Summary
Conservative management of pelvic floor dysfunction (which includes pain with and without urinary symptoms, and incontinence problems) has a 30–70% success rate. Traditionally, the conservative management approach has addressed the pelvic floor from the point of weakness or excessive tone. A nuance of the pelvic floor that has not been previously addressed with pelvic floor therapy is the concept of a shortened pelvic floor. A shortened pelvic floor can appear weak and there may be excessive tone. But there is a point where the increased electrical activity abates and the pelvic floor is left in a shorted state.
The primary goal of pelvic floor therapy is control and coordination of the pelvic floor musculature with strengthening being a secondary goal. To treat a short pelvic floor, the clinician must first recognize the condition and then appropriately treat it. Once the length of the pelvic floor is normalized, the primary goals of control and coordination can be achieved setting the foundation for strengthening.
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Kotarinos, R.K. (2008). CP/CPPS Pelvic Floor Dysfunction. In: Potts, J.M. (eds) Genitourinary Pain And Inflammation. Current Clinical Urology. Humana Press. https://doi.org/10.1007/978-1-60327-126-4_20
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DOI: https://doi.org/10.1007/978-1-60327-126-4_20
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