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Incontinence

Incontinence is possibly the number one taboo in women’s health.  Women are often sent the message through ad campaigns that they shouldn’t talk about or address this condition.  Rather, they should hide it or learn to live with it.  As a women’s health physical therapist I can provide a non-invasive avenue for recovery and also help to enhance bladder surgery outcomes.

The Women’s Health Section of the American Physical Therapy Association was founded in 1973, and since then, therapists who specialize in this niche have continued to develop and learn techniques that treat incontinence.  Using biofeedback, neuromuscular re-education, manual therapy, pelvic floor muscle strengthening and bladder re-training techniques, physical therapist are very successful in helping women return to optimal bladder functioning.

Pelvic floor exercises (a.k.a. kegels) target the muscular diaphragm of the pelvis.  These muscles are like any other muscle in the body – they become stronger with exercise and weaker with disuse.  They are important to a women’s well being because they support the bladder, bowel and uterus; control the release of wastes; provide sensation, and therefore pleasure during intercourse; and provide the guiding channel during birth.  There are also many accessory muscles that can impact a women’s continence.

Most women have heard of Kegel exercises, first described by Arnold Kegel, M.D.  But how many women are performing them correctly?  In my practice I see over and over women that think they are doing a Kegel correctly but in fact they are not.  I also see women that can do a Kegel but then can’t let go of the contraction completely, even though they think they have, which can be just as devastating on their function.  Throughout our lives we develop certain habits some are useful and others are not.  Our bladders are also subject to habitual patterns.  At ADAPT we can work together to determine which habits are harmful and work to extinguish them.

As a women’s health physical therapist I am specially trained to identify any neuromuscular dysfunction related to the pelvis and enable you to correct the problem.  At ADAPT every women is regarded as an individual you will have a treatment plan that is unique to your needs.  Your whole self is considered when we approach your care so your treatment will work for you. 

 

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