Interstistial cystitis, also known as IC, is a chronic bladder problem affecting mainly women. The bladder wall becomes inflamed and causes immense pain in the pelvic area. Patients describe the pain as like razor blades cutting their bladder or painful burning, like red hot pokers stabbing the pelvic region. No cure has been found for IC, but treatments can help minimize the pain associated with the disorder.
Pelvic Floor Muscles
Pelvic floor muscles are shaped like a sling and are located at the bottom of the pelvis. These muscles are attached to the sacrum and the tail bone and support your bladder, urethra and rectum, among other pelvic organs. The pelvic floor muscles help control the contraction and relaxation of the bladder and bowel movement functions. Muscles in patients with IC will be tight and might spasm, sending pain to the bladder, thighs, buttocks and lower stomach area. Different physical therapy techniques can help alleviate tight pelvic muscles.
Physical Therapy
In severe cases, a trained physical therapist may be needed. They may provide a medical massage to the pelvic area, or trigger-point therapy where knots or trigger points cause pelvic pain. When these knots or trigger points are found, pressure is applied till the knot relaxes. The therapist will also show you Kegel exercises that strengthen and stretch the pelvic area. With Kegel exercises you tighten your pelvic muscles while sitting in a chair for 10 seconds, release, and do again for a set of 5-10 repetitions. You may do this 2-3 times a day.
Biofeedback
Biofeedback is a way to find out which muscles need to be exercised in your pelvic region. Electrodes are placed in different areas of your pelvis and in some cases probes are inserted into the vagina or rectum. These electrodes and probes can sense how tense or relaxed the pelvic muscles are. The results show up on a computer screen. The results tell you what areas you need to focus on to help stretch and relax certain muscles.
Support
Interstistial cystitis can be a painful and emotionally draining condition. Find support groups with people who have the same condition. Being able to share your experiences and support of each other can be very helpful. The ICN network is one place to start.
Tags: pelvic area, pelvic muscles, floor muscles, Interstistial cystitis, Kegel exercises