Monthly Archives: May 2016

Does your Bladder Dictate your Life? Let’s talk.

May 8th through the 13th is Women’s Health Week and the goal is to empower women to make their health a top priority and educate on the steps women can take to improve their health.  During the week, you can get the answers to top questions that are asked about Women’s Health. 

~Lynne Schill, Physical Therapist, Guest Author
Lynne Schill is a Women’s Health Physical Therapist at FMH Rehabilitation Women’s Center Crestwood. She has experience in treating women’s health diagnoses and has found this work to be extremely rewarding because of how significantly it can improve quality of life. Her compassionate nature coupled with an incredibly warm bedside manner inspires confidence, determination and empowers the individual to become proactive in their own recovery.

Does your bladder dictate your life? Do you have to plan your day around where the next bathroom is?  restroom signAre you afraid to leave your home for fear of not making it to the next bathroom or leaking? Do you feel something bulging in your vagina or have you been diagnosed with pelvic prolapse? Do you suffer from pelvic pain which affects your lifestyle and intimacy? Do you skip the jumping jacks or walk instead of run during your exercise routine?

May 8th through the 13th is National Women’s Health Week with the goal to empower women to make their health a top priority and to educate women on the steps to take to improve their health.   Women’s issues are important and most women suffer needlessly because they are not aware of the rehabilitation programming designed especially for women.

So, did you answer yes to any of the questions above? If so, you may be a candidate for women’s health physical therapy!  Physical therapy (PT) is a great alternative for women who don’t want to take medication and want to avoid surgery for incontinence, pelvic pain, and pelvic prolapse. Don’t let your bladder dictate your life or continue to suffer from pelvic pain, which can affect your lifestyle and intimacy.

Women often suffer in silence, not mentioning these problems to their healthcare provider and think they just have to “live with it”. However, there is hope—and help available, with physical therapists who have been specially trained to treat these conditions.

According to the National Association for Continence (NAFC), 26% of women between the ages of 18-59 have involuntary leakage, 20% of women over 40 also have overactive bladder, and 66% of women and men ages 30-70 have never discussed their bladder health with a healthcare provider.

It’s time to start the conversation!

My incontinence…

There are three types of incontinence: urge, stress, and mixed (which is combination of the first two).

Urge incontinence is when there are strong urges to urinate even though the bladder may not be full and there is an increased frequency of urination. Physical therapy treatment approaches include filling out a detailed three-day bladder log. Information gathered in this log includes the number of voids per day and night, how much is voided, what the patient was doing at the time, determining if the patient is drinking enough water, and identifying any dietary triggers.  Often, eliminating bladder irritants from the diet including caffeine, alcohol, citrus, carbonated beverages, and artificial sweeteners can help decrease or stop the problem.  Smoking can also be a factor, as can constipation.

Running to the bathroom and frequent emptying ‘just in case’ can actually make the problem worse. Teaching patients urge control techniques including standing or sitting quietly, doing a few quick Kegel contractions, and deep breathing can help decrease the urge. Another mistake women make is restricting their fluid intake.  This can not only lead to dehydration, but it can also cause the urine to be more concentrated, which can be irritating to the bladder lining and lead to further urgency.

Urge incontinence and overactive bladder sufferers can benefit from physical therapy relaxation techniques including deep breathing and nervous system quieting in order to help calm the bladder.

Stress incontinence happens with coughing, sneezing, laughing, exercising, or lifting. The increased pressure in the lower abdominal and pelvic region can cause leakage because of weakened pelvic floor muscles.  Pelvic floor muscles provide support to the pelvis and pelvic organs.  One exercise many women know that can help strengthen the pelvic floor is Kegels. However, it might be surprising to know that more than 50% of women perform Kegels incorrectly! A physical therapist can educate you further on pelvic floor anatomy to help identify which muscles you need to be contracting, how to isolate the contraction in order to do a correct Kegel, and then advise you on a home exercise program.   Strengthening the pelvic floor and lower abdominal muscles is especially important for this type of incontinence.  Also, modifying activities and exercise by avoiding a lot of heavy lifting, jumping and running can decrease symptoms.

My pelvic prolapse diagnosis…

Pelvic Prolapse is when a pelvic organ—such as your bladder, rectum or cervix—drops from its normal position. If you suffer from pelvic prolapse, you may benefit from postural education, strengthening of the pelvic floor muscles, activity modification, and positioning techniques to help reduce prolapse symptoms. Eliminating constipation is also important; a physical therapist can teach strategies to achieve regularity in order to avoid bearing down hard, which can potentially increase prolapse.

My pelvic pain…

Pelvic pain can be another life-changing problem for women—causing problems with simple daily activities and affecting intimacy. Pelvic pain and pelvic discomfort can be associated with menopause, post hysterectomy and other surgeries, trauma/injury, pregnancy/child birth, and pelvic malalignment. A physical therapist performs a thorough assessment and develops a program to meet individual needs.  Treatment may include hands on soft tissue techniques, biofeedback, and/or relaxation techniques.

Biofeedback is a valuable tool that is used to assess the muscle activity of the pelvic floor muscles and helps patients recognize when their pelvic floor is relaxed versus in a contracted state. While being coached by a physical therapist, the patient can become more aware of the pelvic floor muscles and how to use them via visual feedback.

Ask yourself, “Would I like to improve my pelvic health and quality of life without surgery or medication?” It’s time to do something about it and Women’s Health Week is the perfect time to start!

A Physical Therapist trained in treating pelvic floor dysfunction is available for your specific needs and diagnosis. Your bladder doesn’t have to dictate your daily routine; you don’t have to live with pelvic pain in silence. You deserve your life back!

Tx:Team Women’s Health Physical Therapy programs can be found at FMH Rehabilitation in Frederick, MD, St. Vincent Frankfort Hospital in Frankfort, IN, and St. Vincent Jennings Hospital in North Vernon, IN. Ladies, it’s time to take the steps to improve your health and Women’s Health Week is the perfect time to start!

 

 


My First Women’s Health Visit is Today

May 8th through the 13th is Women’s Health Week and the goal is to empower women to make their health a top priority and educate on the steps women can take to improve their health.  During the week, you can get the answers to top questions that are asked about Women’s Health. Let’s continue the conversation…

WH waitingWhat would I expect on my first visit?

In the first visit, a lot of history taking is done! The more history on the issues that the patient has, the more information can be gathered to work on the best plan of care.

You will be taken to a private treatment room where all you will receive one on one treatment. An extensive personal medical history will be taken as well as a thorough physical assessment of both external structures and internal structures.  From there, your plan of care will be discussed and patient centered goals will established.

How long would my physical therapy treatment last?

The initial evaluation will be approximately an hour.  Follow up visits will vary depending on your need and pain level.  As the pain begins to subside, frequency of visits will be gradually decreased.

What will happen during therapy?

This depends on the diagnosis. During the first couple of follow up visits, you will receive a lot of patient education surrounding your anatomy so you may visualize and understand what area of the body and which muscles specifically we will be targeting.  Your treatment plan might also consist of biofeedback, manuals therapy, and a home exercise program.

You will always be in a private room due to the sensitivity of the situation. Even if no internal work needs to be done, a private setting will allow you the freedom to discuss everything openly with your therapist.

Tx:Team Women’s Health Physical Therapy programs can be found at FMH Rehabilitation in Frederick, MD, St. Vincent Frankfort Hospital in Frankfort, IN, and St. Vincent Jennings Hospital in North Vernon, IN. Ladies, it’s time to take the steps to improve your health and Women’s Health Week is the perfect time to start!


Empower Yourself…Break the Silence on Women’s Health

May 8th through the 13th is Women’s Health Week and the goal is to empower women to make their health a top priority and educate on the steps women can take to improve their health.  During the week, you can get the answers to top questions that are asked about Women’s Health. Let’s continue the conversation…

 

How can Women’s Health therapy help?

This type of therapy is a conservative treatment approach which is an alternative to taking medications or even having surgery. Women’s health therapy can help you decrease pain, urinary or fecal leakage, and strength deficits.  Often being educated about lifestyle changes, addressing musculoskeletal factors, identifying and treating weakness or tightness in the pelvic floor muscles can have a big impact on a patient’s symptoms.

What if I feel embarrassed about my condition and it’s hard to talk about?SLP flyer web

It’s completely normal to feel embarrassed when talking about sensitive issues. Just remember, many women feel the same way.  Your therapist has a lot of experience in treating pelvic floor conditions and she will put you at ease about your evaluation and treatment.  The problem you are having is not uncommon, it’s just that people don’t talk about it.  It’s time to get the conversation started!

We don’t have to discuss everything the first day. If you need time to really get to know your therapist that is fine!  Sometimes, we just start with measurements until you become comfortable with your therapist. Being open and honest with your therapist will better help her to help you achieve your goals.

 

Tx:Team Women’s Health Physical Therapy programs can be found at FMH Rehabilitation in Frederick, MD, St. Vincent Frankfort Hospital in Frankfort, IN, and St. Vincent Jennings Hospital in North Vernon, IN. Ladies, it’s time to take the steps to improve your health and Women’s Health Week is the perfect time to start!


It’s Women’s Health Week! Questions? We Have Answers!

May 8th through the 13th is Women’s Health Week and the goal is to empower women to make their health a top priority and educate on the steps women can take to improve their health.  During the week, you can get the answers to top questions that are asked about Women’s Health. 

Pure, Natural, Beauty

Promoting Women’s Health & Wellness across the lifespan.

Women’s issues are important and most women suffer needlessly because they are not aware of the rehabilitation programming designed especially for women. Many patients suffer in silence from disorders caused from pregnancy, disease, musculoskeletal injury and surgery, or an unknown etiology.

Women’s Health physical therapists are trained to evaluate and treat the common conditions as well as more extensive diagnoses. The Tx:Team’s Women’s Health Program works with each patient on an individual basis with the ultimate goal of returning you to your daily routine as quickly as possible.  Physical Therapists work alongside you, the patient, to examine, treat, train, and educate.

Many of the diagnoses that women face are sensitive and can make a woman feel embarrassed. It’s time to get the conversations started! Since a women’s health program may be new to a majority of women, there are typically many questions surrounding how the program might help with your diagnosis or problem.

What does a Women’s Health Physical Therapist do?  

Women’s Health Physical Therapists provide specialized physical therapy services to diagnoses specific to women. These clinicians have received additional training for evaluation and treatment of the pelvic floor including both external and internal assessments.

What conditions does the Women’s Health Program address?

  • Urinary Incontinence
  • Pelvic Pain
    • Clitirodynia
    • Levator Ani Syndrome
    • Prudendal neuralgia
    • Vulvodynia/VVS
    • Dyspareunia
    • Coccygodynia
    • Tension Myalgia
  • Pelvic Organ Prolapse
  • Low/Mid Back Pain
  • SI Joint Dysfunction
  • Pregnancy related pain
  • PreNatal/PostPartum Conditions
  • Painful scars (c-section/episiotomy)
  • Diastasis Recti
  • Back Pain
  • Neck/Shoulder Pain
  • Painful Intercourse
  • Sacrococcygeal Joint Dysfunction
  • Osteoporosis
  • Lymphedema Management
  • Fibromyalgia
  • Gynecological surgery (pre/post op care)
  • Myofascial Pain Syndrome
  • Pain associated with Interstitial Cystitis & Endometriosis

Tx:Team Women’s Health Physical Therapy programs can be found at FMH Rehabilitation in Frederick, MD, St. Vincent Frankfort Hospital in Frankfort, IN, and St. Vincent Jennings Hospital in North Vernon, IN. Ladies, it’s time to take the steps to improve your health and Women’s Health Week is the perfect time to start!