{"title":"Pelvic-floor Rehabilitation","content":"**Pelvic-floor rehabilitation helps you regain control of the pelvic muscles in the event of leaks, after childbirth, for pain during sexual activity or following prostate surgery. At the Pôle Equilibre & Santé practice in Dudelange, it is available to both women and men, regardless of age, in a progressive, respectful approach informed by current evidence.**\n\n## How do the sessions go?\n\nThe first appointment is mainly educational: the physiotherapist shows you where this muscle group is located, how it acts, and gives you some lifestyle guidelines. Next comes an assessment that precisely targets the programme, then the sessions adapt as you progress and the goals defined together. A few exercises to do at home support progress.\n\nThe practitioner relies on complementary tools:\n\n- **manual work**, to measure and direct the contraction and relaxation of the muscles in turn;\n- **biofeedback**, which translates your efforts onto the screen and makes awareness faster;\n- **[electrotherapy](/dudelange/equipement/electrotherapie)**, whose intensity can be adjusted to tone or, on the contrary, relax;\n- **a global approach**, combining hypopressive exercises and coordination with the deep abdominals, transposable into everyday life.\n\n## What is the role of the perineum?\n\nThis set of muscles extends from the pubis to the coccyx and has three main roles: it supports the pelvic organs, maintains continence by contracting during exertion, coughing or sneezing, and relaxes when emptying the bladder or bowel. When this balance is broken - muscles too relaxed or, conversely, too tense - most urinary, bowel or sexual problems appear. The challenge of rehabilitation is to restore the right balance between flexibility, tone and control.\n\n## In which cases should you consult?\n\nThe reasons are numerous:\n\n- urinary leakage during exercise, an unstable bladder or urgent urges;\n- postnatal recovery, discomfort linked to an episiotomy, but also preparation beforehand;\n- painful intercourse or vaginismus;\n- bowel disorders and restoration of continence;\n- in men, preparation for prostate surgery and the leaks that can follow it;\n- pelvic-floor difficulties in children.\n\nThese common disorders are not inevitable and respond well when caught in time.\n\n## What does the research confirm?\n\nFor stress incontinence and after childbirth, pelvic floor rehabilitation is today the first choice: research supports its benefits on leaks and on the quality of life. Its major advantage lies in its nature – neither surgery nor medication – and the fact that it places you at the heart of your own recovery.\n\n## In Luxembourg: reimbursement and official framework\n\nAt the Pôle Equilibre & Santé practice, this care falls under physiotherapy on medical prescription. The [National Health Fund (CNS)](https://cns.public.lu/en/assure/remboursements/prestations-remboursees/prestations-paramedicales/kinesitherapeutes.html) sets the coverage rules (generally 70%, rising to 100% in some cases). Masseur-physiotherapist is a regulated health profession in the Grand Duchy ([Ministry of Health](https://sante.public.lu/en.html)). Practical steps are explained on [The Consultation](/dudelange/kinesitherapie/consultation-kine).\n\n## Your specialist at the practice\n\nAt the Dudelange practice, pelvic-floor rehabilitation is notably provided by , trained in pelvic manual therapy. It is to her that you will most often be directed for this type of care, in a discreet and caring setting.\n\n## Frequently asked questions\n\n### Is this rehabilitation also useful for men?\n\nYes, particularly around prostate surgery. Pelvic floor strengthening and control follow the same principles to prevent and correct leaks.\n\n### When can treatment start after childbirth?\n\nMost often after the post-natal consultation and with the doctor's approval. The initial assessment helps to set the pace and intensity for your recovery, without ever rushing things.\n\n### Do home exercises really count?\n\nA lot. It is the regular practice between appointments that anchors and extends the skills learned at the practice.\n\n### How do I make an appointment in Dudelange?\n\nBy telephone at [+352 26 65 15 33](tel:+35226651533). The practice is located at Bloc A, 48 Rue de la Libération, L-3511 Dudelange — see [Contact & access](/dudelange/contact).\n\n## Find out more\n\n- — pelvic manual therapy\n- [Osteopathy for pregnant women](/dudelange/osteopathie/femme-enceinte) — support during and after pregnancy\n- [Practice services](/dudelange/competences) — all our specialisms\n- [The Consultation](/dudelange/kinesitherapie/consultation-kine) — prescription, reimbursement, progress\n- [CNS — Physiotherapists](https://cns.public.lu/en/assure/remboursements/prestations-remboursees/prestations-paramedicales/kinesitherapeutes.html) — official reimbursement conditions\n- [Ministry of Health](https://sante.public.lu/en.html) — health professions in Luxembourg\n- [kine-perinee.lu](https://kine-perinee.lu/) — Our website dedicated to pelvic-floor rehabilitation"}