Women’s Health: Pelvic Floor/Incontinence
What is Incontinence?
A lack of voluntary control over urination or defecation.
What is Pelvic Floor?
Pelvic floor is the group of muscles, ligaments, connective tissue, and nerves that support the pelvic organs (e.g. bladder, uterus, vagina, and rectum).
Causes of Incontinence:
Pregnancy, childbirth, the aging of bladder muscle, menopause, hysterectomy, prolapse, and obstruction.
Causes of Pelvic Pain:
Pregnancy, childbirth, weakness or tightness of pelvic floor or core muscles, misalignment of joint, obstruction (e.g. surgical scars and adhesions), poor posture, prolapse, and pelvic floor inflammation.
Manual therapy (internal and/or external manual release of soft tissue restrictions), biofeedback, electrical stimulation, therapeutic exercise, and patient education.
What is dry needling?
Dry needling is also known as myofascial trigger point dry needling. This form of therapy is used for musculosketal pain and human movement dysfunction. Dry needling is an invasive treatment technique that inserts a filiform needle into symptomatic tissue to reduce muscle tension, improve circulation and normalize physiological processes.
What type of needles do we use?
PPIM uses Seirin brand acupuncture needles. Each needle comes in an individual, sterile package and is meant for a single use only. These are thin, solid, filiform needles, unlike hollow needles that are commonly used to inject medicine (i.e. shots).
What does dry needling actually do?
Dry needling taps into the body’s neuromuscular system to effectively decrease soft tissue pain, increase circulation, and improve muscle tone and soft tissue dysfunction to allow for improved mobility and performance.
What are the differences between dry needling and acupuncture?
Dry needling is a specific clinical technique for musculosketal pain and human movement dysfunction where as traditional Chinese medicine acupuncture is a part of ancient Chinese medicine, which is based on Chinese ancient philosophy and clinical experience to treat human diseases.
The only people allowed to practice dry needling are those who have studied human anatomy, physiology, pathology, histology, neurology, kinesiology, human biomechanics, and musculosketal dysfunction, such as physical therapists. To practice dry needling, the therapists would also have to go through a 50+ hour dry needling training session. Acupuncture practitioners do not have the knowledge or skills to dry needle as it is not in their training.
What is cupping?
A manual therapy technique in which a plastic, glass or acrylic cup is placed on the skin and a vacuum or suction is created to lift the skin and underlying soft tissue. Cupping is often considered a type of deep-tissue massage.
What type of cups do we use?
PPIM uses a Dongbang cupping set made of high grade plastic.
What does cupping actually do?
Cupping helps to improve soft tissue mobility, improve blood flow, relieve pain, and aid with decreasing inflammation.
What is Graston Technique® ?
A specific instrument assisted soft tissue mobilization technique using Graston® tools which addresses scar tissue and fascial restrictions during rehabilitation.
What is a Graston® tool?
Graston® tools are specifically shaped stainless steel tools that are weighted and designed to treat soft tissue and injuries. There are 6 instruments to accommodate various body regions.
What does Graston Technique® do?
Assists in mobilization of soft tissue mobilization by effectively breaking down scar tissue and fascial restrictions to encourage optimal range of motion. As the instruments move over the affected area and come in contact with adhesions, they break up scar tissue. This process will reduce or eliminate the adhered fibers, restoring motion and eliminated the pain associated with it. It will rebuilt soft tissue injury into healthy functioning tissue. Patients usually receive two treatments per week during a four-to-five week period. Most patients have a positive response by the third to fourth treatment.
What Graston Technique® can treat?
What is Electrical Stimulation?
Therapists use electrical currents to create muscle contraction to increase strength and prevent atrophy of the muscle through nerve or muscle stimulation. This is done by placing a sticky pad (electrode) onto the skin. The electrodes are hooked up to the electrical stimulation machine. Electric stimulation also stimulate sensory nerves to reduce pain and stimulate or alter the healing process of injured tissue which prevents scar tissue.
What can Electrical Stimulation treat?
What is an ultrasound?
Ultrasound is applied using a round-headed wand or probe that is put in direct contact with the patient’s skin. Ultrasound gel is used on all surfaces of the head in order to reduce friction and assist in the transmission of the ultrasonic waves. Therapeutic ultrasound is in the frequency range of about 0.8-3.0 MHz.
What does an ultrasound do?
The sound waves that pass through the skin cause a vibration of the local tissues. This vibration causes a deep heating locally though usually no sensation of heat will be felt by the patient. Ultrasound has been shown to cause increases in tissue relaxation, local blood flow, and scar tissue breakdown. The effect of the increase in local blood flow can be used to help reduce swelling and chronic inflammation.
What is traction?
PPIM has two different types of traction: cervical and lumbar (spinal).
Can be used to help decrease compressive forces in the neck, which can help take pressure off of the discs that reside between the vertebrae in the neck. It can also open up the spaces where nerves exit the spinal canal, which can help relieve pressure off of the compressed nerve causing the pain. Traction can also help stretch the muscles and joint structures around the neck.
Lumbar (spinal) traction:
A form of decompression therapy that relieves pressure on the spine. Spinal traction is used to treat herniated discs, sciatica, degenerative disc disease, pinched nerves, and many other back ailments.
What is Iontrophoresis?
This technique drives ions beneficial to the healing process through the skin into the healing connective tissues. Iontrophoresis is a type of electrical stimulation that administers medication through your skin. The therapist uses electricity to push medicine into your injured tissues.
What does Iontrophoresis do?
Decrease inflammation, pain, muscle spasms, swelling and edema, as well as reduce calcium deposits, and manage scar tissue.
Functional Movement Screen
The Functional Movement Screen captures fundamental movements, motor control within movement patterns, and competence of basic movements uncomplicated by specific skills. The screen eliminates the guessing game and tells you what movement quality really is by measuring seven fundamental movements that are key to daily life. It scores individuals in a simple way to determine if their movement patterns are optimal, acceptable or dysfunctional.
Functional Capacity Evaluations (FCE)
What is a Functional Capacity Evaluation?
A functional capacity evaluation (FCE) evaluates an individual's capacity to perform work activities related to his or her participation in employment (Soer et al., 2008). The FCE process compares the individual's health status, and body functions and structures to the demands of the job and the work environment.
Who Can Benefit From a FCE?
What are the components of a FCE?
The FCE typically begins with a client interview, medical record review, and musculoskeletal screening. Functional testing may include graded material-handling activities such as lifting, carrying, pushing, and pulling; and positional tolerance activities such as sitting, standing, walking, balancing, reaching, stooping, kneeling, crouching, crawling, object handling/manipulation, fingering, hand grasping, and hand manipulation. Pain monitoring is frequently performed during the FCE to document client-reported levels of pain during various activities as well as to manage pain. The FCE may also include evaluation of an individual's hand dexterity, hand coordination, endurance, and other job-specific functions.