Why do we need these exercises?

“Use it or lose it”! This message applies to all skills mastered over our lifespan. Our ability to choose a suitable time and place to empty our bladder and/or bowels or 'hold on” as the need arises was a skill we learnt during childhood. The integration of the involuntary and voluntary systems depends on the integrity of the neuromuscular (brain to muscle) connections and the strength of the muscles in order to respond to nature's demands.

As we age, and in some cases because of sickness and lifestyle choices our ability to control these functions weaken, often because we do not see exercise of these important muscles as a priority, perhaps because “I don't have any problems down there”. But prevention is the name of the game and it is wise to be prepared.

The goal is to strengthen the pelvic floor, to allow it to be functionally competent long term, so that one is able to cough, sneeze, laugh, run and lift without the embarrassment of losing any urine, wind or faeces and be able to control any urgency of bowel or bladder.

In the first instance do not try too hard. These muscles are tired with diminished sensory input and “little and often” will be the way to start. Try not to hold your breath or pull in your lower abdomen tightly. Strengthening the voluntary muscles of the pelvic floor requires attention to three key areas, namely…………………………
POSTURE, ABDOMINAL WALL AND PELVIC FLOOR.