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Hello, I am an utter twat who has not helped her pelvic floor and now needs a sense check (please)

31 replies

Aveena · 23/03/2021 16:20

Spent two years under women’s physio following a fair bit of damage from two births. Discharged early last year. Have a Neurotrac console and probe to use at home that I had to get when seeing the physio.

Have I used those as much as I should? No. Am I an absolute and utter twat? Yes. Should I have paid special attention to all of this given my natural ability to do ‘normal’ PF exercises without the Neurotrac has always been shit anyway? Also yes. So I let the routine lapse during lockdown and now I’ve got a slight prolapse again. Back wall as well as front this time, just to really give me a well deserved kick up the arse.

Have seen lovely GP who has said to crack on with PF exercise programme as I should be doing and things should improve again. Fine. Problem is maintaining overall fitness. I carried on running all through physio, with their blessing, and because things were going in the right direction. I’ve just started back up running after three months off, and my other preferences are HIIT and other high impact cardio. With the state of my fanjo right now I’m too shit scared to do any of that but I do still need to sort my fitness out as well. This is where I need the help right now. Rough plan is:

Swim (obviously when the pools reopen. Don’t enjoy it that much and crap at, it but aware it can really help)
Cross trainer - do enjoy this more. Lower impact than running but have seen conflicting advice about how to use it with PF issues
Pilates but only the stuff that’s good for PF and not the hundred etc - can anyone please point me in the right direction here? 🙏
Walk a lot.

Any sense check on this much appreciated. Feel like a right muppet today.

Also a PSA to anyone who is still under the impression that if you can use a trampoline without leaking wee, you’re automatically in tip top condition. Oh, how wrong I was. Someone tell me they’re now talking about all this in more depth in antenatal classes or wherever? I was so clueless about how much there actually is to it when I was first referred to physio after damage with DC2.

OP posts:
Aveena · 23/03/2021 19:15

Hopeful bump for the evening crowd.

OP posts:
User97531 · 23/03/2021 19:26

Nothing to say to help but I'm in a similar position with looking for ways to be active as like you've said running doesn't feel like an option. Would be interested if anyone has any recommendations. As an aside no I don't think it's discussed enough during pregnancy. I also was totally under informed until it was too late. DC1 now 3. Just had DC3.. waiting for physio and urogynae apts now.

Pinkclarko · 23/03/2021 19:33

I was exactly like this after two kids fairly close together and the weird bearing down feeling as well as overall weakness surprised me so much as I’d gone to the gym throughout both pregnancies and done my pelvic floor throughout-however, if it’s gonna stretch, it’s gonna stretch and for me the only solution was just to start doing them again. Now I do them at certain times of the day (morning brew for long ones, dressing kids for bed and general wind down time for short ones). Honestly it’s so much better-you don’t have to do millions, just be relatively consistent and don’t let more than two days lapse or you just won’t bother. It’s about training your brain as much as your pelvic floor I think. It’s totally worth it, change is not dramatic but it’s significant. Best of luck with it!

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Pinkclarko · 23/03/2021 19:36

Abs forgot to say- yes exercise sounds good. Once I felt confident I started to do body weight squats whilst engaging PF. Not really for the legs particularly but because it helped train the pelvic floor under greater load which is what you will need when returning to higher impact stuff. Don’t rush and treat your body like it’s in rehab. I feel like I could get back to the weights now!

Doyoumind · 23/03/2021 19:37

Your post scares me OP. I haven't looked after my PF and worry this will be my story soon minus the exercise concerns as I'm unfit and unhealthy

FruitBadger · 23/03/2021 19:44

Pilates by Georgia.

NHS & private physio, women's health trained and a fab Pilates instructor. Just evil enough to push you (she's also looked after the players at Guildford Rugby Club) but very mindful of what is and isn't safe. She teaches I'm person (under normal circumstances) near Guildford, but has lots of recorded and live classes on her website. 10 day free trial and she will do a personal plan for you telling you which classes to do and on what order, and she'll do that whilst you're still in the free trial period too. She also likes Gin Grin Can you tell I'm a fan? She's fab!

www.pilatesbygeorgia.com/

ShirleyPhallus · 23/03/2021 19:59

Look at “ourfitfamilylife” on instagram, she has SO much content on pelvic floor stuff, really useful

DoThePropeller · 23/03/2021 20:04

When you can, take a look at hypopressives and see if you can find a local teacher, it’s don’t wonders for my pelvic floor (and waist!).

Scrunchies · 23/03/2021 20:05

@Aveena you said you were clueless - would you be kind enough to explain to those not there yet/ earlier what you have learnt?

I’ve only had 1 DC but bad birth, tears, forceps etc and long pushing stage.... already having problems and the nhs physios during covid have been utterly despicably shit. Is there any advice you would give? It’s not too bad now but I’m guessing could be in the future...

Happyrascalsmummy · 23/03/2021 20:05

You could try low impact HIIT, there isn't any jumping around so it's more PF friendly. I use Fiton and there are low impact classes on there that you can stream for free.

Suite88 · 23/03/2021 21:05

I'd also recommend Pilates by Georgia. I pay £10 a month for the online subscription and the classes are fantastic.

I'm not a runner but I've recently been reading 'Why Did No One Tell Me?: How to Protect Heal and Nurture Your Body Through Motherhood' by Emma Brockwell. She is a pelvic health physio and runner. The book has a whole chapter on running and pelvic floor issues.

Aveena · 23/03/2021 21:39

Amazing suggestions here and exactly what I was looking for. Thanks so much. Can always rely on this place 🙌 Will sit down and make a list of them all (and Google hypopressives).

I’m booked for two 10ks (at absolute snail’s pace) in autumn, and if those go ahead it’s going to crush me if I feel I can’t do them then. I’m willing to change tack completely on exercise to help get this sorted, though. It’s really not a good feeling, physically or mentally. I feel guilty for not keeping up as I should have done and worried about making it worse. But it can be helped and these pointers will really contribute!

What I’ve learned... I mean, I really didn’t pay much attention before I had kids. I knew about kegels etc and very half arsedly did them occasionally, but tbh all I ever heard about was women having ‘oops moments’ (Tena ‘cuteness’ Hmm) jumping around on trampolines or just laughing or sneezing too hard. And that wasn’t me, by any stretch, and I didn’t have any problems with urgency or anything else, so I just drew the conclusion that my PF was fine as-was and I didn’t need to do anything. Even when I’d had the DC and the midwives mentioned it on the postnatal ward, I did the exercises but as soon as I felt back to normal, once again I thought I was good to go. I just thought it was all about not pissing yourself and if you weren’t doing that, you were fine. After DC1 (no physio then), I ran happily and jumped around on bouncy castles when my friends couldn’t.

When I had no issues with urgency or leakage after DC2, I rocked up to that physio expecting a cursory examination, couple of questions, out the door. Nope. I mean, I’m not sure I’d even been aware women’s physios are a thing - I think if they’d been on my radar I’d just assumed they were for women who had really serious issues. Never in my life would I have predicted I’d need two years of treatment. I just didn’t have any signs I knew to recognise.

I’ve been a twat letting my PF slide (pardon the semi-pun) but I’m well-educated and not very dense overall, and whereas having had it all explained a lot does seem like common sense, it really never had been explained before beyond the Tena ad-level. I just didn’t know how wrong the mechanics could go beyond needing a panty liner. If I’d not had an injury from giving birth and therefore the physio then I think I’d still be ambling about in ignorance now. Well, maybe close to now because things definitely don’t feel right at the moment and I’d have been knocking on the GP’s door in slight panic.

But if I’d started struggling out running (I keep using that word - I do mean lolloping around like a cow stuck in treacle), I’d probably have started doing more kegels and just resigned myself to Tena liners because ‘that’s the way it goes’, and it isn’t, or shouldn’t be. And then I’d have presumably got to menopause and all my insides would try to exit via my vag and I’d have had no idea what was happening or why, and then it might have been too late. Some women will get hit with it harder than others and all the effort in the world won’t stop more serious interventions being needed, but that doesn’t have to be the case for most.

I don’t think there’s enough education early enough on.

If you’re postnatal (especially if you’re postnatal), and you a) aren’t sure you’re doing the exercises correctly and effectively or b) think things have changed down there at all about strength or letting out a bit of pee or that fart you meant to hold in, I’d implore you to ask for a physio referral or find a local one privately or I don’t know, buy one of the new Neurotrac-esque-but-more-appealing-and-less-expensive-gadgets. Something with bio feedback. And if you’re not doing exercises at all then start, just start. Get the NHS Squeezy app. Don’t be like me!

OP posts:
Aveena · 23/03/2021 21:42

Scrunchies I’m so sorry you’re having a rough ride. A friend has recently started physio at our local hospital and they’re seeing her in person. Have you only had remote consultations? It might be worth asking if you can be re-referred to another hospital? I really do think in-person is invaluable in circumstances like that.

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1wokeuplikethis · 23/03/2021 21:58

Sorry you’re going through this OP but thank you for the nudge as I also have a very weak pelvic floor. I run and just accept that I wee and wear pads but I’m 35 so I shouldn’t just accept that ‘this is it’. Signed up to Georgia off the back of this so fingers crossed.

Aveena · 23/03/2021 22:03

1wokeup bloody good on you - good luck Smile

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minipie · 23/03/2021 22:18

Thanks OP, you have a convert. I was in the “I can trampoline and not wee, so I must be fine” camp until just now. I think I’ll go get myself checked. There’s an excellent women’s physio up the road... I think I’ve just been avoiding going in case they tell me it’s all shot up there...but if it is it’s better to know now.

YouWereGr8InLittleMenstruators · 23/03/2021 22:20

I walk lots and cycle. Swam prior to covid. PF defo not helped by running, so I don't. Losing weight seemed to be the most beneficial thing; I remember noticing a difference after just a few kg.
Also, time does heal. Up to 2 years postnatally, I was often aware of a 'heavy' feeling in my pelvis and suspected a budding prolapse. Keeping up moderate exercise and weight in check plus the passing of time since most recent birth has definitely 'settled' that loose feeling.

Escapetothecounty · 23/03/2021 22:55

Hi OP. I'm totally with you. Was very active pre-children (running sport), had 2 easy pregnancies and vaginal births, did kegels through both pregnancies. So was totally shocked to have the bearing down/prolapse-y feeling after second birth. NHS was useless (phone appointment with a physio which never got arranged) so I went to a private gynae who said I didn't have a prolapse and things will improve with time and after breastfeeding. But I can definitely feel a difference from pre-birth so really should get to a women's health physio.

I started follow a few on Instagram (Helen Keeble is great) and was astounded at the wealth of information that isn't passed on to women in pregnancy about pelvic floor care. It's shocking really how uninformed most of us are.

Escapetothecounty · 23/03/2021 22:56

Actually I forgot to say what I originally wanted to mention! I bought a spin bike and use the Peloton app which is amazing for high intensity cardio with no impact. I'm addicted now.

StillMedusa · 24/03/2021 00:46

I had a triple prolapse (bowel, bladder, vaginal) and though 'mild' (it didn't feel mild!) I was told never to run/jog again..in no uncertain terms. I've now had a hysterectomy but the bladder and bowel will always be a bit flopped and again was told NO running. It's just no good for knackered pelvic floors :(

Swimming , walking, yes!

sunnysidegold · 24/03/2021 06:07

My PF advice was "make sure you do your PF floor exercises" after I'd had a difficult birth with third degree tear and about twenty stitches. I just nodded and went on my merry way. When back at work (primary teacher) I soon realised that I was wetting myself and buying tena lady pads at thirty and this should not be the case.

GP referred me for physio and it really helped. But now I've put on some weight, not really worked on the exercises and at forty I am now suffering again.

I bought a perifit pelvic toner gadget which is showing that I'm making progress but now it says I'm not doing to squeezes right so I'm kind of baffled.

Thanks for the Instagram and Pilates tips,I'll look into those.

1990s · 24/03/2021 08:06

I’m not even pregnant yet and love running, would anyone give me some tips about how I can try to prevent issues beforehand?

Zoink · 25/03/2021 20:16

Anyone heard of perifit?

Themadcatparade · 25/03/2021 20:31

Pelvic floor is always something you can strive to get strong again, I wouldn’t worry too much it just takes time!!

I started with kegal weights to do my pf’s with probably just over a month ago after feeling a funny weak sensation down there and a bit of leakage. I feel much stronger now I was really surprised (particularly in the bedroom Grin ) so will be continuing these in the long run

Aveena · 29/03/2021 20:15

@sunnysidegold a lot of similarities shared. I cannot stress this enough - get to a women’s physio. They’ll put you right with doing the exercises correctly. There’s zero point putting in all the time and effort if you’re not doing them properly (I do feel for you - I’m not one it comes naturally to!).

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