Multiple sclerosis (MS) is a chronic condition that affects the central nervous system, leading to a wide range of symptoms. One area that is often impacted but not frequently discussed is pelvic floor function.
People with MS may experience pelvic floor dysfunction, which can lead to bladder, bowel, and sexual health issues. Fortunately, pelvic floor therapy can offer significant relief by improving muscle control and overall pelvic health.
MS disrupts communication between the brain and the muscles, which includes the pelvic floor. The pelvic floor muscles support the bladder, bowel, and reproductive organs, and play a critical role in urinary and bowel control, as well as sexual function. For individuals with MS, nerve damage can lead to either weakness or overactivity in these muscles, resulting in issues like:
Pelvic floor therapy focuses on retraining and strengthening the muscles in this region. For individuals with MS, therapy can target both muscle strengthening and relaxation, depending on the symptoms. A physical therapist trained in pelvic health can develop a personalized program to help manage these issues.
Pelvic floor exercises, like Kegels, can improve bladder control by strengthening the muscles that help with urinary retention. A therapist may also use biofeedback techniques to help you better understand and control these muscles.
Therapists can teach strategies to relax and coordinate pelvic floor muscles to make bowel movements easier, addressing constipation or bowel leakage. Manual therapy techniques may also be used to help release muscle tension in the pelvic region.
Pelvic floor therapy can enhance sexual function by addressing muscle tightness or weakness, which may contribute to discomfort during intercourse or reduced sensation.
Because MS is a progressive disease, early intervention with pelvic floor therapy can help mitigate symptoms before they worsen. Working with a therapist early on can help individuals maintain better bladder, bowel, and sexual function for longer, improving quality of life. Regular therapy sessions may also help manage pain and discomfort in the pelvic region.
Pelvic floor dysfunction is a common yet treatable aspect of living with MS. By seeking help from a pelvic health therapist, you can regain control over your pelvic floor muscles and improve your overall well-being.
Elite PT is happy to have a Pelvic Floor Specialist on the team. If you are experiencing bladder, bowel, or sexual health issues related to MS, contact us today to learn more about how pelvic floor therapy can help.