Fyzical Dunes: Women's Health

Newsletter by Fyzical Therapy & Balance Centers

NEWSLETTER THE

2019

INSIDE: • Women’s Health • Sudoku • Patient Success Spotlight

JILLIAN MCDONNELL, PT, DPT GET TO KNOW OUR TEAM

FAVORITES: Food : Sushi, Ramen, Fried Rice…anything Asian!

• Healthy Recipe • Understanding Incontinence

Color: Purple

TV show: Law and Order SVU

Where did you grow up? Marshalltown, Iowa Where did you go to school? University of Northern Iowa; DesMoines University for PT school Tell us about your family. My husband and I met at UNI on the Track team and got married in 2015. He is a PE teacher and a strength and conditioning coach at Dallas Center Grimes High School. We had our first child, Kallen, in August of 2018.

Activities: We love going to events around Des Moines like food festivals, taking the dog (and now baby!) for walks, and scrapbooking to capture all the memories! If you could go anywhere in the world where would you go? I want to go to Europe with my husband. I went to Europe in college but he has never been! Italy, Germany, France, and Ireland would be at the top of the list!

What is your biggest fear? Fear itself…and traffic.

What is one guilty pleasure you can’t give up? Desserts and Netflix binges with the husband! What is a unique talent you have? I was a distance runner at UNI and held the record for the steeple chase! The talent is gone now though.

NEWSLETTER THE

2019

WOMEN’S HEALTH

Whether you have incontinence 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-

Incontinence is common, but it is certainly not normal. A physical therapist is highlyskilled inevaluatingand treatingvariousmusculoskeletalandneurological 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. Of course, most people only seek physical therapy when they’re suffering from a common injury or condition, such as whiplash, tendinitis, low back pain, or ligament sprains. Perhaps lesser known is that chronic pelvic pain and dysfunction, especially issues with incontinence, can respond positively to physical therapy intervention. Understanding Incontinence. Urinary incontinence has a reputation of being something that only little old ladies have. However, many young people experience urinary incontinence, as well. More women are affected by urinary incontinence than men; however, it is common for men to experience it after certain procedures, such as prostate surgery. Fortunately, there are many treatments for urinary incontinence. There are two main types of incontinence: stress incontinence and urge 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.

free life. Give us a call at today: • DAKOTA DUNES: (605) 217-4330 • CLIVE: (515) 985-7530

Urge incontinence is caused when there is a sudden and emergent need to urinate. Someone experiencing urge incontinence may not have enough time to make it to the toilet before leakage occurs. This type of bladder control problems is usually a result of diabetes, Alzheimer’s disease, Parkinson’s disease, multiple sclerosis, or stroke. Common conditions that may cause urinary incontinence include: • Pregnancy. • Menopause. • 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 thebathroom in time, due todiseasessuchasarthritis • Damaged pelvic floor nerves, due to injury or surgery • Pelvic organ prolapse • Prostatitis • Benign prostate hyperplasia

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TREATING INCONTINENCE

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 limit howmuch you drink. If you have urge incontinence, in which you get 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. Exercises to strengthen the pelvic floor muscles, known as Kegels, can sometimes help people who are living with incontinence. Kegels are combinedwithbiofeedback techniques, inorder todetermine if theexercises 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. Devices and Absorbent Products. Protective pads and panty liners can help avoid embarrassing situations. A “pessary,” which is a plastic device inserted into the vagina, may help prevent urine leakage by supporting the neck of the bladder. This is most useful for stress incontinence. Mild to moderate cases of common types of incontinence can be greatly improved or even cured by behavioral or exercise therapy. We can also teach

you habits and techniques to reduce urgency. Even periodic incontinence is not something you have to live with – we can help! Contact Fyzical Dunes for Relief! At Fyzical Dunes, we know that living with urinary incontinence can be limiting - and even embarrassing at times, especially when it occurs during a social setting. Our licensed physical therapists are dedicated to improving your pelvic health, quality of life, and socialization, so you can get back to living your very best life. When you arrive for your initial consultation, one of our physical therapists will perform a physical examination to determine the strength of your pelvic floor. Your physical exam, along with an evaluation of your medical history and discussion of your symptoms, will help in determining the best route for your treatment plan. If you are struggling with urinary incontinence and you are looking for help, contact us today to schedule an appointment. One of our physical therapists will get you started on the path toward urinary control and relief!

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SHRIMP FRIED RICE

• 2 large eggs, lightly beaten • 8 oz peeled & raw small shrimp

INGREDIENTS • 1½ cups water • 1 cup instant brown rice • 2 tbsp hoisin sauce • 4 tsp reduced-sodium soy sauce

• 2 tbsp minced fresh ginger • 4 cups stringless snap peas • 1 medium red bell pepper, cut into ½-inch pieces • 2 medium carrots, thinly sliced • 4 scallions, chopped

• 2 tsp toasted sesame oil • 4 tsp canola oil, divided

DIRECTIONS Combine water and rice in a small saucepan. Bring to a boil over high heat. Cover, reduce heat to medium-low and simmer until the water is absorbed, 10-12 minutes. Spread the rice out on a large baking sheet to cool. Combine hoisin sauce, soy sauce and sesame oil in a small bowl; set aside. Heat 1 tsp canola oil in a large nonstick skillet over medium-high heat. Add eggs and cook, stirring to help break into smaller pieces, until just set, about 45 seconds. Transfer the egg to a bowl. Add another 1 teaspoon canola oil to the skillet and return to medium-high heat. Add shrimp and cook, stirring occasionally, until pink, 1 1 /2 to 2 minutes. Transfer the shrimp to the bowl. Heat the remaining 2 teaspoons oil in the skillet over medium-high heat. Add ginger and cook, stirring, until fragrant, about 30seconds.Stir insnappeas,bellpepper,carrotsandscallions;cook,stirringoccasionally,until tender- crisp, 3 to 4 minutes. Stir in the rice and the reserved egg and shrimp; cook, stirring, until heated through, about 1 minute. Remove from the heat and gently stir in the sauce mixture.

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DISCOVER HOW TO GET TREATMENT

Patient Success Spotlight

Print sudoku http://1sudoku.com It’s time to go to Fyzical Therapy & Balance Centers if: • You have fallen in the last year or have fear of falls • You want to feel better and move better • You are dizzy • You have pelvic pain • You have incontinence At Fyzical Therapy & Balance Centers, you will receive hands-on therapy treatments by our friendly, caring health experts during focused and individualized sessions.

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No longer an issue! “Thank you for referring me to FYZICAL because I am now able to go about my and go about my life without the fear of having to worry about bladder leakage. I felt hopeless and helpless that I would never be the same after childbirth. I thought I was going to have to give up my fall activities – things that I love; exercise, running, and dancing due to bladder leakage. Because of Dr. Mallory, that is no longer an issue. Thank you so much!” - A.K. 2 3 8 6 4 2 1 7 9 5 7 3 2 1 4 5 8

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5 7 6 8 FREE FALL RISK ASSESSMENT CALL TO SCHEDULE TODAY! DAKOTA DUNES: (605) 217-4330 CLIVE: (515) 985-7530 1 5 7 2 9 8 7 8 6 1 5 2 6 4 9 6 1 2 8 5 Limited to the first 25 callers. Expires 06-28-19

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