Finding Relief and Strength: Physiotherapy Support for Pelvic Organ Prolapse

Pelvic organ prolapse is more common than many women realize, yet it is often spoken about in whispers, if at all. It occurs when the muscles and tissues that normally support the bladder, uterus, or bowel become weakened, allowing one or more of these organs to bulge into the vaginal wall. For some, it feels like heaviness or dragging in the pelvis; for others, it may cause bladder or bowel difficulties, discomfort during intimacy, or ongoing pressure that makes daily life harder. The good news is that prolapse can be managed, and in many cases improved, with professional care. One of the most effective approaches is

prolapse physiotherapy, a gentle, non-invasive treatment designed to restore strength and reduce symptoms.

Why prolapse happens

Several factors can contribute to pelvic organ prolapse, including:

• Pregnancy and childbirth – especially vaginal births or deliveries involving forceps.

• Menopause – reduced oestrogen levels weaken pelvic tissues.

• Chronic pressure – from constipation, heavy lifting, or persistent coughing.

• Genetics and ageing – some women naturally have weaker connective tissue.

It’s important to know that prolapse is not your fault. It is a medical condition that can be addressed with the right support.

The role of physiotherapy in prolapse management

At Praxis Rehab Belair, Physiotherapist Sangeeta Sharda offers specialized care for women experiencing prolapse symptoms. Prolapse physiotherapy focuses on improving

pelvic floor strength and reducing downward pressure on the organs. Treatment may include:

• Pelvic floor muscle training – teaching correct activation and relaxation of muscles to provide better support.

• Breathing and posture education – techniques to reduce pressure on the pelvic floor during movement and lifting.

• Bladder and bowel strategies – helping manage constipation, urgency, or incomplete emptying.

• Lifestyle adjustments – advice on safe exercise, lifting modifications, and avoiding strain.

• Support options – guidance on pessary use if appropriate, in collaboration with your GP.

These evidence-based approaches aim to reduce discomfort and improve quality of life without surgery.

What to expect during an appointment

Your first session begins with a detailed conversation about your symptoms, medical history, and personal goals. Physiotherapist Sangeeta Sharda may recommend a pelvic floor assessment, which is always explained carefully and carried out with your consent. From there, she will develop a tailored plan that fits your lifestyle, helping you regain confidence in your body.

When to seek help

If you experience symptoms such as heaviness in the pelvis, a bulge at the vaginal opening, difficulty emptying your bladder or bowels, or discomfort with intimacy, it may be time to seek professional advice. Early intervention can make a big difference in slowing progression and improving daily comfort.

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Final thoughts

Pelvic organ prolapse can feel overwhelming, but you don’t have to manage it on your own. With the support of Physiotherapist Sangeeta Sharda at Praxis Rehab Belair, you can take steps towards regaining strength, reducing symptoms, and feeling more in control of your health. Physiotherapy provides safe, effective strategies that empower women at every stage of life.

References:

Hayman, M., Thornton, L., O'Hara, B., et al. (2023). A scoping study of public health guidelines from around the globe for physical activity in pregnancy. British Journal of Sports Medicine, 57(14), 940-949. https://doi.org/10.1136/bjsports-2022-106216