Pelvic Organ Prolapse and the Role of Physiotherapy in Recovery


Pelvic organ prolapse (POP) is a common condition that affects many women, often resulting from weakened pelvic floor muscles and connective tissues. While POP can be distressing and uncomfortable, the good news is that there are effective non-surgical treatments available, with physiotherapy playing a crucial role in the management and recovery process.

Understanding Pelvic Organ Prolapse:

Pelvic organ prolapse occurs when one or more of the pelvic organs—such as the bladder, uterus, or rectum—descend from their normal positions and bulge into the vaginal canal. This can lead to various symptoms, including pelvic pressure, discomfort, urinary incontinence, and even difficulty with bowel movements. Factors like pregnancy, childbirth, aging, obesity, and chronic heavy lifting can contribute to the weakening of the pelvic floor muscles and the development of POP.

The Role of Physiotherapy:

Physiotherapy, particularly pelvic floor physiotherapy, plays a crucial role in helping women manage pelvic organ prolapse. This specialised form of physical therapy focuses on strengthening the pelvic floor muscles, improving muscle coordination, and addressing any dysfunction in the area. Here’s how physiotherapy can aid in POP recovery:

  1. Pelvic Floor Muscle Training: A skilled physiotherapist will guide patients through targeted exercises to strengthen the pelvic floor muscles. These exercises include kegels, bridges, squats, and various stretches that help restore muscle tone and function.
  1. Biofeedback and Muscle Awareness: Many women with POP have lost the ability to contract and relax their pelvic floor muscles effectively. Physiotherapists often use biofeedback techniques to help patients regain control over these muscles by providing real-time visual or auditory cues.
  1. Breathing Techniques: Proper breathing techniques are crucial for pelvic floor health. Physiotherapists teach diaphragmatic breathing and its coordination with pelvic floor muscle contraction, aiding in better support for the pelvic organs.
  1. Posture and Body Mechanics: Physiotherapists assess a patient’s posture and body mechanics to identify any habits that could exacerbate POP symptoms. Correcting these habits can alleviate stress on the pelvic area and support the healing process.
  1. Education and Lifestyle Modifications: Patients receive education about factors that contribute to POP, including weight management, proper lifting techniques, and maintaining regular bowel habits. Lifestyle modifications can significantly reduce the risk of recurrence.
  1. Manual Techniques: Physiotherapists may use gentle manual techniques to release tension and improve muscle function in the pelvic floor and surrounding areas.

Benefits of Physiotherapy for POP:

  1. Non-Invasive: Physiotherapy offers a non-surgical approach to managing POP, making it a preferable option for many women who want to avoid surgery.
  1. Personalised Approach: Each patient’s treatment plan is tailored to their specific condition, ensuring that they receive the most appropriate exercises and techniques.
  1. Holistic Management: Physiotherapy addresses not only the physical aspect of POP but also the psychological impact it can have on a woman’s life.
  1. Improved Quality of Life: Successful physiotherapy can lead to reduced symptoms, improved pelvic floor function, and a better overall quality of life for women dealing with POP.


Pelvic organ prolapse can significantly impact a woman’s life, but with the guidance and expertise of a skilled physiotherapist, recovery is attainable. Through targeted exercises, muscle re-education, and lifestyle adjustments, women can regain control over their pelvic floor muscles, alleviate symptoms, and prevent the recurrence of POP. Physiotherapy offers a holistic and non-invasive approach that empowers women on their journey to better pelvic health. If you suspect you have pelvic organ prolapse, consulting with a healthcare professional, preferably one experienced in pelvic floor physiotherapy, is the first step toward a healthier future.  If you are experiencing POP symptoms, book an appointment with our Pelvic Floor Physiotherapist, Karen   PH 07 38622322.


Written By Karen Jamieson

Physiotherapist – Special interest Pelvic / Women’s Health

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