The pelvic floor is the group of muscles that closes the base of the pelvis like a hammock, supporting bladder and bowel control, posture and abdominal pressure. Childbirth, pregnancy, menopause, long-standing constipation, heavy lifting or ageing can weaken these muscles, or conversely leave them too tense; the result can be urinary leakage, pelvic pain or a feeling of pressure. Pelvic floor physiotherapy assesses these muscles and aims to get them working again through a personalised exercise and habit programme. The kegel many people try on their own often fails because it is done incorrectly or incompletely; the difference here is finding the right muscle first and tailoring the programme to you.
About your physiotherapist
Fizyoterapist Aydın Ali provides one-to-one care for pelvic floor physiotherapy at the clinic in Bursa Nilüfer — in Fethiye Mahallesi, on Kelebek Sokak, at a central point of Nilüfer, opposite the Fethiye covered market.
It is a short trip by car or public transport from İhsaniye, Odunluk, Balat, Özlüce, Ataevler, 23 Nisan and the surrounding areas. Every session is one-to-one, assessment-based and tailored to you.
Pelvic floor physiotherapy is used most often for urinary incontinence, postnatal recovery and pelvic floor weakness. The pelvic floor is not only a women's issue; in men too, a similar programme can be used for bladder control, especially after prostate surgery. The aim is not to replace a decision about medication or surgery, but to provide evidence-based muscle training that is the first step for most people.
The pelvic floor exercise (kegel) is widely described online, but done alone the wrong muscle is often worked: the abdomen, hips or legs tighten while the pelvic floor does not engage. In some people the problem is not weakness but excessive tension, and contracting harder makes it worse. In physiotherapy the situation is assessed first, the correct muscle is found and the programme is built accordingly.
| Kegel on your own | Pelvic floor physiotherapy | |
|---|---|---|
| Starts with | Usually no assessment | Starts with a function assessment |
| Right muscle | Often works the wrong muscle | The correct muscle is found and taught |
| Weak vs tense | Not distinguished | Separated, programme tailored to it |
| Follow-up | None | Progress tracked, programme updated |
At the first visit a history is taken and pelvic floor function is assessed; this is done on a consent basis with attention to privacy, and you are informed at every step. Then you learn to find the correct muscle and to contract and relax it; as strength and control improve, exercises are made progressively harder and carried into daily life (when coughing, standing up, lifting). For urge symptoms, behavioural steps such as toilet and fluid routines are added. Progress is tracked over weeks.
Pelvic floor physiotherapy does not replace a medical assessment. For burning and frequent urination (possible infection), blood in the urine or stool, a palpable bulge or prolapse in the pelvic area, unexplained or increasing pelvic pain, symptoms arising in pregnancy, or fever, you should first see a gynaecologist or urologist. If the assessment reveals something needing a physician, you are referred, and the programme is run in coordination with the doctor.
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Fizyoterapist Aydın Ali · Bursa Nilüfer. Share your complaint; we plan the process together after the assessment.
The assessment and treatment are carried out with attention to privacy and with your consent; every step is explained beforehand and nothing you are uncomfortable with is done. Much of the work consists of external steps such as finding the correct muscle, breathing, posture and home exercise.
It depends on the complaint and the state of the pelvic floor. Many people see the first clear change within a few weeks; keeping the programme regular matters for lasting results. No exact duration or guarantee can be given.
For many cases of stress incontinence, pelvic floor exercise is the first-line treatment and provides clear benefit for most people. The decision about surgery belongs to the physician; physiotherapy is an evidence-based step tried before it.
Breathing and gentle activation work can usually begin early; more demanding exercises and their timing are planned according to the type of birth and your recovery, with physician approval where needed.
For back pain that persists without a clear imaging finding: a programme that looks for the source.
Hands-on techniques applied to joints and soft tissue, combined with exercise for a result that lasts.
A measurement-based, one-to-one strength and conditioning programme supervised by a physiotherapist.
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The appointment form does not ask for health information; details are discussed by phone.
