Fibromyalgia and pelvic floor disorders: incontinence, frequency, urgency, prolapses

“There’s a one in three chance that any woman reading this book has a secret: incontinence- the problem of being unable to always control her waterworks”, Pauline chiarelli

This knowledgable  Australian physiotherapist writes about such issues as incontinence, frequency, urgency, prolapses and bowel issues, all concerns of people with fibromyalgia. I highly recommend searching for her books and articles regarding  pelvic floor disorders (PFD). I have only recently become aware of  these issues and frankly I have become absorbed with the research and ‘aha’ moments I have experienced. Many have written to me privately and asked about PFD and I have to confess I did not pay much attention to the topic until now. Another very informative book I laughed so hard I peed my pants! written by Kelli Berzuk, also a physiotherapist (Canadian) is replete with information  and techniques for working with PFD . It is extremely useful and well written, outlining the many factors which lead to these conditions, among them childbirth, menopause and aging, covering the broad spectrum of women’s hormonal cycles.

Kari Bo’s  (written with others) work is also helpful  as is her book which is evidence based.

The utube pelvic floor exercises of Michelle Kenway and her book Inside Out has added to this research.

It appears that physiotherapists have become leading experts on treatments for PFD, or at least have produced the most  ’how to live  and work with’ videos and books.I was fortunate to find a remarkable physiotherapist locally who is expert in PFD, Stella Roy, and I owe much to her and my research which is both personal and academic.

While there is little written about the actual cause of fibromyalgia and its relationship to pelvic floor disorders (PFD), it stands to reason that given our lack of muscle endurance, difficulties with irritable bowel (IB), inability often to keep up with the exercising needed for muscle toning and stress in general we would be prone to various conditions involving the pelvic floor. It is said that the pelvic floor is the most disregarded area exercised. There can be little doubt that as more women (and men who also suffer from many of these conditions) speak openly about these topics which many might consider shameful to discuss there will be an openness about pelvic floor disorders.

Because each of the above mentioned topics are often related, but can differ somewhat, they deserve separate blogs, along with the issue of ‘vaginal atrophy’. So, stay tuned for more and I invite comments from readers as the discussions should prove interesting! As one expert has said it is all about “the bits below the belt” and should be openly discussed, since it is believed that 1/4 of all women will eventually have a pelvic floor disorder. Even more importantly it becomes necessary to remember what I have written elsewhere about the cause of fibromyalgia and the ways in which we can change our brain and work with the various issues that affect our bowel, bladder and uterus!

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