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Integrative Therapies.

Common Conditions We Treat:

Incontinence (Bladder and Bowel)     Pregnancy Related Back Pain     Vulvodynia and Coccydynia
Pelvic and SI Joint Pain     Post-Operative Prostatectomy Symptoms     IBS and Constipation

Pelvic Floor Rehabilitation: The term 'pelvic floor' typically refers to the sling of muscles at the bottom of the abdominal cavity or base of the pelvic bowl. The pelvic floor muscles provide a network of support for the organs in the lower abdominal region including the bladder, rectum, and sexual organs. Sometimes the muscles and other tissues in this region can become weakened, irritated or overly contracted, leading to discomfort and problems with everyday activities. Pelvic floor rehabilitation can address a number of urogenital and lower G.I. tract problems. (See bottom of page for an extended list of conditions we treat.)

EMG and Biofeedback-Assisted Neuromuscular Re-education: Electromyography (EMG) is a very helpful tool that is often used by pelvic floor rehabilitation specialists. EMG monitoring devices allow the therapist to accurately measure the amount of muscle contraction as well as assess weakness in the pelvic floor region and other muscles in the body. There are no needles involved in the assessment process. Rather, sensors are placed on the skin or, sometimes for women, a small monitoring device may be inserted vaginally to obtain readings or to feedback information on the computer screen being viewed by the therapist and patient.

The physiological information, or what is often referred to as biofeedback, provides the data needed to develop an individualized treatment program. The computerized display also provides information to support the therapeutic neuromuscular re-education process. For example, a woman can more easily learn how to recruit the appropriate muscles to correctly perform Kegel exercises or learn to relax tense muscles. A man may be able to strengthen muscles that need rehabilitation after a prostatectomy.

Other Physical Therapy Interventions for Pelvic Floor Rehab:
'Hands-on' care can be a very important aspect of a person's rehabilitation program, especially when pain is involved. Sometimes tender muscle regions or trigger points develop in the pelvic floor or vaginal wall, which can cause local pain and frequently refer pain to other areas of the body such as the low back, hips or abdomen. Gentle internal and external manual therapy techniques can help deactivate these trigger regions, leading to greater comfort and enhanced functionality. Various forms of manual and movement therapy can be beneficial in treating other problems associated with the pelvic region, such as sacroiliac (SI) pain, coccydynia (pain related to the tailbone), and sciatica and piriformis syndrome, which are often experienced as pain in the hip, buttocks or leg. Modalities such as ultrasound and electrical stimulation may be included in a rehabilitation program along with postural education, core stabilization and other therapeutic exercise.

Adjunctive Healthcare Services: Individuals may sometimes benefit from other types of services at the center to achieve optimal outcomes in their therapy program. When needed, nutrition, stress management and other forms of biofeedback may be included in the rehabilitation process.

Our Pelvic Floor Rehab Team Offers Assistance in the Management of the Following Conditions and Health Concerns:

Low back, hip and leg pain   Interstitial cystitis
Sacroiliac joint dysfunction Vaginismus
Sciatica and buttock pain Pelvic relaxation (cysto-recto-enterocele)
Coccydynia; pudendal neuralgia Rehab post pelvic floor reconstruction
Urinary frequency and urgency Osteopenia/osteoporosis
Incontinence (urinary and fecal) Prenatal nausea and edema
Dyssynergia (anismus) Postpartum depression
Irritable bowel syndrome (IBS) Weight management
Vulvar pain syndromes Post-operative prostatectomy care
Painful intercourse Muscle weakness and deconditioning
Sexual dysfunction Myofascial pain syndrome

 

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7E Oak Branch Drive    •    Greensboro, NC 27407    (336) 294-0910