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Real Time Ultrasound

Real Time Ultrasound (RTUS) 

What is it?

It is the use of a diagnostic ultrasound machine, in real time, to assess muscle and ligament function within the body. RTUS is a non-invasive way to assess for pelvic floor muscle and abdominal muscle function and can be used to check for muscle contraction whilst performing functional activities.

Pelvic Floor Muscle assessment

RTUS can be used for assessment of pelvic floor muscle function or dysfunction in women, men and children. It is a relatively non-invasive way to check for PF muscle endurance and functional timing. It is a great tool to provide instant biofeedback to our patients to support PFM training and can be helpful in the assessment of PFM function in

  • Incontinence
  • Symptoms of urinary urgency and frequency
  • Pre and Post Radical Prostatectomy
  • Pre and Post other Prolapse surgery or hysterectomy
  • Hypertonic Pelvic Floor
  • Pelvic girdle pain
  • Pre- and Post-natal women
  • Persistent Pelvic Pain

RTUS can be used to calculate bladder volumes including Post Void Residual (PVR) which can be helpful to identify causes of bladder or urinary symptoms. To discuss how a RTUS PFM assessment could benefit you please consult our Continence and Women’s Health Physiotherapist.

Abdominal Muscle assessment

RTUS can be used to assess activation of our deep stabilising abdominal muscle Transversus Abdominus. It is helpful to assess the function of TrA at rest and with activity especially in clients with chronic low back or pelvic pain.  Many sufferers of chronic pain poorly activate their TrA and PFM and tend to breath hold when physical demands increase which places further strain on their spine and pelvis. The RTUS can provide helpful biofeedback to our patients to improve the function of their ‘core’ muscles and to improve their timing and co-contraction. It can be helpful in conditions such as

  • Lower back pain
  • Disc or degenerative issues of the spine and hip
  • Gluteal tendinopathy
  • Pelvic girdle pain
  • Sacro-iliac joint dysfunction
  • Leg and pelvic overuse injuries (e.g. osteitis pubis)

What should I do beforehand?

An hour prior to your RTUS assessment you should empty your bladder and then drink 1-2 glasses of water. This will allow your bladder to be partially full and make it easier to view your PFM and abdominal muscles without being uncomfortable.

What is the cost and how do I book in?

A RTUS assessment requires an extended session with our Continence and Women’s Health Physiotherapist and will include education and a home exercise program to practise.

Please contact us to enquire more regarding a RTUS assessment of your pelvic floor or abdominal muscles on 97510400.

Check out the video that explains the session here