Hipertonía del suelo pélvico: qué es, síntomas y cómo ayuda la radiofrecuencia INDIBA
A guide to pelvic floor hypertonia: how it differs from muscle weakness, how INDIBA radiofrequency can help, and why treatment must always be individualized.
When discussing pelvic floor health, most available information focuses on muscle weakness—such as incontinence, loss of strength after childbirth, and Kegel exercises. However, there is another type of dysfunction that is far less known and frequently underdiagnosed: pelvic floor hypertonia, a condition where the problem is not a lack of strength, but rather excessive muscle tension.
For the pelvic floor physiotherapy team at Monarka Clinic, one of the tools most frequently used during consultations—when indicated—is 448 kHz radiofrequency (INDIBA). It is a valuable asset in clinical practice because it enhances physiotherapy efforts, helping to prepare the tissue and optimize the response to the active treatment performed during the session.
What is pelvic floor hypertonia?
Not all pelvic floor dysfunctions are caused by a lack of strength. In some cases, the goal of treatment is not to strengthen, but rather to promote relaxation, normalize muscle tone, and improve pelvic floor function.
Hypertonia occurs when the pelvic floor muscles remain in a state of excessive tension and fail to relax properly. This can lead to pelvic pain, discomfort during sexual intercourse, difficulty emptying the bladder or bowels, and a general sensation of tension in the lower abdomen. Unlike hypotonia, where therapeutic work focuses on strengthening, the approach here is the opposite: teaching the muscles to release tension.
INDIBA Radiofrequency: What is it for and how does it help?
448 kHz radiofrequency—commercially known as INDIBA—is a technology that generates heat in deep tissues in a controlled manner using a high-frequency electric current. This heat promotes local blood circulation, improves tissue elasticity, and can help reduce the excessive muscle tension characteristic of hypertonia.
It is important to understand that radiofrequency does not replace physiotherapy; it complements it. It prepares the tissue prior to the active session and enhances the response to manual therapy and therapeutic exercises. That is why, at Monarka Clinic, INDIBA is always integrated into a comprehensive treatment plan—which may include therapeutic exercise, manual therapy, education, breathing techniques, and lifestyle modifications—tailored to each patient’s specific needs.
Beyond the symptom: the impact on quality of life
Pelvic floor dysfunctions do not merely cause specific physical discomfort. They frequently affect the daily lives of the women who suffer from them, limiting activities they once performed normally due to fear, pain, or discomfort.
Therefore, the goal of the treatment goes beyond alleviating an isolated symptom: it is about helping each patient regain their quality of life and confidence, and the ability to resume—without limitations—activities they had previously set aside.
Frequently asked questions about pelvic floor hypertonia
Is pelvic floor hypertonia the same as muscle weakness?
No. They are opposite dysfunctions: hypotonia involves a lack of strength, whereas hypertonia involves an excess of tension that prevents the muscle from relaxing properly.
What is INDIBA used for in the pelvic floor?
It helps prepare the tissue, improve local circulation, and optimize the response to active physiotherapeutic treatment, especially in cases of hypertonia.
Does radiofrequency replace physiotherapy?
No. It is a complementary tool within a comprehensive treatment plan that includes manual therapy, therapeutic exercise, and other techniques tailored to each patient.
How do I know if I need treatment for hypertonia rather than weakness?
Only an individualized assessment by a pelvic floor physical therapist can determine the type of dysfunction each patient presents and the appropriate treatment approach.
Talking about it is the first step. Every woman requires an individualized assessment and treatment; technology is a helpful tool, but the true value lies in professional guidance and a therapeutic plan tailored to each patient.
