Pain and issues surrounding the pelvic floor can occur for a number of reasons. It can be limiting and, for some people, even a bit embarrassing. It can hinder your daily life and prevent you from doing some of your daily tasks or activities you love.
HEALTH & WELLNESS The Newsletter About Your Health And Caring For Your Body
LIVE YOUR LIFE WITHOUT PELVIC PAIN & URINARY INCONTINENCE
• Liveyour Life Without Pelvic Pain Urinary Incontinence • Causes Of Incontinence & Chronic Pelvic Pain
• Patient Success Spotlight • Understanding Incontinence • Feel Better In Minutes
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www.excellcare.net
HEALTH & WELLNESS The Newsletter About Your Health And Caring For Your Body
LIVE YOUR LIFE WITHOUT PELVIC PAIN & URINARY INCONTINENCE
Pain and issues surrounding the pelvic floor can occur for a number of reasons. It can be limiting and, for some people, even a bit embarrassing. It can hinder your daily life and prevent you from doing some of your daily tasks or activities you love. While our Women’s Health Program primarily focuses on women, any woman or man living with pelvic problems can benefit from our services. Through our targeted programs, we can help reduce or eliminate the pain and symptoms you are experiencing. Patients who would be strong candidates for our Women’s Health Program treatments include: • Any woman or man dealing with urinary or fecal incontinence. • Postpartum women. • Postmenopausal women. • Women with pelvic organ prolapse. • Post-prostatectomy men. At your initial appointment, you will undergo a thorough physical evaluation
and review of medical history. This will help your physiotherapist determine the best course of treatment for your needs. Our services include: • Education (patient handouts and thorough information concerning your condition to take home). • Bladder training (surrounding your bladder schedule). Neuro retraining (incorporating pelvic floor muscle activation during simulated daily activities). • Biofeedback. • Pelvic floor muscle retraining. Of course, most people only seek physiotherapy when they’re suffering from a common injury or condition such as whiplash, tendonitis, low back pain, ligament sprains, and plantar fasciitis. Perhaps lesser known is that chronic pelvic pain and dysfunction, including incontinence, can also respond positively to physiotherapy intervention. WE’LL HELP CORRECT YOUR PELVIC FLOOR PROBLEMS SO YOU CAN GET BACK TO LIVING YOUR LIFE COMFORTABLY.
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CAUSES OF INCONTINENCE & CHRONIC PELVIC PAIN
If you have pain in your pelvis, it may not always be fully clear what’s causing it. Some common causes of pelvic floor dysfunction and chronic pelvic pain include, but are not limited to: • Pregnancy • Sacroiliac joint dysfunction • Coccydynia • Irritation of the pudendal nerve (which originates near the bottom of your spine) • Irritable bowel syndrome • Levator ani syndrome (increased tension in pelvic floor muscles) • Post-surgical complications (e.g., pain following a hysterectomy, hernia repair, cesarean section, and/or prostatectomy) Any of these conditions may lead to inadequate support of the organs contained with your pelvic cavity, increased pressure or inflammation of nerves, muscles, and other connective tissues (including your bladder), and impaired pelvic bone alignment. These symptoms can be frustrating, painful, and embarrassing, and may limit your tolerance to daily participation in desired activities, including exercise. Other symptoms frequently appear with pelvic pain, including incontinence, bloating, abdominal pressure, reluctance to strain while INTRODUCING WOMEN’S HEALTH AT EXCELLCARE PHYSICAL THERAPY!
defecating, and pain in the low back, buttocks, and hips. You may also have decreased tolerance to a variety of activities including sitting or standing, walking, exercise, and sexual intercourse. HOW A PHYSIOTHERAPIST CAN TREAT YOUR PELVIC PAIN Every patient presenting with chronic pelvic pain is unique. If you come to see a physiotherapist for your pelvic dysfunction, you’ll be taken through a thorough physical examination and patient history questionnaire. He or she will ask you specific questions about your pain, what makes it worse and better, and whether you have a history of any related issues. Based on the results of the examination, your physiotherapist can then develop a customized treatment plan to relieve your symptoms and address the suspected underlying causes to prevent recurring dysfunction.
Feel Better InMinutes Try this movement to relieve incontinence .
Helps to strengthen your pelvic floor muscles. Pelvic TIlt On FLoor Lay on the floor with your knees bent and facing the ceiling. Slowly and gradually tilt your pelvis muscles forwards then backwards making a small circle with your hips. Keep your core engaged. Repeat 10 times.
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We are excited to announce that we now are specialized to treat women, and the various problems that we can run into throughout their life. Laura and Jola, our women’s health therapists at Excellcare, implement a personalized treatment plan that is focused on the unique structure of a woman.
Take charge of your back pain by calling us or by visiting our website at www.excellcare.net. We can help get your life back.
CALL TODAY! (773) 779-1111 WE SPEAK SPANISH AND POLISH TOO!
INTRODUCING WOMEN’S HEALTH AT EXCELLCARE PHYSICAL THERAPY!
Understanding Incontinence
While more women than men are affected, men can have urinary problems too, especially after prostate surgery. Many young people also can get urinary incontinence. Fortunately, there are many treatments that can help with urinary incontinence. BEHAVIORAL TREATMENT: Some people find relief by making simple lifestyle changes. If you have stress incontinence and leak urine when you cough, sneeze, or laugh, your physiotherapist may tell you to limit how much you drink. If you have urge incontinence, in which you get the sudden urge to urinate and have trouble making it to the bathroom, you may be told to avoid spicy foods, caffeine, and carbonated drinks, as they can irritate the bladder and make the problem worse. Exercises to strengthen the pelvic floor muscles, known as Kegels, can sometimes help with incontinence. Sometimes they are combined with biofeedback techniques to help you know if you are doing the exercises properly. For urge incontinence, bladder training can also help by gradually increasing the interval time between trips to the bathroom, working up to longer and longer intervals between bathroom stops. DEVICES AND ABSORBENT PRODUCTS: Protective pads and panty liners can help avoid embarrassing situations. A pessary, a plastic device inserted into the vagina, may help prevent urine leakage by supporting the neck of the bladder; it is most useful for stress incontinence. Mild to moderate cases of common types of incontinence can be cured or greatly improved by behavioral or exercise therapy. We can also teach you habits and techniques to reduce urgency and urge incontinence (or leaking with a strong urge on the way to the bathroom).
We are excited to announce that we now are specialized to treat women, and the various problems that we can run into throughout their life. Laura and Jola, our women’s health therapists at Excellcare, implement a personalized treatment plan that is focused on the unique structure of a woman. The therapists at Excellcare evaluate conditions specific to women and create a plan of care that will return the patient to their highest function. Some common diagnoses are: INCONTINENCE: Due to changes in estrogen in a women’s lifespan, and/or physical stresses such as childbirth, many women experience leakage of urine. With proper strengthening of the pelvic floor, this issue can be vastly improved. ORGAN PROLAPSE: The bladder, uterus, and/or rectumcan prolapse, and push into the vaginal wall. Many of times, women notice this after pregnancy due to the weight of the baby. Hormonal changes and delivery of the baby can cause insult and weakness to the pelvic floor, which leads to the prolapse. We work on engaging the pelvic floor muscles, which act as a supportive hammock to the organs. OVERACTIVE BLADDER: If you have a increased urinary frequency, more than 7X a day, pelvic floor physical therapy can retrain behavioral techniques, and work on sphincter function. DRA: Diastasis Recti can affect up to 2/3 of pregnant women. Diastasis Recti refers to a gap that can happen between the abdominal muscles after stretching of the tissue takes place during pregnancy. If a DRA is present, you will want to avoid certain exercises such as crunches, and begin to repair the separation through facilitating the stabilizing muscles. PELVIC PAIN: Pelvic pain can arise with any of the diagnosis listed above, and can be addressed with an evaluation of pelvic floor function. Treatment may consist of strengthening and coordinating muscles, teaching relaxation techniques, and releases for shortened muscles. WHAT TO EXPECT DURING YOUR THERAPY SESSION: We focus on external and internal manual mobilization, education on toileting and positional modifications, biofeedback in order to teach contraction of specific muscles, and strengthening exercises as needed for the hip and pelvic floor. Your assessment may also include examination of the lumbar spine. Our goal is for you to function more comfortably, doing the things that you love to do! CALL (773)779-1111 OR GO TO EXCELLCARE.NETAND CLICK REQUEST FREE CONSULTATION TO SCHEDULE WITH US!
Patient Success Spotlight
“I recieved excellent care here the staff is great My hip pain is gone. I highly recomend this place. I have recieved treatments here several times. Everyone is great and so sweet and helpful.” -L.B. “Everyone is great and so sweet and helpful.”
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