FyzicalDunes: Women’s Health

DAKOTA DUNES CLINIC 101 Tower Road #110 Dakota Dunes, SD 57049


P: (605) 217-4330 F: (605) 217-4255

CLIVE CLINIC 12499 University Ave. #250 Clive, IA 50325


P: (515) 985-7530 F: (515) 985-7531


You are stranded in your car in a blizzard. What is one item you have to have with you to pass the time and why? • Mallory: A candle. Candles can keep the car warm for hours. • Sarah: I am not trying to be cheesy but I would want my husband Nate in the car with me! And maybe a deck of cards so we could play Gin. Technically that is two things I guess. • Krissi: Phone to call for help because I don’t do well in the cold. • Hannah: Something to play music because it’ll make the time go by, keep me happy, and dancing will keep me warm!

• Staci: A book. It doesn’t run on a battery and you can use it for insulation if needed. • Annette: Hand warmers, feet warmers, and entire body warmers. I want to keep my extremities. • Nate: I think I would need to have my phone. Not to get on social media or text people but to use it for streaming services. I need to have my phone so I can binge TV shows or watch movies. I could be stuck all day and not even know it. • Michaela: Cellphone with an attached battery charging case so I can play solitaire.


PHYSICAL THERAPY & WOMEN’S HEALTH INSIDE: • Causes Of Incontinence & Chronic Pelvic Pain • Patient Success Spotlight • Healthy Recipe • Discover Pelvic Weight Training NEWSLETTER THE


Whether you have pain or have been suffering for a long time, seeing a physical therapist at FYZICAL Therapy & Balance Centers can help you return to a more active and pain-free life. Give us a call at today: • DAKOTA DUNES: (605) 217-4330 • CLIVE: (515) 985-7530

Urinary incontinence has a reputation of being something that is common as we age. But many young people get urinary incontinence. And while more women than men are affected, men can have urinary problems too, especially after prostate surgery. Fortunately, there are many treatments for urinary incontinence. Behavioral treatment. Some people with urinary incontinencemay get relief bymaking simple lifestyle changes. If you have stress incontinence, for instance, in which you leak urine when you cough, sneeze, or laugh, your physical therapist may tell you to limit how much you drink. If you have urge incontinence, in which you get the sudden urge to urinate and can’t always make it to the bathroom in time, your physical therapist may tell you to avoid spicy foods, caffeine, and carbonated drinks, because they can irritate the bladder and make the problem worse. Exercises to strengthen the pelvic floor muscles, known as Kegels, can help people with incontinence. Sometimes, Kegels are combined with biofeedback techniques to help you know if you are doing the exercises properly. For urge incontinence, bladder training, sometimes called 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. 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). Even periodic incontinence is not something you have to deal with. We can help! Incontinence, Chronic Pelvic Pain, & Physical Therapy. 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, whichmay be contributing to impaired functional mobility, activity participation, and quality of life. Of course, most people only seek physical therapy 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 physical therapy intervention.


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Ifyouhavepain inyourpelvis, itmaynotalwaysbe fullyclearwhat’scausing 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 within your pelvic cavity, increased pressure or inflammation of nerves, muscles, and other connective tissues (including the bladder), and impaired pelvic bone alignment. These symptoms can be frustrating, painful, and embarrassing, and may limit tolerance to daily participation in desired activities, including exercise. Othersymptoms frequentlyappearwithpelvicpain, including incontinence, bloating, abdominal pressure, reluctance to strain while 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 Physical Therapist Can Treat Pelvic Pain. Everypatientpresenting with chronic pelvic pain is unique. If you come to see a physical therapist 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 physical therapist can then develop a customized treatment plan to relieve your symptoms and address the suspected underlying causes to prevent recurring dysfunction.

Common physical therapy treatments may include: • Soft tissue mobilization and massage of internal and external pelvic musculature, to relieve muscle tension and provide pain relief •Spinalandsacroiliac jointmanipulations to reset theneurologicalpathway, relieve pain, and restore normal spinal alignment. • Electrical stimulation modalities, such as neuromuscular electrical stimulation to provide pain relief and restore normal neuromuscular activation of pelvic floor muscles and nerves. • Therapeutic exercises to restore the normal strength, flexibility, and endurance of stabilizing postural muscles in the low back and hips. Strugglingwithpelvicpain?Frustratedandconcernedabout incontinence? For both short-term and long-lasting relief without the need from invasive interventions or medications, consider consulting with a physical therapist today. Source:http://www.bing.com/search?q=physical+therapy+treatment+of+pelvic+ pain&src=IE-TopResult&FORM=IETR02&conversationid=

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INGREDIENTS • 2 cups white whole wheat flour • 1/2 cup sugar • 1 teaspoon baking powder • 1/2 teaspoon baking soda

• 1/2 teaspoon salt • 1 cup fresh cranberries • 1 teaspoon orange zest • 1/3 cup coconut oil, melted • 3/4 cup fresh orange juice • 1 egg

DIRECTIONS Grease an 8×4 inch loaf pan. Set aside. Preheat oven to 350° F. In a large bowl, add white whole wheat flour, sugar, baking powder, baking soda, salt, cranberries, and orange zest. Gently stir. In a separate medium-sized bowl, add coconut oil, fresh orange juice, and an egg. Add wet ingredients to dry ingredients. Stir to combine everything together. Scrape the batter into the prepared loaf pan. Bake for 30-35 minutes. Remove and let cool for 5 minutes. Serve and enjoy!



Patient Success Spotlight


15 minutes per day replaces 100 “Kegel” pelvic floor contractions! Who can benefit? Kegel weights are perfect for anyone experiencing any of the following: • Body Changes Preparing for Labor • Postpartum Recovery Symptoms • Urinary Stress Incontinence • Urge Incontinence • Fecal Incontinence • Vaginal Organ Prolapse • Boring Sex Life

Improves my overall mobility and quality of life. “Thank you for referring me to FYZICAL because I so, so, needed to understand my pain – why/how/where. Physical therapy helps me understand my body and pain in ways I wouldn’t otherwise be able to. It gives me hope and relief so I can live my life instead of just day-to-day. Therapy helped me feel like I can make plans, know how to relieve pain at home, and greatly improves my overall mobility and quality of life – thank you!!! This is one of the best ways for me to get my life back.” – A. M.

How do I use them? Start with the lightest colored weight that you are able to maintain inside the vagina for fifteen minutes. You may need to begin using these weights in a seated or lying position depending on strength. When this weight becomes easy to maintain without having to consciously contract the PFM, simply move onto the next, darker colored weight. Research has shown Kegel weight training to be equally effective as traditional PFM strength training at improving stress urinary incontinence and quality of life. The Intimate Rose Kegel Exercise Systemcurrentlyhas theheaviestweightsavailableon themarket and is the only weight set endorsed by the American Physical Therapy Association and utilized in Pelvic Health training courses.


With pregnancy, the body experiences many changes, including postural adjustments, increased load on the pelvic floor, and stretching and thickening of the ligaments. Changes such as these can cause back pain, hip pain and pelvic floor issues. Muscle weakness may also lead

to urinary incontinence and difficulty activating core muscles. Though these are some of the more unpleasant parts of pregnancy, prenatal and postnatal treatments can help your body better prepare for the journey ahead. At FYZICAL , we integrate techniques such as massage therapy and pelvic floor therapy to help make your pregnancy and delivery process as smooth as possible. During the delivery process, you may need to undergo a procedure that might result in a scar, such as a c-section or an episiotomy. These can cause restrictions in the myofascial system of the body. We use specific myofascial and scar-release techniques to eliminate these restrictions and prevent your myofascial system from being further compromised. Some women might also suffer from diastasis recti, also known as abdominal separation. Our physical therapists use the latest evidence- based clinical knowledge in the field to identify and treat this condition. FYZICAL can help mothers deal with pre- and post-natal pains as their bodies experience the effects of pregnancy and childbirth. Our physical therapists will also help in addressing any problems that may arise during this time.


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