Treatments
Womens/Mens Pelvic Floor
What conditions do we treat?
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Increased or decreased voiding frequency and urgency
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Bowel/bladder Incontinence (daytime or nighttime)
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Difficulty voiding (hesitancy, straining, weak/intermittent stream, pain or burning)
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Feeling of incomplete emptying or retention
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Voiding postponement (using holding maneuvers- sitting on the heel of the foot)
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Constipation/Straining
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Fecal Retention/constipation
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Pelvic Pain (abdomen, low back, pelvic or perineum pain)
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Symptoms associated with interstitial cystitis, endometriosis.
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Irritable bowel syndrome, dysmenorrhea
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Post-abdominal or pelvic surgery (post-prostatectomy, post-C-section)
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Pain with penetration in women
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Pelvic organ prolapse
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Pre and postpartum care, such as post-episiotomy, diastasis recti
What treatments methods do we use?
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Internal and external assessment
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Manual therapy (ex. Myofascial release, abdominal massage, joint mobilizations)
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functional training of pelvic floor and core muscles (ex. muscle coordination, strength, balance and postural stability exercises)
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Empowering the patient to be involved in the control/treatment of their conditions
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Educating on urogenital anatomy/physiology
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Assessing and correcting posture, biomechanics, and alignment
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Educating on diet and fluid intake
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Improving awareness of pelvic floor musculature (external or internal biofeedback)
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Muscle relaxation techniques (yoga, diaphragmatic breathing)
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Modalities ( E-stim, TENS, Biofeedback)
Pediatric Pelvic Floor
Who do we treat?
What conditions do we treat?
Patients can be seen as early as 24-36 months, and up through adolescence and adulthood. This includes children of varying abilities and/or neurological conditions:
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2 year-old with constipation and painful defecation (prior to toilet training)
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6 year-old with cerebral palsy and difficulty sensing the need to void
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12 year-old girl with stress incontinence while playing soccer
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15 year-old girl with excessive low back and pelvic pain during menstruation
Patients with below symptoms and more can be treated by Pelvic floor therapist -
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Increased or decreased voiding frequency
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Incontinence (daytime or nighttime)
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Urgency
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Difficulty voiding (hesitancy, straining, weak/intermittent stream, pain or burning)
-
Feeling of incomplete emptying or retention
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Voiding postponement (using holding maneuvers like sitting on the heel of the foot)​​
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Constipation
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Fecal Retention
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Fecal Incontinence
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Pediatric Pelvic Pain
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Incontinent Teenage Athletes
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Dysmenorrhea
What treatments methods do we use?
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Empowering the child/parents to be involved in the control/treatment of their conditions
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Educating on normal bowel and bladder function
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Promoting regular voiding habits
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Improving posture for voiding
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Educating on diet and fluid intake
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Improving awareness of pelvic floor musculature (ex. external biofeedback)
-
Manual therapy (ex. Myofascial release, abdominal massage, joint mobilizations)
-
Pelvic floor and core muscle training ( ex. muscle coordination, strength, balance and postural stability exercises)
-
Muscle relaxation techniques (ex. yoga, diaphragmatic breathing)
-
Modalities (ex. Heat or E-stim)