I wanted to take a moment to talk about Eating Disorders and their potential impact on the pelvic floor. Over my years of treating girls and women with pelvic floor problems, I found a unique set of clients that came for treatment of incontinence and Pelvic Organ Prolapse (POP) diagnosis" that had never been pregnant. Prolapse is common after pregnancy and/or child birth as the pelvic organ support ligaments stretch or tear with pregnancy and delivery. But that"s not the whole picture.
There are actually several reasons someone can develop a POP even if they have never been pregnant or delivered a child. When a person cannot manage the pressure system within their core, it can lead to organ dysfunction and/or organ ligament strain and stretching leading to problems with organ support. Common diagnosis associated with poor pressure management include gastric reflux (heartburn), slow transit constipation and POP diagnosis" like cystocele, rectocele, vaginal prolapse and rectal prolapse to name a few.
So, what are some of those other reasons someone can develop a POP problem then? These include chronic problems such as asthma with frequent sneezing and coughing, chronic constipation with straining to void, engaging in very high impact sports such as trampoline or gymnastics and lifting for a living such as working in a warehouse or a nursing home.
But the group of girls and women I was seeing had something different in common. They were all currently battling or had recovered from an eating disorder.
Eating disorders such as Anorexia, Bulimia and Binge Eating Disorder, affect anywhere from .3% - 6% of the population at any given time. Eating disorders are complex and are beyond the scope of this blog. But if you suffer from any of these; there is help for recovery! You can call or text the National Eating Disorder Association at (800) 931-2237 or go to nationaleatingdisorders.org for more information. There are also local people and agencies that can help closer to home. Know that you are NOT alone.
All eating disorders affect your entire body but those disorders that involve binging and purging can really wreak havoc on your pelvic floor and pelvic organ support. The diaphragm, abdominals and pelvic floor normally work in a synchronous movement pattern for breathing, organ support, voiding and core movement. Of the three core muscle groups, the pelvic floor is often the weakest link. It"s smaller interconnected muscles with openings for the urethra, vagina and rectum make it vulnerable to "giving in" when there is a tug of war so to speak between the muscle groups. When might this tug of war happen in eating disorders? There are actually several, but I want to concentrate on one today. Vomiting.
Actually, maybe not such a trend as one we have borrowed from other food cultures. Have you been to one of the healthy fast-food places and fallen in love with their ...Build-a-bowl: Quick meals with great sauces.
Our Intensive Outpatient program is intended to provide a higher level of care treatment option for adults struggling with an eating disorder. ...Portland DBT Institute- Eating Disorder Intensive Out-patient Program