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.
The Newsletter About Your Health And Caring For Your Body
As Holiday season approaches, we want to thank those who have placed their confidence in us and supported our practice. We often do not get enough opportunity to say ‘thank you’ even though we all are thankful everyday. We want to express our gratitude and deepest appreciation for trusting and believing in us and referring your family and friends to our practice. Wishing you all a Happy Thanksgiving! May the joy of the holidays extend to you and your family now and throughout the coming year. We Are Thankful For You!
StaffSpotlight
“Empathy, not sympathy, and genuine care in improving a client’s ability to function set a physical therapist apart. We often spend more time with a patient than any other health professional – and that gives us a unique window to see the big picture. Patients are often surprised by the dramatic difference physical therapy can bring about – not just with pain relief, but with problems such as urinary and bowel leakage, as well as dizziness or swelling. I often hear statements like, ‘You changed my life!’ It validates the reason I took up this profession.” EDUCATION/TRAINING: • B.S., Physical Therapy – National Institute of Rehab Training and Research, India • Doctorate of Physical Therapy – Northeastern University, Boston, MA • • Certification in Lymphedema Management • Proficiency certification in Vestibular Rehab • Advance Training in treatment of Pelvic Floor Dysfunction and Vestibular Dysfunction Madhu Rishi, PT, DPT, CLT, Physical Therapist
AREAS OF SPECIALTY
• Women’s health • Pelvic floor pain and dysfunction • Vestibular rehabilitation • Balance retraining and neuro rehabilitation
NOVEMBER 2017 The Therapy Bulletin The Newsletter About Your Health And Caring For Your Body “We Provide Personal Care For Personal Issues!” INCONTINENCE, CHRONIC PELVIC PAIN & PHYSICAL THERAPY
A physical therapist is highly skilled in evaluating and treating various musculoskeletal and neurological conditionsaffecting thebody.Thisprofession focuses onassessinganyunderlying factors,suchasstrength, neuromuscularcontrol,balance,coordination,skeletal alignment,andendurance,whichmaybecontributing to impaired functional mobility, activity participation, and quality of life. Of course, most people only seek physical therapywhen they’resuffering fromacommon 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,canalso 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) Any of these conditions may lead to inadequate supportof theorganscontainedwithyourpelviccavity, increasedpressureor inflammationofnerves,muscles, andotherconnective tissues (includingyourbladder), and impairedpelvicbonealignment.Thesesymptoms canbe frustrating,painful,andembarrassing,andmay limit your tolerance to daily participation in desired activities, including exercise.
Other symptoms frequently appear with pelvic pain, including incontinence,bloating,abdominalpressure, reluctance tostrainwhiledefecating,andpain in the low back,buttocks,andhips.Youmayalsohavedecreased 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. Ifyoucome toseeaphysical therapist foryour pelvicdysfunction, you’ll be taken through a thorough physicalexaminationandpatienthistoryquestionnaire. He or she will ask you specific questions about your pain, what makes it worse and better, and whether you havea history of any related issues. Based on the resultsof theexamination,yourphysical therapistcan then develop a customized treatment plan to relieve yoursymptomsandaddress thesuspectedunderlying causes to prevent recurring dysfunction.
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“Women’s Health Matters!” PREGNANCY MUSCULOSKELETAL DYSFUNCTION
Pregnancy demands a tremendous amount out of a women’s body. Changes in posture, muscle strength, ligament stability and pelvic alignment, can leave lasting, painful changes such as pelvic or back pain. However, having a child doesn’t mean that you have to live with the painful changes forever, and most women can have significant improvements in their pain and function with physical therapy. Our physical therapists address the musculoskeletal components of pregnancy and postpartum issues, including incontinence, pelvic floor muscle dysfunction and prenatal joint/muscle dysfunction. Weakness, poor muscle coordination, abdominal strength or bladder habits may also contribute to musculoskeletal dysfunction. After evaluating the muscles, joints and/or nerves contributing to pain, our therapists will recommend modifications of posture and review proper body mechanics/bowel/bladder habits. Other treatments include soft tissue massage, mobilization, stretching and core stabilization.
If you suffer with any of the issues above, know that we are here to help you achieve results discreetly, and return you to the activities you love. Call us today to discover how we can help BEING GRATEFUL IS GOOD FOR YOU! GRATITUDE AND HEALTH www.ptandrehab.com
Feeling thankful can improve your health in both direct and indirect ways. Some research shows that the experience of gratitude can induce a sense of relaxation, improve the immune system, and decrease blood pressure. But grateful people also tend to cultivate better health habits, like eating more nutritious food, exercising, and avoiding risky behaviors. In addition, the optimism that stems from gratitude can create a healing attitude: research shows that people with optimistic attitudes have better outcomes after medical procedures. GRATITUDE AND JOY Robert Emmons, an internationally renowned scientific expert on gratitude, has found that acknowledging the good in life has a tendency to amplify positive emotions, such as joy and contentment, because it helps us slow down. “I think gratitude allows us to participate more in life,” he says. “We notice the positives more, and that magnifies the pleasures you get from life.” Consider the last time you had a good cup of coffee—did you pay attention to the warmth of the cup on your hands, or the feeling of pleasure as you took the first sip? It’s easy to ignore these small moments of positivity in our day as we rush from one activity to another, but stopping to appreciate them makes them more powurful.
“We notice the positives more, and that magnifies the pleasures you get from life.”
GRATITUDE AND RESILIENCE Practicing gratitude can also make you better equipped to handle the difficulties of life that inevitably arise. In fact, according to Emmons, it’s an essential part of the process of healing from trauma. Even despair can be mitigated by the experience of appreciation for the good, however slight it might be.. Many people with life-threatening illnesses also report decreased distress and increased positive emotions when they practice gratitude.
Patient Success Spotlight Who do you know that needs our help? Refer a Friend Do You Have Friends or Family Unable to Do The Following? 9 Move without pain 9 Bend and move freely
Breakfast Recipe “I had neck and shoulder pain related to work/stress. Every time I lift or just look down my neck would go numb. It limited me from lifting quite a bit. I have been coming here for 6 years and I have had great results. I feel like I’m apart of the family when I go to my appointment. The staff makes you feel very comfortable and they don’t force you into anything. I highly recommend this place. Every time I need physical therapy, I always tell my Dr. I would like to come here.” - S.E. “I feel like I’mapart of the family” Make Mornings Yummy! ENGLISHMUFFIN BREAKFAST SANDWICHES INGREDIENTS 6 English muffins, sliced in half 6 large eggs 6 slices Cheddar cheese 6 slices deli ham Salt and freshly ground black pepper INSTRUCTIONS • Preheat oven to 350 degrees. • Grease 5 ramekins, or a jumbo muffin tin and place on a cookie sheet. • Crack one egg into each ramekin. • Pierce egg yolk with a fork and very slightly beat.
9 Balance confidently and securely 9 Sit for long periods comfortably 9 Walk for long distances 9 Live an active and healthy lifestyle
CALL TODAY!
FREE WORKSHOP
Join our therapist Madhu Rishi PT, DPT, CLT Demystify ‘down there’ Tired of peeing when you run, sneeze or laugh? Worried about a prolapse? Low back pain? There’s a good chance that your pelvic floor (the area of muscle between your tailbone at the back and pubic bone at the front) may not be functioning properly.
Want to learn more? Attend the workshop on
November 28, 2017 at 5 pm - 6 pm 555 Wackerly Rd, Midland Lower Level Conference Room Call 989-631-3570 to register. Space is limited - Call today to reserve your spot
• Season with salt and freshly ground pepper. • Bake eggs for 12-15 minutes or until set. • Remove from oven and allow to cool.
• Run a knife around the edge of ramekin (or muffin tin) to remove eggs. • To assemble breakfast sandwich, layer one half of each English muffin with one slice of cheese, one slice of ham and a cooked egg. • Top with other half of English muffin. • Wrap sandwich in plastic wrap and place in the freezer. • To reheat, place in microwave for 1-2 minutes, or until warmed through.
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