the pelvic floor
what it is and why it can weaken
There pelvic floor rehabilitation it is a therapeutic path aimed at restore the correct functioning of the perineal muscles, improving urinary and fecal continence, pelvic organ support and quality of daily life. Through specific exercises, manual techniques and instrumental treatmentsPelvic floor rehabilitation helps women recognize, perceive, and better control this region of the body, which is often little-known but fundamental in the various stages of life, from pregnancy to menopause.
The perineum is an anatomical region that closes the inferior part of the small pelvis and is made up of muscles, connective tissue, subcutaneous tissue, and skin. The pelvic floor represents the deepest muscular part of this area and supports the bladder, uterus and rectum, contributing to the maintenance of continence, sexual function and pelvic stability.
Throughout a woman's life several factors can weaken or stiffen the pelvic floorPregnancies and vaginal births, surgery, menopause, heavy work, high-impact sports, but also a sedentary lifestyle and excess weight. When these structures become unbalanced, urinary leakage during exertion, a feeling of pelvic heaviness, pain or discomfort during intercourse, and even true chronic disorders can occur.
In this framework, the pelvic floor rehabilitation It represents a conservative and targeted approach, aimed at restoring adequate muscle tone and better coordination, reducing symptoms and improving general well-being.
which ones are
Disorders treated with pelvic floor rehabilitation
The rehabilitation program is indicated for numerous functional disorders of the perineal area.
The most common conditions include:
- stress, urge, or mixed urinary incontinence
- fecal incontinence or difficulty controlling gas
- pelvic organ prolapse (anterior, middle, or posterior compartment)
- dyspareunia and pain during sexual intercourse
- chronic pelvic pain, vulvodynia, vaginismus, vestibulodynia
- postpartum or post-surgical scarring
In the presence of hypotonia the work focuses on strengthening the muscles, improving support and containment; in case of hypertonia Instead, we focus on relaxation and reducing contractures. In both cases, the goal is to restore the pelvic floor to functional balance, reducing the impact of the disorders on daily life.
Techniques and treatments used
how a rehabilitation process takes place
Pelvic floor rehabilitation begins with a thorough assessment. Dr. Flavio Mattace Raso collects your medical history, investigates any reported complaints, and evaluates your muscle tone, posture, breathing, and lifestyle habits. This phase allows us to develop a program. personalized, calibrated to the needs and objectives of the individual patient.
The sessions include:
- clinical interview and simple explanation of pelvic anatomy;
- awareness of the perineum, to learn to recognize its contraction and relaxation;
- guided exercises on the table and in functional positions (standing, sitting, during daily activities).
This in-studio work is supported by a home program, with exercises to be performed independently to consolidate the results obtained over time. pelvic floor rehabilitation It is an active process: the patient's constant participation is essential to maintaining improvements in the long term.
Different techniques can be used during the sessions, chosen based on the clinical picture and the patient's response:
- Biodynamic massages and self-massage to reduce tension and improve tissue elasticity;
- Diaphragmatic and thoracic breathing exercises, to coordinate breathing and movement of the perineum;
- Perineal kinesitherapy, with targeted muscle strengthening or relaxation exercises;
- Visual biofeedback, useful for increasing awareness of movements and optimizing contraction;
- Instrumental treatments such as
radiofrequency and radioporation, which support muscular work by improving vascularization, tone and elasticity of the tissues.
The combined use of manual therapy, exercises, and supportive technologies achieves a synergistic effect: the tissues improve trophism and circulation, while the patient acquires practical strategies to apply during coughing fits, physical exertion, work, or sports activities.
Benefits of pelvic floor rehabilitation
The benefits of pelvic floor rehabilitation they concern both the physical and psychological spheres.
The main objectives include:
- reduction or disappearance of urinary leakage;
- better urinary and anal sphincter control;
- decreased sensation of heaviness or “foreign body” in the vagina or anus;
- reduction of chronic pelvic pain and improved comfort during sexual intercourse.
A more balanced pelvic floor also contributes to a more harmonious posture and a better sense of body awareness. Rehabilitation, if undertaken consistently and guided by an experienced professional, helps restore a more free lifestyle, reducing the impact of disorders on work, social, and relationship life.
VISITS AND APPOINTMENTS
Contact us to start a personalized pelvic floor rehabilitation program.
At the studios of the Dr. Flavio Mattace Raso In Milan and Melegnano, pelvic floor rehabilitation is integrated into a context that considers the patient's gynecological, obstetric, and general history. Collaboration between the gynecologist and midwife allows for targeted treatment planning after pregnancy and childbirth, during menopause, or in the presence of specific pelvic pathologies.
Each treatment plan is clearly explained, with information on the duration of each session, frequency of appointments, and the patient's active role in maintaining the results over time. The goal is to guide women on a progressive, realistic, and sustainable journey that focuses on perineal well-being and quality of life.
Milan LambrateLocated at Via Ronchi 8, on the mezzanine floor, opposite the train and metro station exits. The property is accessible for disabled guests.
MELEGNANO CENTER, in Via Castellini 63, staircase F, on the ninth floor, with three elevators and easy access.
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