PT and Rehab_Pelvic Therapy



Urinary incontinence has a reputation of being something only little old ladies have. 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 incontinence may get relief by making simple lifestyle changes. If you have stress incontinence, for instance, inwhichyou leakurinewhenyoucough,sneeze,or laugh,your physical therapistmay tellyou to limithowmuchyoudrink. Ifyouhaveurge incontinence, in which you get the sudden urge to urinate and can’t always make it to thebathroom in time,yourphysical therapistmay tellyou toavoid 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 sometimes help people with stress incontinence.Kegelscanalsohelppeoplewithurge 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,mayhelppreventurine leakagebysupportingtheneckofthebladder; 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! Call your physical therapist at Physical Therapy & Rehab Specialists to see how laser therapy can benefit you!

Staff Spotlight

Madhu Rishi, PT, DPT, CLT

happen, knowing that I made a difference in someone’s lives - that’s the favorite part of my job. 3. How long have you been a physical therapist for and where did you get started? I started practicing in New Delhi with outpatient and homecare, and then moved to the USA after 1 year. I’ve now been a PT for 25 years. 4. Where is your favorite place you’ve traveled to? My favorite place has been Schilthorn, Switzerland. It is beautiful there. 5. What do you enjoy doing outside of work? Spending time with my family, traveling and seeing the world, gardening, and reading.

1. Why did you decide to become a physical therapist? I started pursuing Physical Therapy in the gap year after my high school graduation, en-route my path to med school. My PT school was located in a very rural part of India. Serving in this sector, I observed how my small interventions made a world of difference in the quality of life, across all age groups, and past all barriers of society. I then knew that’s what I wanted to do for a career. I’ve had no regrets, not then, not now. 2. What is your favorite part of the job? Watching the joy in a client’s eyes when they are able to do that one activity, reach that one goal that they came to me for, that’s the only validation I need and the only validation I strive for, knowing I was instrumental in making that moment

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