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Consultation

Pelvic floor assessment

An assessment of how the muscles and structures involved in bladder and bowel control, pelvic organ support, internal pressure management and sexual function are working.

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What it is

It is not only about strength: we also look at relaxation, sensation, coordination, protective reflexes (involuntary activation) and pain. We relate these findings to breathing, the abdomen and daily activities in order to guide treatment.

Before we know which techniques suit your symptoms best, we assess the structures with visual and digital examination of the pelvic and abdominal area, complemented by non-diagnostic functional ultrasound. Ultrasound can show muscle behaviour (strength, activation, endurance, involuntary protective reflexes) or support learning contraction, relaxation or bearing down with visual feedback. It does not replace a diagnostic medical ultrasound.

Treatment may include everyday education, therapeutic exercise, training of muscle contraction and relaxation, manual therapy, or equipment (radiofrequency, electromagnetic fields, electrical stimulation and biofeedback, shockwave, among others). Use depends on the assessment, precautions and what is available at each location; not every technology is appropriate for every condition.

Who it is for

  • People with urine or stool leakage, urinary or bowel urgency, pelvic pain, a feeling of heaviness, prolapse or difficulty emptying the bowel.
  • Sexual discomfort: pain with sex, vaginismus, erectile dysfunction, premature ejaculation or Peyronie’s disease, among others.
  • During pregnancy, after birth, or around pelvic, groin or back surgery.

Good to know

  • Any intimate examination is explained before it is done and needs consent; you may decline, postpone or stop it at any time.
  • If symptoms suggest a problem that needs a medical diagnosis, we arrange the appropriate referral.
Step by step

How care works at Traña

  1. 01

    Interview

    We start with a conversation about symptoms, history and goals.

  2. 02

    Physical assessment

    As needed, we assess the abdomen, chest, lumbar region, pelvis and movement patterns. This may include external observation, functional tests and functional ultrasound.

  3. 03

    Intimate examination

    A vaginal or rectal examination may also be done, depending on the case, to add information to the clinical history. We explain its purpose and ask for consent before proceeding.

What we aim for

Goals of care

Identify functional changes, set goals, and decide whether to start physiotherapy or complement care with another professional.

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Where we see you

Frequently asked questions

Before your visit

What people most often ask before booking this consultation at Traña.

Is an internal examination mandatory?

No. It is offered when it can add useful information, and only with your consent.

Should the assessment hurt?

We do not aim to provoke pain. We adapt the examination to your comfort, and you can stop it at any time.

Does functional ultrasound detect disease?

In physiotherapy its purpose is to observe function and support treatment. It does not replace diagnostic medical tests.

What should I bring?

Medical reports, tests and relevant history, if you have them. Preparation instructions are given when you book.

Does this sound familiar? Let’s talk about your case.

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