Pilates for Prolapse

Although there are few research studies to show that a prolapse of the bladder (cystocele), rectum (rectocele), or uterus can be reversed through exerises, many of our clients have reported a significant decrease in the awareness of their prolapse after doing physical therapy with pilates. While much of the tissue type and quality of the ligamentous support of these organs is genetic, a person's posture and "core" strength can lead to decreased support leading to further proplapse.

Strengthening of the pelvic floor muscles and postural exercises can be very helpful in the prevention of the prolapse worsening. One of the primary functions of the vaginal/ pelvic muscles is to support the suspended organs. Weakness in the "core": the deep spine, abdomen, and pelvis, can lead to decreased support of the organs in the pelvis. Postural dysfunctions, specifically flattening of the curve in the lower back, can lead to what therapists call a "Posterior Pelvic Tilt". A Posterior pelvic tilt shifts the position of the pubic bone upward, therefore, no longer acting as a boney support for the bladder to rest upon. Without this boney support, more strain is placed on the ligaments that suspend the bladder and uterus. Physical therapy in conjunction with therapeutic pilates (by an instructor who truly understands the anatomy of a prolapse) can be very helpful.

If you are considering a prolapse repair surgery, physical therapy with a specialized pilates program may be able alleviate the need for surgery. Even if surgery is eventually needed, we believe that those who have therapy prior to prolapse repair may have faster healing time and better recovery secondary to the improvement in the pelvic floor strength and circulation during therapy. Either way, physical therapy is proving to be helpful.
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