Fyzical Dunes: Women's Health

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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