Orthopedics and traumatology

How to educate boys and girls to take care of their pelvic floor


Do you have little boys and girls? What would you think if we told you that you have to instruct them in the acquisition of good eating habits or child hygiene? Surely it seems to you that I would not miss or insist, it is something logical! But what if we insist that you educate children to take care of their pelvic floor? Find out what consequences it can have for your future health not doing it.

The pelvic floor or perineum is a set of several layers of muscles, ligaments and membranes shaped like a 'hammock' that extend from the posterior aspect of the pubis to the coccyx.

Its function is the continence of urine, feces or gases. Keeps the uterus, bladder and rectum in a correct position. It also intervenes in sexual intercourse, which helps when trying to get pregnant. It is also very important to achieve a good posture and its correct function helps to improve lumbo-sacral pain.

When we talk about the pelvic floor, we tend to think of women, especially during pregnancy or postpartum and We seem to forget that men also have a pelvic floor and must take care of it.

The reality is that we are the female public who are at the highest risk of suffering pelvic floor problems, due to our anatomical peculiarities. In women, the perineum has three holes: one for the urethra, one for the vagina, and one for the anus, and this makes it more fragile.

Ideally, we should instruct our children to take care of their pelvic floor from a young age. This way we could avoid future problems, especially if they practice impact sports for the pelvic floor, such as basketball, tennis, or various athletic disciplines.

Repetitive microtrauma caused by jumping, or increases in abdominal pressure that may arise from performing certain exercises, such as the typical abdominal crunch, can distend the perineum and cause weakness.

If proper training is not performed and good daily pelvic floor care habits are not followed, urinary leaks could begin to appear. These are much more frequent than we imagine in young girls, elite athletes, due to the intensity and frequency of their workouts.

Urinary incontinence is the most common consequence of a perineum in poor condition. There is a loss of urine ranging from a few drops to a larger amount. There are several types of incontinence, but the most common and most easily preventable is stress incontinence. In this, if there is an increase in intra-abdominal pressure such as coughing, laughing, sneezing, jumping, it is when the involuntary leakage of urine occurs.

One of the most important tips that we should adopt from children to avoid pelvic floor problems is to fight against constipation. Proper hydration and nutrition, which includes a good amount of fruits and vegetables, prebiotics and probiotics, is very important; as well as avoiding processed products and soda, something that will help fight obesity, which is another risk factor for the pelvic floor. Its presence increases incontinence and prolapses.

A prolapse is the fall or descent of an internal organ. It happens in the bladder or uterus, where these viscera descend from the pelvic cavity into the vagina or into the rectum, where this final part of the intestine runs down the rectum. There are several degrees, depending on how much content falls.

If the intestine is full of feces, it will have less mobility, it will weigh more, it will have to withstand more effort on our part when trying to evacuate and with the passage of time the perineum muscles will weaken, even causing incontinence or discomfort lumbar.

Another recommendation that we must make from a young age is to avoid holding back the urge to go to the bathroom, or going but we still have the feeling that we must. Holding out longer can even promote infections. Going before noticing the sensation can make the bladder think that even if it is not full, it should evacuate. This could lead to an overactive bladder over time, which would make you want to urinate without being full. It helps to ask children when they have gone to the bathroom, or if they feel like going.

It is also important not to squeeze when we urinate or defecate. Sometimes we do it to finish earlier, but in the bathroom we should not be in a hurry. In addition, by doing this, we do not favor the relaxation of the sphincters, but quite the opposite.

Another thing that is usually done without being conscious is to block the breath while pushing. Both of these things (squeezing and blocking the breath) stretch and weaken the pelvic floor muscles. Here the diaphragm and abdominal contents descend and push forces towards the perineum, which receives too much pressure, especially in the anterior part which is weaker.

Finally, since we are children they should teach us to adopt a good posture when going to the toilet. Our body is prepared to defecate in a squatting position. Since we no longer do this, we must help the puvorectalis muscle relax to allow stool to pass. When sitting on the toilet, this muscle does not fully relax, as it would in the squatting position. The simple gesture of helping to increase the flexion of our hips with a bench located on the floor will make it relax and facilitate evacuation.

Our trunk must be upright, and often what we do is bend forward. If the child cannot put his feet on the ground, we should make it easier for him with a high stool. We will remember not to hold your breath to evacuate and we can tell you if you need it, to help each other by blowing, but without apnea.

Remember, educate your son and daughter to take care of their pelvic floor. They will thank you when they are older.

You can read more articles similar to How to educate boys and girls to take care of their pelvic floor, in the category of Orthopedics and on-site traumatology.

Video: Pelvic Floor Exercises Introductions (September 2020).