At Lynch Physical Therapy we are determined to break the myth that leaking is normal. Women in particular (but not exclusively) are told that after they have children they should expect this as a part of aging. It does not matter what stage of life you are in leaking urine or feces is treatable!
We realize that receiving treatment in this area can be very personal. At Lynch Physical Therapy, we believe in the importance of creating a safe and healing environment for all people. We treat pelvic pain for all genders and sexual orientations. Physical therapy can be a very effective and holistic part of your recovery.
The Basis of Incontinence Rehabilitation
The steps towards solving incontinence issues will chiefly be developing strategies between PT and the client. Clients are often encouraged to keep a “bladder journal” which the person keeps track of what and when they eat, drink and when they urinate and defecate. Often when a person makes changes to fluid intake and modifications to diet can significantly reduce incontinence issues. In many cases, we have to retrain the bladder and offer tailored strategies to eliminate dysfunctional voiding patterns. We might recommend items like a squatty potty to reduce strain on the pelvic floor, or help break unhealthy bladder habits such as “just-in-case” peeing. Education will vary depending on the patient’s presentation and medical history.
Remodeling Soft Tissue
A comprehensive assessment and manual treatment of the muscles and skeletal structures of the essential with pelvic pain. The pelvic floor, buttocks, lumbar spine and hip muscles are often assessed for tenderness and soft tissue dysfunction. Wherever the physical therapist identifies myofascial trigger points in the muscle is often a very effective area to relieve pain symptoms. Chiefly, if the muscles of the pelvic floor are too tight and inflexible it can be very painful and difficult for a person to urinate or defecate effectively. By providing gentle mobilization to these areas soft tissue improvement incontinence, and constipation, and activities of daily living.
Skilled pelvic physical therapists address the muscles and soft tissue structures of the pelvis and hips to reduce pelvic pain. Utilizing soft tissue mobilization and myofascial release techniques, muscle adhesions are reduced and normal movement patterns return. The pelvic floor and hip muscles are comprehensively mobilized both superficially and internally as needed with consent from our client.
Vital Aspect of Pelvic Floor Rehabilitation
Your pelvic floor deserves so much more than kegels! Depending on what is happening with your pelvic floor, kegels could even make your symptoms worse. Therapeutic exercises including pelvic floor stability, yoga poses, stretching and functional strength training are a vital aspect of pelvic floor rehabilitation. A client pursues physical therapy to experience pelvic pain relief in their real life activities. Exercise programs will be tailored to each client depending on what the goals are.
An Advanced Treatment
In some cases, the resolution of muscle knots and myofascial adhesions require more aggressive treatment. Dry needling is a minimally invasive procedure in which a solid filament needle is inserted into the muscle directly at a persistent trigger point. While the needle used is similar to acupuncture needle, the technique and methodology varies greatly. The sole purpose of dry needling aims to decrease contraction knots, which are related to the production and maintenance of the pain cycle. These very thin needles are inserted through the skin and can affect deep layers of muscle tissue. Dry needling in the gluteus maximus, gluteus medius, hip adductors, obturator internus muscles can provide physical therapists access to deeper aspects of the muscle to stimulate further relief with incontinence or constipation.