Manual Edge: Women's Health

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PHYSICAL THERAPIST SERVICES FOR WOMEN’S HEALTH

Women’s health physical therapists have specialized education and expertise in the evaluation and treatment of both acute and chronic conditions that specifically affect women. There are some conditions that women may be hesitant to discuss with their health care providers. The good news is that conditions such as incontinence, pelvic pain, lymphedema, those that occur during pregnancy and following birth, and others, can all be treated by a physical therapist, often with solutions that do not involve surgery or long-term use of prescription medications.

At Manual Edge we know the importance of women’s self care, but we also know it’s not always the easiest thing to talk about. When you’re ready, the women’s health specialists at Manual Edge Physiotherapy are here for you.

Sincerely,

Tim Bonack

Source: www.moveforwardpt.com/WomensHealth

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INCONTINENCE, CHRONIC PELVIC PAIN, & PHYSICAL THERAPY

Any of these conditions may lead to inadequate support of the organs contained with your pelvic cavity, increased pressure or inflammation of nerves, muscles, and other connective tissues (including your bladder), and impaired pelvic bone alignment. These symptoms can be frustrating, painful, and embarrassing, and may limit your tolerance to daily participation in desired activities, including exercise. Other symptoms frequently appear with pelvic pain, 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 Every patient presenting 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 • Spinal and sacroiliac joint manipulations to reset the neurological pathway, 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. Struggling with pelvic pain? Frustrated and concerned about incontinence? For both short-term and long-lasting relief without the need from invasive interventions or medications, consider consulting with a physical therapist today.

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. 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. Causes Of Incontinence And Chronic Pelvic Pain If you have pain in your pelvis, it may not always be fully clear what’s causing 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)

Call Today 719-694-8342

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WE PROVIDE PERSONAL CARE FOR PERSONAL ISSUES

Understanding Incontinence In Women 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, 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 sometimes help people with stress incontinence. Kegels can also help

people with urge 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!

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EXERCISE ESSENTIAL

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PRONE HIP EXTENSION While lying face down with your knee straight, slowly raise up leg off the ground.

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MANUAL EDGE NEWS

Our very own Kristina Koch MSPT, WCS, CLT was recently invited to be an instructor at the Herman & Wallace Pelvic Rehabilitation Institute. This institute is the premiere organization that provides continuing education courses for medical professionals in the treatment of pelvic pain and dysfunction. We are very proud of the work that Kristina continues to do in this very important area of Physical Therapy and know that she will be an excellent teacher. Her first teaching opportunity is in June. Go Kristina!

HEALTHY RECIPE

WORKSHOPS

Berry-Almond Smoothie Bowl

INGREDIENTS: • ⅔ cup frozen raspberries • ½ cup frozen sliced banana • ½ cup plain unsweetened almond milk • 5 tbsp sliced almonds, divided • ¼ tsp ground cinnamon • ⅛ tsp ground cardamom • ⅛ tsp vanilla extract • ¼ cup blueberries • 1 tbsp unsweetened coconut flakes

PELVIC PAIN AND BLADDER ISSUES WORKSHOP JUNE 15, 2019 @ 10:00 AM AT OUR CLINIC Valerie Jones PT, DPT, CFMT will be holding this workshop right here at the clinic on Saturday, June 15th from 10:00 to 11:00 a.m. If you or a loved one experience urine leakage with activities like coughing, sneezing, lifting, or have challenges with intimacy, this workshop is for you. Bring your family members or friends, it’s free! Just call the clinic to reserve your seat as it is limited to the first 20 registrants.

INSTRUCTIONS: Blend raspberries, banana, almond milk, 3 tablespoons almonds, cinnamon, cardamom and vanilla in a blender until very smooth. Pour the smoothie into a bowl and top with blueberries, the remaining 2 tablespoons almonds and coconut.

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