2023-12-20 11:20:34
Is this a new epidemic? In view of the numerous letters received by the editorial staff concerning overactive bladder syndrome, it seemed appropriate to us to enrich an article already published on the Alternative santé website which deals with rehabilitation exercises and natural remedies. The causes of this syndrome are, in fact, multiple and varied. It can, in certain cases, be resolved through osteopathic manipulations and be addressed using a homeopathic approach.. When this has no effect, the more drastic methods proposed by urology or neuro-urology generally have an impact. In osteopathy, the practitioner Alain Lavallée explain : “Among the causes of overactive bladder syndrome, there are neurological origins, some of which come from the central nervous system and which may be linked to a stroke, multiple sclerosis, a cyst, or a tumor. In osteopathy, we do not treat this, we rather take care of the part relating to mechanical constraints and which have a neurological impact. We work to restore mobility to the sacrum and also act on the sigmoid – the part of the colon preceding the rectum and which stores faeces. “
Work on the sacrum…
Overactive bladder is an easily identifiable problem: under normal circumstances, the bladder does not protrude beyond the pubic joint (pubic symphysis). When it exceeds, it is starting to be full. Alain Lavallée: “ If you press on the stomach above the pubic symphysis and the person feels the urge to urinate, the bladder is clearly functioning well. But if the person has the urge to urinate while the bladder does not go beyond the pubic symphysis, we are in the case of an overactive bladder. »
The osteopath then most often carries out work on the sacrum. The nerve roots that innervate the bladder are located at the level of the S3-S4 sacral vertebrae which exit the sacrum. “ Sometimes the sacrum is a little blocked and can disrupt these roots. This will be one of our actions », continues the osteopath. It therefore checks, firstly, mobility of the sacrum before'” press on its lower part to restore its mobility ». This action releases tension, in particular of the tendon blades, which are both nerve and vessel carriers: if the sacrum is blocked, these blades will be tense, which will interfere with the bladder sphincter and cause the sensation of having to urinate.
…and on the sigmoid
Osteopathy looks at all the mechanical constraints that the bladder can undergo. When you press on the bladder, it will make you want to urinate. But if the bladder is not very full and we want, for example, to do a urine test, we will have difficulty urinating since the nerve receptors do not send the information indicating that it is possible ; smooth fibers do not slacken. « In this situation, we can press above and behind the symphysis…
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