Fyzical_Be Free of Bladder Incontinence



A physical therapist is highly skilled in evaluating and treating various musculoskeletal and neurological conditions affecting the body. This profession focuses on assessing any underlying factors, such as strength, neuromuscular control, balance, coordination, skeletal alignment, and endurance, which may be contributing to impaired functional mobility, activity, participation, and quality of life. (continued inside)

INSIDE: • Be Free of Bladder Incontinence with Our Pelvic Floor Program • Incontinence & Fall Prevention • Patient Success Story



• Be Free of Bladder

Incontinence with Our PELVIC FLOOR PROGRAM • Incontinence & FALL PREVENTION • PATIENT SUCCESS STORY • HEALTHY RECIPE: Slow-Cooker Coconut Ginger Chicken


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Most people only seek physical therapy when they’re suffering from a common injury or condition, such as whiplash, tendinitis, lowbackpain,or ligamentsprains. Perhaps lesser known is that chronic pelvic pain and dysfunction, especially issues with incontinence, can respond positively to physical therapy intervention. If you are experiencing bladder incontinence, contact FYZICAL Arkansas today to find relief. Understanding Incontinence Urinary incontinence has a reputation of being something that only little old ladies have. However, manyyoungpeopleexperienceurinary incontinence,as well.Morewomenareaffectedbyurinary incontinence thanmen;however, it iscommon formentoexperience it after certain procedures, such as prostate surgery. Fortunately, there are many treatments for urinary incontinence. There are two main types of incontinence: stress incontinenceandurge incontinence.Stress incontinence

is caused when one experiences a urine leak due to pressure on the bladder. For example, stress incontinence can occur when exercising, lifting heavy objects, laughing, coughing, or sneezing. This is the most common type of bladder control problem in younger to middle-aged women, and it may occur around the time of menopause. Urge incontinence is caused when there is a sudden andemergentneed tourinate.Someoneexperiencing urge incontinencemaynothaveenough time tomake it to the toilet before leakage occurs. This type of bladdercontrolproblems isusuallyaresultofdiabetes, Alzheimer’s disease, Parkinson’s disease, multiple sclerosis, or stroke. Common conditions that may cause urinary incontinence include:

NEW AT FYZICAL! Pelvic Health & Incontinence Program

QUOTE OF THE MONTH: “Always be at war with your vices, at peace with your neighbors, and let every new year find you a better man.” – Benjamin Franklin

• Pregnancy • Menopause

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• Weak bladder muscles • Overactive bladder muscles • Damaged bladder nerves, typically from diseases such as diabetes, multiple sclerosis, or Parkinson’s • Blockage from an enlarged prostate • Difficulty getting to the bathroom in time, due to diseases such as arthritis • Damaged pelvic floor nerves, due to injury or surgery • Pelvic organ prolapse • Prostatitis Some people with urinary incontinence may find relief by making simple lifestyle changes. If you have stress incontinence, in which you leak urine when you cough, sneeze, or laugh, your physical therapist may advise you to limithowmuchyoudrink. Ifyouhaveurge incontinence, inwhichyouget a sudden urge to urinate and can’t always make it to the bathroom in time, your physical therapist may advise you to avoid spicy foods, caffeine, and carbonated drinks, as they can irritate the bladder and worsen the issue. Find Relief from Bladder Incontenience with Our Pelvic Floor Therapy (continued from outside) • Benign prostate hyperplasia Treating Incontinence

Exercises to strengthen the pelvic floor muscles, known as Kegels, can sometimes help people who are living with incontinence. Kegels are combined with biofeedback techniques, in order to determine if the exercises are being performed properly. For urge incontinence, bladder retraining can also help. This involves gradually increasing the interval time between trips to the bathroom, working up to longer and longer intervals between bathroom stops. Some other common treatments for incontinence may include, but are not limited to: • Additional pelvic floor strengthening exercises • Urge suppression strategies • Education • Electrical stimulation • Hip and core strengthening

HEALTHY RECIPE Slow-Cooker Coconut Ginger Chicken


Combine spices together and set aside. In a food processor, pulse garlic, ginger and onion until it forms a paste. In a skillet, heat olive oil and melt butter. Add pureed aromatics and stir well. Cook for a few minutes, then add spice blend. Cook for 2-3 minutes, stirring constantly. Move aromatics to one side of the skillet and add chicken pieces. Cook chicken slightly on all sides and thoroughly coat it with the spices. Transfer the skillet ingredients into a slow cooker. Remove the cream from the top of the coconut milk using a soup spoon and set aside. Pour the remaining coconut milk over the chicken until it barely covers it. Drain the corn cobs and chop in half. Add to the slow-cooker. Cook on low for 4 hours. Whisk cornstarch with coconut cream (previously set aside) until smooth and add to the chicken, stirring well. Add frozen peas or other vegetables of your choice. Cook for another 1/2 hour or until the chicken is cooked and the vegetables are hot.


• 4 cloves garlic peeled • 2 inch cube ginger about 30 grams, roughly chopped • 1 small sweet onion peeled, quartered • 1 Tbsp olive oil • 2 Tbsp butter • 2.5 lbs boneless, skinless chicken thighs cut into four • 2 cans coconut milk not shaken • 2 Tbsp cornstarch

• 1 can baby corn cobs • 1 cup peas or frozen vegetables Spice Blend • 1/2 tsp ground pepper • 1 tsp ground cumin • 1 tsp ground coriander • 1 1/2 tsp ground tumeric • 1 tsp salt • 2 tsp curry powder (optional)

Incontinence & Fall Prevention

embarrassing at times. Our licensed physical therapists are dedicated to improving your pelvic health and overall quality of life, so you can get back to living on your own terms. Whenyouarrive foryour initialconsultation,one ofourphysical therapistswillperformaphysical examination to determine the strength of your pelvic floor. Your physical exam, along with an evaluationofyourmedicalhistoryanddiscussion of your symptoms, will help in determining the best route for your treatment plan. Ifyouarestrugglingwithurinary incontinence andyouare lookingforhelp,contactustoday to schedule an appointment. One of our physical therapists will get you started on the path toward urinary control and relief!

At FYZICAL Arkansas, we have a reputation for providing quality fall prevention services – but how exactly does this tie into incontinence? Many patients who live with bladder incontinence are older adults who may be unsteady on their feet. By improving balance,wecanhelpprevent falls fromurgent runs to the bathroom. For many people, fall prevention and incontinence rehabilitation go hand-in-hand, although it may seemas if they are unrelated. If you are an older adult whose balance may not be what it used to be, adding balance treatments to your pelvic floor rehabilitation may be beneficial in treating your condition as comprehensively as possible. Contact FYZICAL Arkansas for Relief! At FYZICAL Arkansas, we know that living with urinary incontinence can be limiting - and even


“Now, I am pain-free... I have learned how to move correctly and move better.”


• Back Pain • Neck Pain • Shoulder Pain

• Foot Pain • Knee Pain • Post-surgery

TREATMENTS FEEL GOOD Laser therapy creates little to no sensation or it can create a gentle, warm sensation. TREATMENTS ARE FAST With LightForce lasers, treatments are quick— usually 5-12 minutes depending on the size, depth, and acuteness of the condition being treated.

“Before coming to FYZICAL, I was always in pain. When I would get up from sitting, it was like my back and hip were only functioning at 60%. I was not able to move early in the morning due to being so stiff. Hoping not to have surgery, I came here for physical therapy. Now, I am pain-free and I feel like I am 97% better. I have learned how to move correctly and move better. I am more cognizant in my movement and posture now.” – E. P.

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