Pelvic floor physiotherapy

How does pelvic floor physiotherapy work?

Pelvic floor physiotherapy focuses on conscious control of the pelvic floor muscles and improved bladder and bowel control. The physiotherapist assesses muscle function during contraction, provides objective feedback and teaches you how to perform the exercises correctly.

Device-based treatment may be used alongside exercises when needed. One option is transcutaneous posterior tibial nerve stimulation, or TPTNS.

Tibial nerve stimulation — TPTNS

Transcutaneous posterior tibial nerve stimulation (TPTNS) is a procedure that uses electrical stimulation to influence the nervous system and improve bladder and bowel control.

During the procedure, electrical impulses stimulate the tibial nerve, which is connected through nerve pathways to the regulation of bladder function. Treatment may help improve control over bladder muscle contractions and reduce involuntary urine leakage.

The physiotherapist teaches you how to carry out the TPTNS procedure.

Contraindications to TPTNS

TPTNS treatment is contraindicated if you:

• Have a pacemaker or an implanted defibrillator
• Have an increased tendency to bleed
• Have peripheral nerve damage
• Are pregnant or planning to become pregnant during treatment
• Have a diagnosed malignant tumour
• Have metal implants in the treatment area

The procedure should not be performed during menstruation, when you have a headache, during an acute illness or a flare-up of a chronic condition.

Before your appointment

Please arrive 15 minutes before your scheduled appointment to check in at reception.

If you are unable to attend, please let us know in advance by calling 626 1314 or emailing tyhistamine@keskhaigla.ee.

TPTNS procedure guides

• Tibial nerve stimulation guide in Estonian (PDF)
• Tibial nerve stimulation guide in Russian (PDF)

Explore other services offered by the Rehabilitation Centre, including physiotherapy, massage for adults and the health assessment package for recreational athletes.