Pelvic Organ Prolapse
Pelvic organ prolapse happens when the bladder, uterus or rectum drops and presses into the vaginal wall, and it can feel like heaviness, pressure or a bulge. Pelvic floor physical therapy may reduce symptoms by building support and teaching you how to manage pressure in daily life. We treat prolapse in Chubbuck, Idaho, for patients from Chubbuck and Pocatello.
The main types of prolapse
The name depends on which organ has dropped. Some women have more than one.
Bladder prolapse
A prolapsed bladder, called a cystocele, bulges into the front wall of the vagina.
Uterine prolapse
The uterus slips down into the vagina.
Rectocele
The rectum bulges into the back wall of the vagina and can make bowel movements hard to finish.
What it feels like
Many women describe a vaginal bulge, pelvic heaviness, pulling or the feeling of something falling out. It is often worse at the end of the day, after standing a lot, after lifting or when you strain. Some women also leak or feel they cannot empty the bladder or bowel fully. For leaking on its own, see Incontinence.
Many people are afraid they have done something wrong. Prolapse is common, and it can happen after childbirth and around menopause. Having it checked is a good first step.
What puts pressure on the pelvic floor
Your therapist looks for each of these in your life.
Childbirth
Pregnancy and delivery stretch the supporting muscles and ligaments. See prenatal and postpartum care.
Menopause
Changing hormones can thin the supporting tissue.
Heavy lifting
Lifting at work or at the gym with held breath adds to the load.
Constipation and chronic cough
Straining or coughing repeatedly pushes down on the pelvic floor.
What physical therapy can do
Prolapse symptoms often ease when the pelvic floor, hips and deep core muscles work better together. Our therapists begin with a thorough exam and then build a plan. Pelvic floor muscle training builds strength and endurance, and biofeedback helps you feel what you are training.
If you use a pessary, or you see a urogynecologist, we work alongside them. Therapy is one part of care and may reduce symptoms. Your doctor decides what else you need. The full overview is on pelvic floor therapy.
Everyday skills we teach
Small changes make a difference in how much pressure the pelvic floor takes.
- Pressure management and breathing, such as exhaling as you lift, instead of holding your breath
- Lifting mechanics for groceries, children and workouts
- Bowel habit training, so you do not strain
- A safe way back to exercise, based on your symptoms
- Care before and after prolapse surgery, to prepare and then rebuild
Prolapse questions
Can prolapse exercises make it worse?
Some can, if they put too much pressure on the pelvic floor. That is why we check first, then choose exercises and breathing that suit you.
Will I need surgery?
That is a decision for you and your doctor. Physical therapy may reduce symptoms, and we work with your doctor either way, including before and after surgery.
How long are visits?
Visits typically last 30 to 60 minutes, and the number you need varies. You are re-evaluated regularly.
Do I need a referral?
Idaho allows direct access to physical therapy, so you do not need a referral from a doctor to begin. Some insurance plans, and Medicare typically, may still require one. If you are unsure, call us and we will check your plan.
See a doctor soon if you have
- A bulge you can see or feel outside the vaginal opening
- Trouble urinating or emptying your bladder
- Pain, bleeding or unusual discharge
- Constipation you cannot relieve
We accept most insurance plans and verify your benefits before you arrive. Auto injury liens, Medpay and workers compensation are accepted, and there is a self-pay option. Call the office to confirm your plan.
Prolapse therapy in Chubbuck, Idaho
Call or request an appointment at our Chubbuck clinic. We see patients from Chubbuck, Pocatello and the surrounding area.
We see patients at our Chubbuck clinic from Chubbuck and Pocatello, Idaho.