again even after i have surgically removed the first prolapse now it has come again. Please can you tell how this prolapse is happening again and again..
    I mean what is the cause of rectal Wall prolapse, even after performing exercises.

    • @michellephysio
      @michellephysio  ปีที่แล้ว +1

      @Aadil Rasheed there are many possible causes of rectal prolapse. One of the main causes is straining to empty the bowel with constipation however there are other factors that can increase the risk too including childbirth or obesity. One of the main priorities in managing rectal prolapse is keeping the stool soft and well formed along with using the correct bowel emptying technique. You may like to watch this video here for some more information on managing rectal prolapse too th-cam.com/video/QoqCSdRday0/w-d-xo.html I hope this information is helpful, all the best! 🙏

  • @rainbow3304
    @rainbow3304 3 ปีที่แล้ว +14

    I am here because i am 19 and have used menstrual cups for one year and had no problem but last month i got a new cup and i have used it this month and i felt a lot of discomfort ... i took it out and switched to my old cup with which i've never had problems (they are very similar on how they look and firmness) ... but the pain is still there.. it feels like my vagina is irritated, inflamed , and bulging out... i touched it, nothing seem out but it seems like it's always more opened. I put my fingers inside and i can feel smth very puffy and i researched about pelvic prolapse and thank u for making this video , i'm gonna do this exercises and hope they work since for me it just started bulging or something

    • @yeyebritytv2563
      @yeyebritytv2563 3 ปีที่แล้ว +1

      Are you okay now? And what are you do?

    • @dellamcdonough4673
      @dellamcdonough4673 3 ปีที่แล้ว

      Was it cystocele?

    • @amnihtisham3396
      @amnihtisham3396 3 ปีที่แล้ว

      Can you please update on your condition

    • @rohanisharma5937
      @rohanisharma5937 2 ปีที่แล้ว

      Same thing is happened with me few months ago and after appointment with gynecologist I got to know about the 1stage of uterine prolapse... i just want to will these exercise will reverse back the condition or only stop it getting worse 😔

    • @berserkagain7976
      @berserkagain7976 ปีที่แล้ว

      I had a similer thing with my tampons recently the weird thing is it feels like the the wall of my vagina facing my belly button is the only part bulging out if that makes sense

  • @BlueHorseStitchers
    @BlueHorseStitchers หลายเดือนก่อน

    Hi Michelle, and thank you for these wonderful exercises. I don't know if you're checking comments on this video anymore, but I'm having a difficult time tightening and holding all three groups of muscles at once. Do you have any suggestions? Thank you.

    • @michellephysio
      @michellephysio  หลายเดือนก่อน +1

      @BlueHorseStitchers Hi there, start with what you can manage in the position you can manage - even if it's tightening and lifting the anal sphincter. With time and practice the correct action, sit on a rolled towel, try stopping the flow of urine you will start to feel some activation. If not after some time, I recommend seeing a pelvic floor physiotherapist to assist you and check your technique if you are able to access one in your location. I also have this video on ways to self check that may help you too th-cam.com/video/yLH3HtLdhn4/w-d-xo.htmlsi=aYy0T_ud9hcw7tnq I hope this info helps you & wishing you all the best 🌻💕

    • @BlueHorseStitchers
      @BlueHorseStitchers หลายเดือนก่อน

      @@michellephysio Thank you, Michelle.

  • @BreathlessBreathless
    @BreathlessBreathless ปีที่แล้ว

    Is there a technique to know if we are doing it correctly? Like the pulling?

  • @bongileexaluva7059
    @bongileexaluva7059 7 หลายเดือนก่อน +2

    Thank you very much for this information.. I think i have atage 3 prolapse. I was wondering which one to consult between a gynaecologists and pelvic floor therapist?
    And if i have a pessary inserted can i still do kegel exercises?

  • @stephanytucken8716
    @stephanytucken8716 2 ปีที่แล้ว

    Our prolapse savior

    • @michellephysio
      @michellephysio  2 ปีที่แล้ว

      @Stephany Tucken thank you for taking the time to comment Stephany , all the best to you 🙏 💖

  • @swhite5849
    @swhite5849 3 ปีที่แล้ว +15

    Thank you, Michelle. Do we breathe while doing the kegel or only after?

  • @TheGlowingqueen
    @TheGlowingqueen ปีที่แล้ว +3

    Thank you so much. Perfect timing to find your video. I was wondering what was happening, I felt a ball protruding down my vagina a few years ago but I didn't know what it was. You explained it so well.
    I have been dealing with an on-going bladder infection for 2 months. I didn't want to take antibiotics because then I end up with a vaginal infection (from experience). Thankfully the bladder infection is almost gone with the help of a local kenisiologist.
    I am suspecting that this prolapse has something to do with it the bladder infection?
    Anyway, thanks so much for your video. I have started the exercises today.
    I was doing kegel exercises many years ago but became lax about it. But I realize now it is important to keep up with them, especially as we get older. I'm going to be 70 in May. Thanks 😊 again.

  • @nhungdoan8505
    @nhungdoan8505 2 ปีที่แล้ว

    May I know is this good for levator avulsion?

  • @silviarivera158
    @silviarivera158 ปีที่แล้ว

    Hello Michelle I had a laparoscopic hysterectomy a month ago and I feel a lot of pressure the pelvic area can I do kegels now

  • @tahanihaqawi9388
    @tahanihaqawi9388 4 ปีที่แล้ว

    HI I HAVE RECTOCEL AND CYCTOCELE AND PELVIC PAIN DUE TO ENDOMETRIOSIS SHOULD I DO KEGEL EXERCISE OR PELVIC EXERCISE CAN YOU HELP ME PLEASE I DONT HAVE PELVIC PT AROUND ME THANK YOU FOR BEING SUCH WONDERFUL PERSON

    • @michellephysio
      @michellephysio  4 ปีที่แล้ว +3

      Hi Tahani the exercises in this video are the ones that are appropriate for rectoecele and cystocele too, I hope these help you, all the best

  • @ritawren4639
    @ritawren4639 3 ปีที่แล้ว

    Hello can you do the prolapse exercises as well as the kegal exercises ?

    • @michellephysio
      @michellephysio  3 ปีที่แล้ว +4

      Hi Rita they are the same thing essentially so stick with your Kegels and follow the tips for prolapse in this video too

  • @omoregieprecious2591
    @omoregieprecious2591 3 ปีที่แล้ว

    Should I inhale and exhale when doing the exercise.

  • @daniellebennis2126
    @daniellebennis2126 2 ปีที่แล้ว

    I have a prolapsed uterus on top of having spina bifida and some other stuff do you think this would be dueable for me since my sensation stops at T10

  • @saratownsend1122
    @saratownsend1122 3 ปีที่แล้ว +4

    Thank you so much for these videos! They are so informative.
    I cannot feel anything when I try to squeeze around my urethra. The other two areas are a bit and miss. But feeling or even trying to stop the urine flow is out of the question :( Is there another exercise or something else I could try?? Many thanks

    • @susanthepowerseller
      @susanthepowerseller 2 ปีที่แล้ว +8

      My friend is a physical therapist. She taught me how to do these for overall strength. She insists that tightening the rectum and vagina will automatically strengthen the bladder muscle.

  • @LindaPepin
    @LindaPepin 3 ปีที่แล้ว +2

    Hi Michelle, I'm 20 pounds overweight and working on it. Will weight loss help my prolapse? Thanks.

  • @MrDannydorko
    @MrDannydorko 2 ปีที่แล้ว +8

    My wife recently gave birth (5weeks) and has a prolapse.
    She's too afraid to get it properly diagnosed/graded and has become so depressed that she's not able to function at all.
    I'm now taking care of a newborn and a severly depressed wife.
    I will try to get her to do these exercises but just wondering if they are safe for any type of prolapse as she won't get diagnosed.
    The prolapse isn't outside the vigina, but sits close to the entrance.

    • @michellephysio
      @michellephysio  2 ปีที่แล้ว +3

      @MrDannydorko I feel for you and your wife - this is a challenging issue. Postpartum prolapse usually improves so this is a positive you can tell her. There is also a great deal that can be done to help including Kegel exercises and sometimes the use of a pessary. Are you able to access medical support for your wife to assist? Strongly suggest visiting your doctor and seeing a Pelvic Floor Physio will be beneficial too. All the best to you & your family Danny 🙏❤️

    • @k.pep.1253
      @k.pep.1253 2 หลายเดือนก่อน

      I went through this with postpartum prolapse. How are you and your wife doing now??

  • @sugarsandcookieful
    @sugarsandcookieful 2 ปีที่แล้ว +1

    How do I know if I’m doing these correct? Cause when I tighten everything up I can feel my lower abdomen suck in with it. Is that normalv

  • @mallupatil5441
    @mallupatil5441 ปีที่แล้ว

    Wen to start these exercises after abdominal hysterectomy mam.

  • @jmar8507
    @jmar8507 ปีที่แล้ว +3

    Could you tell me if sitting cross-legged (like on the floor) or kneeling will make prolapse worse? I also like to pull my legs up into a chair and sit cross-legged that way however, I just found out I have prolapse and don't want to do anything to make it worse.
    Thank you.

    • @michellephysio
      @michellephysio  ปีที่แล้ว +2

      @J Mar there’s no reason why you can’t sit cross-legged unless you notice this causes you prolapse symptoms. I would avoid sitting cross-legged on the floor and leaning the trunk right forwards which can increase pressure within the belly and down onto the pelvic floor. Monitor your prolapse symptoms - they will be a good guide as to what to avoid when a particular activity or posture makes them worse.

  • @sabreencs7950
    @sabreencs7950 3 ปีที่แล้ว

    Hello Michelle, I'm 31 years old. I am using menstrual cup for 2 years I was always been comfortable all these time. But last 2-3 months during my periods I feels a prolapse. Will this work for me?

    • @susanthepowerseller
      @susanthepowerseller 2 ปีที่แล้ว +4

      I would like to know how many other women have developed prolapse after using a menstrual cup. I have heard of this happening to several other people.

  • @rohanisharma5937
    @rohanisharma5937 2 ปีที่แล้ว +1

    Hello mam...🙋
    You explained everything very clearly..
    But will this exercise reverse the prolapse or only stop it to getting worse... Please reply mam😔

    • @alexamunoz7943
      @alexamunoz7943 2 ปีที่แล้ว +1

      She said it can repair mild/moderate prolapse. May/may not repair more severe prolapse.

    • @kanatapaw
      @kanatapaw 2 ปีที่แล้ว +1

      Stop it from getting worse hopefully.
      She did sat this In the video 🙏

  • @Chris-kz3jf
    @Chris-kz3jf 3 หลายเดือนก่อน +1

    When I first noticed a prolapse I had never heard of such a thing, has totally freaked me out! The more I looked into this the more information I found and it is a thing! I’m so glad people like you are out there to explain and give tools to help deal with this. It has taken a real toll on my mental health, knowing its another ridiculous female thing. 😑

  • @laraibali9379
    @laraibali9379 3 ปีที่แล้ว +1

    Hii my operation done 2 days before can some one advise which tea is good and after i go toilet my bladder is not empty what can I do plz Replay if some one Now thankss

  • @anang2600
    @anang2600 2 ปีที่แล้ว +2

    I'm only 21 and unmarried with this prolapse due to chronic fissure 🥺 did stage 3 be fully curable? Michele

    • @michellephysio
      @michellephysio  2 ปีที่แล้ว +2

      @Anang prolapse isn't usually caused by fissure, rather it's caused by pelvic floor muscle weakness and tissue stretch. Stage 3 is a moderate prolapse. The research suggests mild to moderate prolapse can be improved with Kegel exercises. Unofrtunately no prolapse is fully curable however symptoms can be relieved and the prolapsed tissues can be trained to sit higher in the pelvis with strengthening. The other option is to speak to your doctor about trialling a support pessary to hold up the prolapsed tissues while you are training your pelvic floor muscles too. I hope this gives you some direction for future management Anang, all the best

  • @mom2blessings_sadie
    @mom2blessings_sadie 3 ปีที่แล้ว

    I've had 7 kids and I have always suffered from vulvar veins which has made urine control harder during pregnancy will kegels help during and after pregnancy even with the pressure of my veins

  • @carolsis6765
    @carolsis6765 2 ปีที่แล้ว +2

    Can it help on rectal prolapse mam

  • @RehanaKhan-fr6nj
    @RehanaKhan-fr6nj 9 วันที่ผ่านมา

    Hi my eurologist advised me to have surgery for a prolapse bladder n part of my rectim its very uncomfortable had this problem for over 15 years im mow 78 im scared dr said thell have a mesh put in

  • @neelamgupta5077
    @neelamgupta5077 3 ปีที่แล้ว +1

    Kya in exercise se proleps thik ho jayega

  • @secretrecipe9700
    @secretrecipe9700 ปีที่แล้ว +1

    Is it counter-productive to do Kegels breathing IN? Because, I find it much easier to do Kegels breathing IN. In fact, I lose my co-ordination if I try to do Kegels breathing OUT.

    • @michellephysio
      @michellephysio  ปีที่แล้ว +2

      @Secret Recipe as long as you’re activating correctly and this helps your coordination then this shouldn’t be an issue, cheers! 🙏 ❤️

  • @abdullahsaeed3312
    @abdullahsaeed3312 4 ปีที่แล้ว +3

    Mam plz make a video on hard flaccid exercise
    I have visited so many physiotherapist in my city no one have a clue about it plzz help

  • @geyirkamduk8465
    @geyirkamduk8465 3 ปีที่แล้ว

    Can I do this for Prolapse hemorrhoids?????

  • @ev.adelemandagie4589
    @ev.adelemandagie4589 4 ปีที่แล้ว +2

    Many thanks Michell. Will try. I am 75. Can there be a change?

    • @michellephysio
      @michellephysio  3 ปีที่แล้ว +9

      Yes, absolutely Ev. Adele at any age you can train your pelvic floor muscles

    • @ev.adelemandagie4589
      @ev.adelemandagie4589 3 ปีที่แล้ว +3

      Thank you Michele.