PT wants me to do kegel?

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PT wants me to do kegel?

Postby Whyohwhy » Wed Nov 29, 2017 9:49 am

I am a little confused today. I had my first 2 hour visit with my physio today. She only works with pelvic pain and pudendal nerve pain, so I assume she know what she is talking about. I got a few excercises I should try every day for two weeks to begin with. But one of the excercises are a kegel.....I thought that was a no..no? She sad if I did a kegel then relaxed the bloodflow would rush through the muscle and pelvic and that is what we wanted?
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Re: PT wants me to do kegel?

Postby janetm2 » Wed Nov 29, 2017 3:56 pm

I moved to a different state this summer and started getting treatment with a new PT. She also has me doing Kegels, although it is limited. She said the same about the blood flow and that it can strengthen the muscle. If it hurts I should stop. So far she has said to do them 10 on a row but slowly ensuring I relax fully before doing each individual kegel. I do a set of 10 morning and night. She is very well trained and had a whole presentation on the web she gave at a conference. She did start by explaining that generally Kegels are not recommended as a long term treatment.
Janet
2007-08 pelvic muscles spasms (per colon-rectal dr.) treated by ElectroGalvanicStimulis(EGS). 6/27/10 sat too long on a hard chair- spasms, EGS not work Botox help, spine pain dr cortisone shots in coccyx help, still pain, PT found PNE & sent me to Dr Marvel nerve blocks & MRN, TG left surgery 5/9/11. I have chronic bunion pain started/surgery at age 21. TG gave me back enough sitting to keep my job and join in some social activities. I wish the best to everyone!
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Re: PT wants me to do kegel?

Postby Ray P. » Wed Nov 29, 2017 4:24 pm

When I tried doing Kegels years ago it flared things up.
Please keep us up to date on your progress with them.
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Re: PT wants me to do kegel?

Postby Violet M » Thu Nov 30, 2017 6:39 am

Kegals tighten the pelvic floor and they flared things up for me but I wasn't relaxing the pelvic floor between each kegal. I was sort of in a state where it was pretty difficult to relax the pelvic floor because the pudendal nerve was so irritated and the pain was severe it was kind of an impossibility but if you can relax the pelvic floor, maybe there is some sense behind what your PT is saying. I would say approach it with caution. If it flares things up, my instinct would be not to do them but that's just based on my own experience.

Violet
PNE since 2002. Started from weightlifting. PNE surgery from Dr. Bautrant, Oct 2004. Pain now is usually a 0 and I can sit for hours on certain chairs. No longer take medication for PNE. Can work full time and do "The Firm" exercise program. 99% cured from PGAD. PNE surgery was right for me but it might not be for you. Do your research.
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Re: PT wants me to do kegel?

Postby Whyohwhy » Thu Nov 30, 2017 3:16 pm

janetm2 wrote:I moved to a different state this summer and started getting treatment with a new PT. She also has me doing Kegels, although it is limited. She said the same about the blood flow and that it can strengthen the muscle. If it hurts I should stop. So far she has said to do them 10 on a row but slowly ensuring I relax fully before doing each individual kegel. I do a set of 10 morning and night. She is very well trained and had a whole presentation on the web she gave at a conference. She did start by explaining that generally Kegels are not recommended as a long term treatment.
Janet
.

Same here 10 reps and pause and breathe between each one.....I haven’t dared trying them yet.....just doing the stretches for now...so afraid to make anything worse....u also doing stretches? She also told me don’t avoid sitting and stairs if I do not have any pain....Is kinda the opposit of what I read here on the website
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Re: PT wants me to do kegel?

Postby Violet M » Fri Dec 01, 2017 6:09 am

I don't see any reason to avoid sitting or stairs if they don't cause pain. Maybe you don't want to go running up and down lots of stairs for exercise or sit for many hours at a time if you can avoid it but that's good advice for pretty much everyone.

Violet
PNE since 2002. Started from weightlifting. PNE surgery from Dr. Bautrant, Oct 2004. Pain now is usually a 0 and I can sit for hours on certain chairs. No longer take medication for PNE. Can work full time and do "The Firm" exercise program. 99% cured from PGAD. PNE surgery was right for me but it might not be for you. Do your research.
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Re: PT wants me to do kegel?

Postby janetm2 » Fri Dec 01, 2017 9:59 pm

I and my PT agree with Violet that if the Kegels cause you pain and/or flare you then stop doing them. So sorry I didn't say that before. I may also be in a different place than others. I had PNE surgery on 2011 and have ups and downs but mostly stabilized over time. Currently I have been recovering from the flare-ups from moving across a few states. So I am doing well and just trying to keep from causing a flare and strengthening before they release me from PT so yes doing stretches. I usually do just a few stairs at a time and maybe once every week or two I might slowly do a flight but mostly avoid that! Sitting is limited for me and only with my cushions. Of course with holidays I am trying to enjoy and bring back my family baking and cooking to pass on to my nephew. Luckily my sister in-law is very helpful. Take care and go slow.
Janet
2007-08 pelvic muscles spasms (per colon-rectal dr.) treated by ElectroGalvanicStimulis(EGS). 6/27/10 sat too long on a hard chair- spasms, EGS not work Botox help, spine pain dr cortisone shots in coccyx help, still pain, PT found PNE & sent me to Dr Marvel nerve blocks & MRN, TG left surgery 5/9/11. I have chronic bunion pain started/surgery at age 21. TG gave me back enough sitting to keep my job and join in some social activities. I wish the best to everyone!
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