Question 1

What is perineology?

Accepted Answer

Perineology is a specialty of physiotherapy that focuses on the pelvic floor, a group of muscles and tissues that support abdominal organs such as the bladder, uterus, and bowel. This field primarily treats pelvic floor dysfunctions, which can occur as a result of pregnancy, childbirth, surgery, or certain medical conditions.Problems related to a weakened or dysfunctional pelvic floor include urinary or anal incontinence, prolapse (organ prolapse), pelvic pain, and sexual dysfunction (pain during intercourse, decreased pleasure, etc.). These problems can significantly impact quality of life, and pelvic floor rehabilitation aims to restore proper function to the pelvic floor muscles.

Question 2

What is perinatal physiotherapy?

Accepted Answer

Perinatal physiotherapy is an approach designed to support women before, during, and after pregnancy. It helps prepare the body for childbirth, relieve pain, and facilitate postpartum recovery, particularly through pelvic floor rehabilitation and the management of pelvic or lower back pain.

Question 3

Why do perineal rehabilitation after childbirth?

Accepted Answer

After childbirth, the perineum can be weakened or damaged. Pelvic floor rehabilitation helps strengthen this area to prevent or treat conditions such as urinary or fecal incontinence, prolapse, and sexual or pelvic pain.

Question 4

When to start perineal rehabilitation after childbirth?

Accepted Answer

It is recommended to begin perineal rehabilitation approximately 4 to 6 weeks after delivery, depending on the type of delivery: 4 weeks for a vaginal delivery and 6 weeks after a cesarean section. At Thérapéos, home visits can be offered upon returning home, to support you in the first days of recovery and to assess specific needs before beginning rehabilitation in the office.

Question 5

How does a perineal rehabilitation session take place?

Accepted Answer

During the first session, the physiotherapist will explain how the perineum works and why it's important. Then, with your consent, she will assess the condition of your pelvic floor. Adapted exercises, such as breathing techniques or the use of tools to visualize muscle activity, may be suggested to help strengthen this area.

Question 6

What are the benefits of physiotherapy during pregnancy?

Accepted Answer

During pregnancy, physiotherapy can:Relieve lower back, sciatica, or ligament pain.Prevent edema and improve circulation.Help prepare the body for childbirth by working on breathing and relaxation.Promote better postpartum recovery.

Question 7

What disorders are treated in perineology?

Accepted Answer

The most commonly treated disorders in perineology include:Urinary or anal incontinence.Prolapse (organ prolapse).Chronic pelvic pain.Pain during intercourse.The after-effects of pelvic or abdominal surgery.

Question 8

Are perineal physiotherapy sessions reimbursed in Belgium?

Accepted Answer

Yes, physiotherapy sessions are partially reimbursed in Belgium by mutual insurance companies, based on a medical prescription. In the case of childbirth, your hospital insurance may also cover part of the costs. It is advisable to check with your mutual insurance company and your insurance company to find out the exact reimbursement conditions.

Question 9

How do I make an appointment for a perinatal or perineal physiotherapy session?

Accepted Answer

You can make an appointment directly by contacting us by phone, email or via our online contact form.

Question 10

Can I do physical activities during pregnancy?

Accepted Answer

It is important and advisable to engage in appropriate physical activity during pregnancy. You can consult your physiotherapist for recommendations.

Question 11

How are childbirth preparations carried out at Thérapéos?

Accepted Answer

Childbirth preparation at Thérapéos is provided through individual or group sessions. These sessions prepare you to detect the signs indicating when to go to the maternity ward, manage pain, adopt positions during labor, and learn pushing techniques. We also cover postpartum care and initial exercises, with the possibility of a session dedicated to the perineum.

Thérapéos Brussels

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