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Bladder prolapse
I am in 8 th month of postpartum . i have consulted a physiotherapist for the prolapse and attended 30 session. as for my symptom i am having a light ache below on walking and standing and intensity of pain increases with urine filling and on heavy work days
and the pain stops on emptying. on Doing kegels when i try to do contraction my bladder is moving out instead of pulling in and . on checking , one side of pelvic muscle is tight . what exercise can i do to relieve my pain and improve my prolapse
Answers (9)
At 8 months postpartum, bladder prolapse (cystocele) can still improve with appropriate pelvic floor rehabilitation. However, since you have already completed 30 physiotherapy sessions and continue experiencing discomfort, a detailed reassessment is advisable.
The outward movement during Kegel exercises may indicate incorrect muscle activation, excessive bearing down, or poor pelvic floor coordination. Tightness on one side may also suggest pelvic floor muscle overactivity.
Simply performing more Kegels may not help. Treatment should focus on pelvic floor relaxation, correct muscle activation, breathing coordination, and gradual strengthening based on assessment findings.
Pain associated with bladder filling should also be evaluated, as it may not be caused by prolapse alone.
Next Steps
1. Consult a urogynecologist for assessment of prolapse severity and bladder-related symptoms.
2. Visit a pelvic floor physiotherapist for assessment of muscle strength, relaxation, coordination, and possible overactivity.
3. Begin gentle diaphragmatic breathing and pelvic floor relaxation exercises.
4. Practice pelvic floor contractions only after confirming the correct technique, preferably under supervised biofeedback if indicated.
5. Gradually introduce core stabilization, pelvic tilts, and functional strengthening according to symptoms.
6. Discuss pessary support with your urogynecologist if prolapse symptoms persist during standing and walking.
Health Tips
Avoid straining during bowel movements, breath-holding, and heavy lifting that increases pelvic pressure or symptoms.
Do not force Kegel contractions if they cause outward bulging, increased pain, or pelvic pressure.
Maintain adequate hydration, prevent constipation, and take regular breaks during prolonged standing.
Seek prompt medical assessment for burning urination, fever, blood in urine, or worsening bladder pain. Inability to pass urine requires urgent medical attention.
Dr. Abhimanyu Kumar (PT)
Physiotherapist
Maple Physiotherapy
Tagore Garden, New Delhi
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Hey there!
Have you already done gynaecologist examination? Do u have ultrasound reports?
Kindly contact me online will all reports (necessary). So that I can guide you pelvis floor exercises. Yes it is slow and gradual process depending upon the intensity.
Regards
Your physio
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As your muscle is tight on one side the kegels may worse it. For now you have to relax it and do gentle stretching guided by your physiotherapist. Do some diaphragmatic breathing exercises. Avoid heavy objects lifting.
Next Steps
Do relaxing exercises like deep breathing exercises which focuses on core muscles and ask plevic floor physical therapist to do manual release on muscle tension
Health Tips
If you notice further pain or discomfort consult your gynaecologist
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Consult gynaecologist and urologist for better treatment and diagnosis if they suggest kegel exercise for pelvic floor than consult online bcz ur pelvic floor muscles are week and u need to strengthening them by gym ball
Next Steps
Maintain posture avoid heavy lifting
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A mild bladder bulge with asymmetric tightness in your pelvic floor eight months after delivery is common, and it explains why kegels feel wrong. When one side is already tight, contracting harder can push the bladder down instead of lifting it, rather than helping.
Next Steps
Ask your physiotherapist to check for muscle overactivity, not just weakness, since the two need opposite exercises. A pelvic floor assessment with biofeedback can show whether relaxation work should come before more kegels, and a urogynaecologist can grade the prolapse properly.
Health Tips
See a doctor sooner if the bulge feels larger, you can't empty your bladder fully, or the ache gets worse through the day.
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