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Gluteal & ab strengthening

Posted: Thu Aug 30, 2012 2:10 pm
by Dave
My physical therapist is instructing me in exercises to isolate and strengthen the gluteal and abdominal muscles, in theory, leaving the pelvic floor muscles to rest. Apparently, this is a common approach in treating pelvic floor dysfunction.

However, I do not think that this is going well. In fact, I think that it is causing my pain to flareup.

Has anyone had any success (or failure) with exercises to isolate and strengthen the gluteal and/or abdominal muscles?

Re: Gluteal & ab strengthening

Posted: Thu Aug 30, 2012 11:31 pm
by janetm2
Dave, I can only say not yet. I just started ab work to help keep my pelvis straight since my ligament was cut during surgery and something needs to make up for that.
Janet

Re: Gluteal & ab strengthening

Posted: Fri Aug 31, 2012 1:54 pm
by Karyn
Hi Dave,
:shock:
Could you please ask your therapist for a detailed explanation about how these exercises are supposed to allow your pelvic floor to rest?
Dave wrote:Apparently, this is a common approach in treating pelvic floor dysfunction.
I've never heard of this approach for PFD. Usually, these muscle groups are hypertonic and require lengthening - not strengthening. Do you have muscle weakness in these areas?
What types of exercises is she suggesting?
Kind regards,
Karyn

Re: Gluteal & ab strengthening

Posted: Sat Sep 01, 2012 10:23 pm
by Violet M
Dave, the only core strengthening exercise that I could do for quite a long time after surgery was a modified form of this one:

http://www.mayoclinic.com/health/core-s ... 47&slide=9
http://tinyurl.com/8stpaxl

Instead of keeping the raised leg straight out, I bent it at the knee to put less stress on the pelvic floor. You might be able to do slide 5 and 6 too -- they are fairly easy on the pelvic floor. Now I can do bridges and other things too but it took quite awhile (years?) after surgery. I'm not a big fan of doing anything that flares you up after surgery.

Violet