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Treatments

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Happy Young Man
Smiling Young Woman

 Womens/Mens Pelvic Floor

What conditions do we treat?

  • Increased or decreased voiding frequency and urgency

  • Bowel/bladder Incontinence (daytime or nighttime)

  • Difficulty voiding (hesitancy, straining, weak/intermittent stream, pain or burning)

  • Feeling of incomplete emptying or retention

  • Voiding postponement (using holding maneuvers- sitting on the heel of the foot)

  • Constipation/Straining

  • Fecal Retention/constipation

  • Pelvic Pain (abdomen, low back, pelvic or perineum pain)

  • Symptoms associated with interstitial cystitis, endometriosis.

  • Irritable bowel syndrome, dysmenorrhea

  • Post-abdominal or pelvic surgery (post-prostatectomy, post-C-section)

  • Pain with penetration in women

  • Pelvic organ prolapse

  • Pre and postpartum care, such as post-episiotomy, diastasis recti

What treatments methods do we use?

  • Internal and external assessment

  • Manual therapy (ex. Myofascial release, abdominal massage, joint mobilizations)

  • functional training of pelvic floor and core muscles (ex. muscle coordination, strength, balance and postural stability exercises)

  • Empowering the patient to be involved in the control/treatment of their conditions  

  • Educating on urogenital anatomy/physiology

  • Assessing and correcting posture, biomechanics, and alignment

  • Educating on diet and fluid intake

  • Improving awareness of pelvic floor musculature (external or internal biofeedback)

  • Muscle relaxation techniques (yoga, diaphragmatic breathing)

  • Modalities ( E-stim, TENS, Biofeedback)

Girl on a Tricycle
Happy Children

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:

 

  • 2 year-old with constipation and painful defecation (prior to toilet training)

  • 6 year-old with cerebral palsy and difficulty sensing the need to void

  • 12 year-old girl with stress incontinence while playing soccer

  • 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 -

  • Increased or decreased voiding frequency

  • Incontinence (daytime or nighttime)

  • Urgency

  • Difficulty voiding (hesitancy, straining, weak/intermittent stream, pain or burning)

  • Feeling of incomplete emptying or retention

  • Voiding postponement (using holding maneuvers like sitting on the heel of the foot)​​

  • Constipation

  • Fecal Retention

  • Fecal Incontinence

  • Pediatric Pelvic Pain

  • Incontinent Teenage Athletes

  • Dysmenorrhea 

What treatments methods do we use?

  • Empowering the child/parents to be involved in the control/treatment of their conditions  

  • Educating on normal bowel and bladder function

  • Promoting regular voiding habits

  • Improving posture for voiding

  • Educating on diet and fluid intake

  • 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)

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