The role of Pelvic Health Physiotherapy in supporting recovery following breast or gynae cancer
Recovering from breast or gynaecological cancer is a journey that brings unique physical and emotional challenges. Many women face issues that aren’t often discussed—like pelvic discomfort, urinary issues, or pain during intimacy. These symptoms can result from cancer treatments and can significantly impact your everyday quality of life. Pelvic health physiotherapy can support you on this path, helping you navigate the long-term goals and challenges that may arise once initial treatment is complete.
Why Does Cancer Treatment Affect Pelvic Health?
Breast and gynaecological cancers often require treatments like surgery, chemotherapy, or hormone therapies that affect the body’s hormone levels and muscle tone. These changes can specifically impact the pelvic region. For example, breast cancer treatments may reduce oestrogen levels, while gynaecological surgeries can directly affect pelvic structures. This can lead to:
Vaginal dryness and discomfort
Pain during sexual activity
Bladder control issues
Weakness in pelvic floor muscles
Lower back or pelvic pain
How Pelvic Health Physiotherapy Can Help
As a pelvic health physiotherapist, I have specialised training to help you address the muscles, tissues, and joints in your pelvic area. With a deep understanding of the hormonal and anatomical changes that follow cancer treatments, I work alongside you to develop exercises, techniques, and lifestyle adjustments tailored to your needs. Here’s how pelvic health physiotherapy can support your recovery:
1. Restoring Muscle Strength and Flexibility
Cancer treatment can leave pelvic floor muscles weakened, making it harder to control the bladder or support daily activities. Physiotherapy offers guided, personalised exercises to strengthen these muscles, improving control, support, and stability. Stronger pelvic muscles can also help reduce back pain and promote a healthy posture.
2. Reducing Pain and Discomfort
Hormonal and anatomical changes after cancer treatments can lead to vaginal dryness, discomfort, or pain during intimacy. Physiotherapy uses gentle techniques to increase blood flow, reduce pain, and help tissues regain flexibility. Relaxation exercises or the use of vaginal dilators can also ease muscle tightness and reduce irritation.
3. Improving Bladder and Bowel Control
Bladder issues, like frequent urges or leakage, are common after cancer treatments. I assess your pelvic floor’s ability to support your bladder and guide you through exercises to strengthen these muscles. Lifestyle adjustments, such as fluid management or bladder training, may also be recommended to support bladder health.
4. Supporting Comfort in Intimacy
Discomfort during intimacy is a common yet often unspoken challenge. As your physiotherapist, I can guide you through gentle pelvic stretching and relaxation exercises to make sexual activity more comfortable. I can also help you choose the right lubricants or moisturisers to reduce discomfort and increase enjoyment.
5. Supporting Mental and Emotional Recovery
Cancer affects not only your body but also your mind and emotions. My approach to therapy is holistic, considering the mental and emotional challenges as well as the physical ones, to ensure your recovery is comprehensive.
What to Expect from Physiotherapy
In our first session, I’ll ask about your medical history, cancer treatment, and specific symptoms. This allows me to create a personalised plan based on your needs and comfort level. A typical session may include:
Exercises to strengthen and relax your pelvic muscles and other areas needing support.
Breathing techniques to aid core and pelvic floor function.
Hands-on techniques for relieving tension in your pelvic area.
Lifestyle adjustments, like posture or dietary changes, to support bladder and bowel health.
Seeking Support: You’re Not Alone
If you’re experiencing pelvic discomfort after cancer treatment, know that it’s okay to seek help. Pelvic health physiotherapy can provide real relief, helping you regain control and find comfort in your body. Talking about these challenges can be difficult, but it’s an important step toward feeling more like yourself again.
Physiotherapy is about more than exercises; it’s about holistic care, compassion, and respect for your journey. Recovery from cancer is complex, and everyone’s experience is different. My goal is for you to thrive, not just survive.
