What is Pelvic Health Physical Therapy?

What is Pelvic Health Physical Therapy?

It’s a new year and Elizabeth Rogers Pilates & Physical Therapy has a new program that is now up and running. We thought it would only be appropriate to kick off our new blog introducing the new pelvic health physical therapy program!

The pelvic floor muscles are increasingly gaining time in the spotlight, most commonly thought of in reference to the famous (or infamous?) ‘Kegel’ strengthening exercise. In all reality, the pelvic floor is like Grand Central Station for our body. It includes a complex group of muscles, nerves, tendons, ligaments, and fascia. In both males and females, the pelvic floor works in conjunction with core muscles and the abdominal diaphragm to assist with the 5 S’s: sexual functioning, support (of pelvic organs and posture), sphincter control (maintains bowel/bladder continence), sump pump (lymphatics and blood flow), and stability (for lumbar spine, hips, and pelvis).

So what is pelvic health physical therapy? Pelvic health PT is a non-surgical approach for both men and women aimed at resolving impairments that arise from dysfunctions within the pelvic floor. Example impairments include but are not limited to unresolved low back/hip pain, poor core functioning, urinary urgency/incontinence (including overactive and/or painful bladder), fecal incontinence, constipation, pain with sexual intercourse, pelvic organ prolapse, and pelvic girdle pain. When patients present with these concerns, a pelvic health PT will perform a comprehensive assessment of the pelvic floor via specific internal palpation. If this sounds strange, think of it this way: you would never have your shoulder treated by a physical therapist without having them test and palpate the muscles of the shoulder first. Through internal palpation, the PT discerns whether pelvic floor muscles are overactive or underactive as well as whether they are coordinated with other muscle groups. A pelvic health PT also considers the orthopedic components that may be contributing to the individual’s symptoms (examples: overall alignment, gluteal/core strength, joint range of motion, and general balance abilities).

Upon examination, patients receive an integrative treatment approach that emphasizes current sources of dysfunction but also aims to prevent further concerns down the road (after all, prevention is the best medicine!). Treatment options typically include bowel/bladder behavioral modifications, manual therapy and soft tissue work, modalities, therapeutic exercise, patient education, neuromuscular re-training, and various types of biofeedback. These treatment options help with strength deficits, muscular coordination issues, tight muscles, tender points, sensitive nerves, and myofascial restrictions. Just like any muscle group in the body, pelvic floor muscles function the best when they share the work but also continue performing the action(s) they were designed to do in a pain free manner.

If you are wondering if any of this pertains to you or if you are experiencing any related symptoms, peek at the screening tool below. It can help you discern if you might be a candidate for pelvic health physical therapy. If you have any concerns, let us know! Kelsea Cannon, the new pelvic health specialist is ready and willing to help. Call Elizabeth Rogers Pilates & Physical Therapy to schedule today!

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Covid-19 Notice

3/27/2020 Covid-19 Notice:

On March 19th, we made the difficult, yet important decision to close both clinics, in order to do our part to flatten the curve. We will reopen the clinics part time on Monday, April 6th, with an emphasis on telemedicine. This will allow us to comply as much as possible with the governor's Stay Home Stay Healthy order if it is extended, while also meeting our obligation as essential infrastructure workers. According to Dr. Matos, an expert in biological surety and the management of select agent programs at federal facilities: "Physical therapists are essential in flattening the curve of the Covid-19 pandemic. They play a key role in keeping people they can help out of doctors' offices and ER's. This will not only free up the medical teams to treat those impacted by Covid-19, but also limit the exposure of those seeking the care of the physical therapist." To that end, we will focus on telemedicine, but also allow for select, necessary in-office treatments for low risk, healthy individuals. This will be a joint determination between you and your PT. Many, if not all of our patients, have come to appreciate the effectiveness and efficiency of the hands-on manual therapy techniques our physical therapists use to help relieve pain and improve function. So, we recognize that a telemedicine visit may not seem as appealing. At this time, telemedicine is the appropriate and safe way to continue your care without further interruption and your physical therapists are prepared to alter their approach in order to still provide effective care.

During our temporary closure, your physical therapists have been on unemployment and not able to contribute to our communities financially as they normally would like to. Getting back to work, providing your care will allow us to resume caring for you and our community. For every telemedicine visit we provide in April, the clinic will donate $5 to the following organizations:

Kelsea Cannon, PT- Westside Baby
Lauren Esmailka, PT- Treehouse
Elizabeth Rogers, PT- Rainier Valley Food Bank

We remain passionate about helping you improve and maintain the function of your movement system so that you can do the activities you love. I remain available for urgent (i.e. post-op care, acute injury, treatment needed to decrease/avoid use of NSAIDs and Opiods) in-clinic treatment and telemedicine treatment from now until April 6th. We invite you to follow/Like our  Facebook page, where I am offering complimentary weekly Pilates mat class on Wednesdays at 7am and foam roller class on Fridays at 7am. All are welcome to participate in these classes or view them anytime on our Facebook page.

Please contact me directly with any questions or concerns. If you are a current patient, you should have received an email from me with scheduling/rescheduling info. Be in touch with your PT to schedule your telemedicine visit. I am available via clinic phone (206-535-7356) and email (elizabeth@elizabethrogerspt.com). We will update you here and our Facebook page as things change.

We are counting the days until we get to resume our work together both virtually and in the clinic! Thank you for your support of this small, locally-owned physical therapy private practice!

Elizabeth Rogers, PT

Owner, Elizabeth Rogers Pilates & Physical Therapy, PLLC

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