Pelvic Pain & Incontinence

 

What is a Pelvic Health Clinic?

From a Results PT Pelvic Health Physical Therapist

"With a majority of the fears that women present with are the unknown. The changes that my body are going through. Is this normal? Is this common? What's to be expected? Am I going to be like this forever? Is there help? Should I be talking to my doctor about this? Is there anybody else that I can talk to about this that can help me with what I am going through?

"One of the benefits of seeing a pelvic health physical therapist may be seeing a postpartum mom who's dealing with pelvic pain. Perhaps, she's discussing with her OBGYN about pelvic pain and there doesn't seem to be a solution. I think seeing a pelvic health physical therapist can be an important piece or a missing piece in that mom's full recovery. 

"At Results Physiotherapy, every therapist has advanced training beyond graduation. As a pelvic health physical therapist, we have advanced training as well beyond graduation. A pelvic health physical therapist treats men and women with specific pelvic health issues.

"I think sometimes, just on their first visit, women are given a sense of hope that there is somebody, a coach or an accountability partner. As therapists, we can be that person for them. They have somebody that they know they can actually talk to about all of these issues and uncertainties that they are going through. We have a certain amount of time with these patients behind close doors. We are here to provide them a safe environment so they can talk about these concerns and feel that they may be vulnerable and it's okay. 

"We are here for them. We are here to support them in that way. Results Physiotherapy specializes in treating these patients and we've dedicated specialty clinics in a variety of locations and regions because we want to provide that safe environment, knowing that patients who are around them are also being troubled or challenged with some sort of pelvic health issue. For the majority of the women, on their first day, they have that sense of hope. They say wow, for the first time I actually feel like I have hope. If you are having any trouble or concerns or challenges in any of these areas, we can help you. We've treated thousands of patients with similar issues in those areas and we know there's hope. There is hope. 

"We can help you get back to your everyday life and get you back to you where you want to be."

Read More Pelvic Pain FAQ's


Pelvic Pain

Symptoms

Symptoms vary between painful conditions which include pain around tailbone, lower abdominal pain, groin pain, low back pain, pelvic floor pain, and hip pain. Symptoms also include bowel and or bladder dysfunction, and sexual dysfunction. This includes urinary retention and frequency, constipation, and pain with intercourse. These painful conditions can lead to pain with sitting, urination, bowel movements, and intercourse. The symptoms are frequently described as burning, aching, stabbing, and throbbing. These symptoms can occur in men and women.

Causes

Frequently these symptoms are caused by pelvic floor muscle dysfunction which can be weakness or spasm of these muscles. Common history includes abdominal surgeries (hysterectomy, C-section, prostatectomy), and infections. Common history includes pelvic surgeries (prolapse, bladder sling, mesh), trauma (falls, accidents), high levels of stress & anxiety, traumatic delivery (episiotomy, laceration), and sexual abuse.

Relief

 Effective treatment requires a comprehensive evaluation of pelvis, lumbar spine, and hips. Hands on therapy includes joint and soft tissue mobilization, and muscular re-training. These are effective techniques for normalizing muscle tone of the pelvic floor. Treatment may also include modalities such as: bio-feedback, ultra-sound, and electrical stimulation.

Incontinence

Symptoms

Urinary leakage can include stress, urge, or mixed incontinence and can occur after a prostatectomy in men. Symptoms may include involuntary loss of urine with sneezing, coughing, laughing, and any strenuous activity such as running, jumping, and lifting. Leakage may also occur with a strong urge to urinate.

Causes

25 million adult Americans suffer from incontinence. Urinary incontinence may occur in elite athletes, during and after pregnancies, post-op, after abdominal, hip, pelvic, and prostate surgeries. Urinary incontinence becomes more common as men and women age. Other causes can include weak pelvic floor, deep abdominal muscles, and painful conditions.

Relief

Bio-feedback, muscle re-training, strengthening, core stabilization, bladder re-training, and electrical stimulation, and patient education have proven very effective in treating incontinence.

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