don’t suffer from pain - orthopedic pt inc

Don’t Suffer From PainIncontinence, Chronic Pelvic Pain, & Physical Therapy

orth

oped

icpt

inc.

com

orth

oped

icpt

inc.

com

Orth

oped

ic Ph

ysica

l The

rapy

, Inc.

is a

uniq

ue ph

ysica

l the

rapy

fa

cilit

y in R

ichm

ond,

VA.

Our

phys

ical

ther

apist

s pro

vide c

are

to p

eopl

e wi

th m

uscu

losk

elet

al in

jurie

s who

striv

e to

retu

rn

to w

ork,

spor

ts, a

nd/o

r an

activ

e, fu

ll lif

esty

le. O

ur p

hysi

cal

ther

apist

s are

trai

ned t

o eva

luat

e and

trea

t the

sour

ce of

pain

ra

ther

than

sim

ply t

reat

sym

ptom

s. W

e loo

k at y

our m

uscl

es,

join

ts a

nd e

ntire

bod

y as

a w

hole

uni

t. Ou

r clin

icia

ns w

ork

in ta

ndem

with

pat

ient

s to

set

and

reac

h go

als

by u

sing

in

nova

tive

stra

tegi

es, s

uch

as d

ry n

eedl

ing

in o

rder

to h

elp

them

atta

in th

eir h

ighe

st le

vel o

f wel

lnes

s.

Each

of o

ur c

linic

ians

has

und

ergo

ne e

xten

sive

trai

ning

in

treat

ing

mus

culo

skel

etal

pro

blem

s. O

ur p

hysi

cal t

hera

pist

s al

so ha

ve th

eir ow

n spe

cialti

es. W

e wor

k as a

team

to op

timize

yo

ur tr

eatm

ents

and

pro

gres

s.

- Tra

cey A

dler

, PT,

DPT,

OCS,

CM

TPT

Heal

th &

Phy

sical

Ther

apy

The N

ewsle

tter A

bout

You

r Hea

lth A

nd C

arin

g Fo

r You

r Bod

y

Inside:• Incontinence, Chronic Pelvic Pain & Physical Therapy

• Get Your Life Back Pain Free

• Key Lime Chicken Recipe

• Patient Success Spotlight

• Staff Spotlight

Ort

hope

dic

Phys

ical

The

rapy

, Inc

.20

00 B

rem

o Ro

adSu

ite 2

02Ri

chm

ond,

VA

2322

6P:

804

.285

.014

8F:

804

.673

.602

6

“Why

Are Y

ou Wa

iting U

ntil Yo

ur Pa

in Wo

rsens

Befor

e See

king T

reatm

ent?”

Incon

tinen

ce, Ch

ronic P

elvic P

ain, &

Physi

cal Th

erapy

Caus

es O

f Inc

ontin

ence

And

Chr

onic

Pel

vic P

ain

If yo

u ha

ve p

ain

in yo

ur p

elvi

s, it

may

not

alwa

ys

be fu

lly c

lear

wha

t’s c

ausi

ng it

. Som

e co

mm

on

caus

es o

f pel

vic

floor

dys

func

tion

and

chro

nic

pelv

ic p

ain

incl

ude,

but a

re n

ot li

mite

d to

:• P

regn

ancy

• Sac

roili

ac jo

int d

ysfu

nctio

n• C

occy

dyni

a• I

rrita

tion o

f the

pude

ndal

nerv

e (wh

ich or

igin

ates

ne

ar th

e bo

ttom

of y

our s

pine

)• I

rrita

ble

bowe

l syn

drom

e• L

evat

or a

ni s

yndr

ome

(incr

ease

d te

nsio

n in

pe

lvic

floo

r mus

cles

)• P

ost-s

urgi

cal c

ompl

icatio

ns (e

.g., p

ain f

ollo

wing

a

hyst

erec

tom

y, he

rnia

repa

ir, ce

sare

an se

ctio

n,

and/

or p

rost

atec

tom

y)

Any o

f the

se co

nditi

ons m

ay le

ad to

inad

equa

te

supp

ort o

f the

orga

ns co

ntai

ned w

ith yo

ur pe

lvic

cavi

ty, i

ncre

ased

pre

ssur

e or

infla

mm

atio

n of

ne

rves

, mus

cles

, and

oth

er c

onne

ctiv

e tis

sues

(in

cludi

ng yo

ur bl

adde

r), an

d im

paire

d pelv

ic bo

ne

alig

nmen

t. Th

ese

sym

ptom

s can

be

frust

ratin

g,

pain

ful,

and

emba

rrass

ing,

and

may

lim

it yo

ur

tole

ranc

e to

dai

ly p

artic

ipat

ion

in d

esire

d

activ

ities

, incl

udin

g ex

erci

se.

Othe

r sym

ptom

s fre

quen

tly a

ppea

r with

pel

vic

pain

, inclu

ding

inco

ntin

ence

, blo

atin

g, ab

dom

inal

pr

essu

re, r

eluc

tanc

e to

stra

in w

hile

def

ecat

ing,

an

d pai

n in t

he lo

w ba

ck, b

utto

cks,

and h

ips.

You

m

ay al

so ha

ve de

crea

sed t

oler

ance

to a

varie

ty of

ac

tiviti

es in

clud

ing

sitti

ng o

r sta

ndin

g, w

alki

ng,

exer

cise

, and

sexu

al in

terc

ours

e.

How

A Ph

ysic

al T

hera

pist

Can

Trea

t Pel

vic P

ain

Ever

y pa

tient

pre

sent

ing

with

chr

onic

pel

vic

pain

is u

niqu

e. If

you

com

e to

see

a p

hysi

cal

ther

apis

t for

you

r pel

vic

dysf

unct

ion,

you

’ll be

ta

ken

thro

ugh

a th

orou

gh p

hysi

cal e

xam

inat

ion

and

patie

nt h

isto

ry q

uest

ionn

aire

. He o

r she

will

as

k you

spec

ific q

uest

ions

abou

t you

r pai

n, w

hat

mak

es it

wor

se an

d bet

ter, a

nd w

heth

er yo

u hav

e a

hist

ory

of a

ny re

late

d is

sues

. Bas

ed o

n th

e re

sults

of th

e exa

min

atio

n, yo

ur ph

ysica

l the

rapi

st

can

then

dev

elop

a c

usto

mize

d tre

atm

ent p

lan

to r

elie

ve y

our

sym

ptom

s an

d ad

dres

s th

e su

spec

ted u

nder

lying

caus

es to

prev

ent r

ecur

ring

dysf

unct

ion.

Com

mon

phy

sica

l th

erap

y tr

eatm

ents

may

in

clud

e:

• Sof

t tiss

ue m

obili

zatio

n and

mas

sage

of in

tern

al

and e

xter

nal p

elvic

mus

cula

ture

, to re

lieve

mus

cle

tens

ion

and

prov

ide

pain

relie

f• S

pina

l and

sac

roili

ac jo

int m

anip

ulat

ions

to

rese

t the

neu

rolo

gica

l pat

hway

, rel

ieve

pai

n, an

d re

stor

e no

rmal

spin

al a

lignm

ent.

• El

ectr

ical

stim

ulat

ion

mod

aliti

es, s

uch

as

neur

omus

cula

r ele

ctric

al st

imul

atio

n to

pro

vide

pa

in re

lief a

nd re

stor

e no

rmal

neu

rom

uscu

lar

activ

atio

n of

pel

vic

floor

mus

cles

and

ner

ves.

• The

rape

utic

exe

rcis

es to

rest

ore

the

norm

al

stre

ngth

, fle

xibili

ty, a

nd en

dura

nce o

f sta

biliz

ing

post

ural

mus

cles

in th

e lo

w ba

ck a

nd h

ips.

Stru

gglin

g w

ith p

elvi

c pa

in?

Frus

trat

ed a

nd

conc

erne

d ab

out i

ncon

tinen

ce? F

or b

oth

shor

t-te

rm an

d lon

g-la

stin

g reli

ef w

ithou

t the

need

from

in

vasi

ve in

terv

entio

ns o

r med

icat

ions

, con

side

r co

nsul

ting

with

a p

hysi

cal t

hera

pist

toda

y.

Sour

ce: h

ttp://

www.

bing

.com

/sea

rch?

q=ph

ysic

al+t

hera

py+t

reat

men

t+of

+pelv

ic+pa

in&s

rc=I

E-To

pRes

ult&

FORM

=IET

R02

&con

vers

atio

nid=

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.

(continued inside)

Our P

hysi

cal T

hera

pist

s Are

Tra

ined

To F

ind

& Tr

eat

The

Sour

ce O

f Pai

n!

WE

STRI

VE T

O PR

OVID

E TH

E BE

ST S

ERVI

CE T

O OU

R PA

TIEN

TS

Unde

rsta

ndin

g In

cont

inen

ce In

W

omen

Urin

ary

inco

ntin

ence

has

a r

eput

atio

n of

bei

ng

som

ethi

ng o

nly

little

old

ladi

es h

ave.

But

man

y yo

ung

peop

le g

et u

rinar

y in

cont

inen

ce. A

nd w

hile

mor

e wo

men

than

men

are

affe

cted

, men

can

hav

e ur

inary

prob

lems t

oo, e

spec

ially

afte

r pro

stat

e sur

gery.

Fo

rtuna

tely,

ther

e ar

e m

any

treat

men

ts fo

r urin

ary

inco

ntin

ence

.

Beha

vior

al tr

eatm

ent.

Som

e pe

ople

with

urin

ary

inco

ntin

ence

may

get r

elief

by m

akin

g sim

ple l

ifest

yle

chan

ges.

If yo

u hav

e stre

ss in

cont

inenc

e, fo

r inst

ance

, in

whi

ch yo

u lea

k ur

ine

when

you

coug

h, sn

eeze

, or

laug

h, yo

ur p

hysic

al th

erap

ist m

ay te

ll yo

u to

lim

it ho

w m

uch

you

drin

k. If

you

have

urg

e in

cont

inen

ce,

in w

hich

you g

et th

e sud

den u

rge t

o urin

ate a

nd ca

n’t

alway

s mak

e it t

o the

bath

room

in tim

e, yo

ur ph

ysica

l th

erap

ist m

ay te

ll you

to av

oid

spicy

food

s, ca

ffein

e, an

d ca

rbon

ated

drin

ks, b

ecau

se th

ey ca

n irr

itate

the

blad

der a

nd m

ake

the

prob

lem w

orse

. Exe

rcise

s to

st

reng

then

the p

elvic

floor

mus

cles,

know

n as K

egels

,

can s

omet

imes

help

peop

le wi

th st

ress

inco

ntin

ence

. Ke

gels

can

also

help

peo

ple w

ith u

rge i

ncon

tinen

ce.

Som

etim

es, K

egels

are

com

bine

d wi

th b

iofe

edba

ck

tech

niqu

es to

hel

p yo

u kn

ow if

you

are

doi

ng th

e ex

erci

ses

prop

erly.

For

urg

e in

cont

inen

ce, b

ladd

er

traini

ng, s

omet

imes

calle

d blad

der r

etra

ining

, can

also

he

lp. T

his

invo

lves

grad

ually

incr

easin

g th

e in

terv

al

time

betw

een

trips

to th

e ba

thro

om, w

orkin

g up

to

long

er an

d lon

ger in

terv

als be

twee

n bat

hroo

m st

ops.

Devic

es an

d abs

orbe

nt pr

oduc

ts. P

rote

ctive

pads

and

pant

y line

rs ca

n help

avoid

emba

rrass

ing si

tuat

ions.

A pe

ssar

y, a p

lastic

devic

e ins

erte

d int

o the

vagi

na, m

ay

help

prev

ent u

rine l

eaka

ge by

supp

ortin

g the

neck

of

the b

ladd

er; it

is m

ost u

sefu

l for

stre

ss in

cont

inen

ce.

Mild

to

mod

erat

e ca

ses

of c

omm

on t

ypes

of

inco

ntin

ence

can

be

cure

d or

gre

atly

impr

oved

by

beha

viora

l or e

xerc

ise th

erap

y. W

e ca

n al

so te

ach

you

habi

ts a

nd te

chni

ques

to re

duce

urg

ency

and

ur

ge in

cont

inen

ce (o

r lea

king

with

a s

trong

urg

e on

th

e way

to th

e bat

hroo

m). E

ven p

erio

dic i

ncon

tinen

ce

is no

t som

ethi

ng yo

u hav

e to d

eal w

ith. W

e can

help

!

“We P

rovide

Perso

nal Ca

re Fo

r Pers

onal

Issue

s.”

Health & Physical TherapyThe Newsletter About Your Health And Caring For Your Body

orth

oped

icpt

inc.

com


orthopedicptinc.com

orthopedicptinc.com

Orthopedic Physical Therapy, Inc. is a unique physical therapy facility in Richmond, VA. Our physical therapists provide care to people with musculoskeletal injuries who strive to return to work, sports, and/or an active, full lifestyle. Our physical therapists are trained to evaluate and treat the source of pain rather than simply treat symptoms. We look at your muscles, joints and entire body as a whole unit. Our clinicians work in tandem with patients to set and reach goals by using innovative strategies, such as dry needling in order to help them attain their highest level of wellness.

Each of our clinicians has undergone extensive training in treating musculoskeletal problems. Our physical therapists also have their own specialties. We work as a team to optimize your treatments and progress.

- Tracey Adler, PT, DPT, OCS, CMTPT

Health & Physical Therapy The Newsletter About Your Health And Caring For Your Body



• Key Lime Chicken R

ecipe


• Staff Spotlight

Orthopedic Physical Therapy, Inc.2000 Bremo RoadSuite 202Richmond, VA 23226P: 804.285.0148F: 804.673.6026

“Why Are You Waiting Until Your Pain Worsens Before Seeking Treatment?”Incontinence, Chronic Pelvic Pain, & Physical Therapy

Causes Of Incontinence And Chronic Pelvic PainIf 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 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.

Source: http://www.bing.com/search?q=physical+therapy+treatment+of+pelvic+pain&src=IE-TopResult&FORM=IETR02&conversationid=

A physical therapist is highly skilled in evaluating and treating various m

usculoskeletal and neurological conditions affecting the body. This profession focuses on assessing any underlying factors, such as strength, neurom

uscular control, balance, coordination, skeletal alignm

ent, and endurance, which may be contributing to

impaired functional m

obility, activity participation, and quality of life.

Of course, most people only seek physical therapy when

they’re suffering from a com

mon 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.

(continued inside)

Our Physical Therapists Are Trained To Find & Treat The Source Of Pain!

WE STRIVE TO PROVIDE THE BEST SERVICE TO OUR PATIENTS

Understanding Incontinence In WomenUrinary 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!

“We Provide Personal Care For Personal Issues.”


orthopedicptinc.com

Eating Right Never Tasted So Good!

Orthopedic Physical Therapy, Inc. Staff Spotlight

Did you know our clinic has its own Facebook & LinkedIn page? Like and follow the pages for the clinic, to see fun photos of clinic activities, stay up-to-date on our happenings and events, and find helpful articles on conditions we treat! We love staying in touch and connected with our patients!

It’s improved my MS gait!

“I’ve had treatment at OPT, Inc. to relieve myofascial pain from Multiple Sclerosis (MS) and for an unrelated rare condition that makes it extremely painful to sit. The trigger point dry needling and hands on manual therapy OPT, Inc. utilized were pivotal in relieving the MS pain and the pain while sitting. As an added bonus it’s improved my MS gait. I have no doubt the friendly OPT, Inc staff have expertise in pain relief.” - Sharon K.

Patient Success S P O T L I G H T

• Trigger Point Dry Needling

• Chronic Pain

• Neck & Back Pain

• TMJ/TMD

• Headache Relief

• Fibromyalgia

• Myofascial & Referred Pain

• Women’s Pelvic Pain

• Men’s Health Issues

• Posture & Orthotics

• Hypermobility & EDS

• Sports Injuries

orthopedicptinc.com

orthopedicptinc.com

Our Specialties

Lydia Morris, PT, CMTPT received a B.S. in Physical Therapy from the Medical College of Virginia in 1979. Ms. Morris specializes in the treatment of patients with musculoskeletal dysfunction, TMJ/TMD, pelvic floor dysfunctions including bowel/bladder incontinence, pudendal neuralgia, post-prostatectomy urinary incontinence and levator ani syndrome. Ms. Morris has advanced training in women and men’s health, manual therapy, exercise physiology and medical Pilates. Ms. Morris received international post-graduate certification in Dry Needling by Myopain Seminars and Janet G. Travell, MD Seminar Series in June 2007. Ms. Morris performed clinical research and published the article “Effectiveness of High Voltage Pulsed Galvanic Stimulation on Levator Ani Syndrome” in The Journal of American Physical Therapy Association, October 1987. Lydia Morris is Direct Access Certified.

Find Us OnSOCIAL MEDIA

Think PT FIRSTWhy You Need To Come In For A Check-Up:� Move without pain� Bend and move freely� Balanceconfidently&

securely

� Sit for long periods comfortably

� Walk for long distances� Live an active & healthy

lifestyle

Orthopedic PT, Inc. Is A Direct Access Facility!

In the state of Virginia, patients have the right to see a physical therapist without a physician referral. You may be evaluated and treated for no more than 30 consecutive days, at which time a referral will benecessary.Thisallowsyouasthepatienttoseeaphysicaltherapistfirst.

Physical therapists are trained to evaluate and treat, as well as refer to an appropriate medical professional for issues that are outside of our scope of practice. If you would like to schedule an evaluation with one ofourphysicaltherapistspleasecallourofficeforadditionaldetails(804)285-0148.

You are the most important member of you own health care team, and you are entitled to choose the most appropriate health care professional to meet your goals.

For more information go to orthopedicptinc.com

Maria and Aura: Our OPT Angels

Phone: 804.285.0148 Fax: 804.673.6026Phone: 804.285.0148 Fax: 804.673.6026

Phone: 804.285.0148 Fax: 804.673.6026

Take Care Of Your Aches & Pains Before It’s Too Late!

Key Lime Chicken

Lydia MorrisPT, CMTPT

Directions1. In a shallow container, blend soy sauce, honey, vegetable oil, lime juice, and garlic. Place chicken breast halves into the mixture, and turn to coat. Cover, and marinate in the refrigerator at least 30 minutes.

2. Preheat an outdoor grill for high heat.

3. Lightly oil the grill grate. Discard marinade, and grill chicken 6 to 8 minutes on each side, until juices run clear. Garnish with lime slices.

6 Ingredients• 3 tablespoons soy sauce• 1 tablespoon honey• 1 tablespoon vegetable oil• 1 teaspoon lime juice• 1 teaspoon chopped garlic• 4 skinless, boneless chicken breast halves

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Many experience chronic pelvic pain but have no known cause, causing frustration and even depression. Chronic pelvic pain may be associated with other pelvic conditions including:

• Interstitial cystitis (IC) or painful bladder syndrome• Endometriosis• Chronic bladder infections• Pelvic adhesions or scar tissue from a prior abdominal surgery• Dysmenorrhea, or painful menstrual cramps• Levator Ani Syndrome which causes increased tension of the pelvic floor

Working with your urologist, a specially trained physical therapist can perform soft tissue mobilization of pelvic floor muscles as well as relaxation techniques, pelvic floor muscle exercises and suggest exercises to improve poor posture. We can teach you how to correctly do a Kegel, which will help strengthen the pelvic muscles and help to prevent stress incontinence, or leakage with coughing, laughing, sneezing, etc.

“Get Your Life Back Pain Free!”Understanding Chronic Pelvic Pain

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Orthopedic Physical Therapy, Inc. is a unique physical therapy facility in Richmond, VA. Our physical therapists provide care to people with musculoskeletal injuries who strive to return to work, sports, and/or an active, full lifestyle. Our physical therapists are trained to evaluate and treat the source of pain rather than simply treat symptoms. We look at your muscles, joints and entire body as a whole unit. Our clinicians work in tandem with patients to set and reach goals by using innovative strategies, such as dry needling in order to help them attain their highest level of wellness.

Each of our clinicians has undergone extensive training in treating musculoskeletal problems. Our physical therapists also have their own specialties. We work as a team to optimize your treatments and progress.

- Tracey Adler, PT, DPT, OCS, CMTPT

Health & Physical Therapy The Newsletter About Your Health And Caring For Your Body



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Orthopedic Physical Therapy, Inc.2000 Bremo RoadSuite 202Richmond, VA 23226P: 804.285.0148F: 804.673.6026

“Why Are You Waiting Until Your Pain Worsens Before Seeking Treatment?”Incontinence, Chronic Pelvic Pain, & Physical Therapy

Causes Of Incontinence And Chronic Pelvic PainIf 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 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.

Source: http://www.bing.com/search?q=physical+therapy+treatment+of+pelvic+pain&src=IE-TopResult&FORM=IETR02&conversationid=

A physical therapist is highly skilled in evaluating and treating various m

usculoskeletal and neurological conditions affecting the body. This profession focuses on assessing any underlying factors, such as strength, neurom

uscular control, balance, coordination, skeletal alignm

ent, and endurance, which may be contributing to

impaired functional m

obility, activity participation, and quality of life.

Of course, most people only seek physical therapy when

they’re suffering from a com

mon 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.

(continued inside)

Our Physical Therapists Are Trained To Find & Treat The Source Of Pain!

WE STRIVE TO PROVIDE THE BEST SERVICE TO OUR PATIENTS

Understanding Incontinence In WomenUrinary 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!

“We Provide Personal Care For Personal Issues.”


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