Connect Physical Therapy: It's time to Own Your Body
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Read about insights and research updates in
​orthopedic and pelvic physical therapy.

Case Study: Coccydynia

2/12/2012

 
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Patient: 46-year-old female

Chief Complaint: 10 out of 10 coccyx pain that increases with sitting, or transfer to standing; no trauma

Past Medical History: Surgical block and injection to coccyx with only temporary relief

Treatment: Manual therapy to pelvic floor muscles, low back, sacrum; surface EMG biofeedback to retrain pelvic floor; postural education; gentle core abdominal strengthening exercises; and home program

Results: 1.5 out of 10 pain to coccyx while sitting or moving after 7 visits!

Research: Incidence of Painful Pelvic Floor trigger points

2/12/2012

 
Written by Michelle, Dela Rosa, PT

A new study has highlighted the incidence of painful pelvic floor trigger points among patients diagnosed with interstitial cystitis (IC), a condition characterized by pelvic pain and urinary urgency/frequency. A retrospective chart review was performed on 186 people diagnosed with IC. 78.3% had myofascial pain with at least one trigger point, and 67.9% had multiple trigger points. 
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These results demonstrate the need to screen patients with IC for pelvic floor dysfunction and painful muscle trigger points, and refer them to specialists like physical therapists who are skilled in treating pelvic pain.

"Your Pace Yoga"

2/12/2012

 
your pace yoga
Connect PT loves Your Pace Yoga, a new DVD for people with pelvic pain.

The home yoga program was created by Dustienne Miller, a physical therapist, to combine breathing, meditation, and body awareness with postures gentle enough for those healing pelvic pain. 

Diabetes and Urinary Incontinence

2/12/2012

 
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Urinary incontinence exists at higher levels in patients with Type I or II diabetes than in those without diabetes, according to new research. Another article from the National Association for Incontinence (NAFC) website states that 50% of men and women with diabetes have incontinence. It describes how sugar can get into the urine and irritate the bladder. This creates urinary urgency, frequency, and incontinence, symptoms that could be mistaken for a urinary tract infection.

The article also notes that persistent bacteria in the bladder can lead to symptoms of overactive bladder (OAB), which results in the neurologic dysfunction of incomplete bladder emptying. Consequently, the patient becomes more susceptible to urinary incontinence and infections.

In addition, fluid retention can be associated with other conditions of the diabetic patient. Extra fluid in the legs can be moved into the patient’s system when lying down. This often leads to urinary frequency at night, which interrupts sleep and puts patients at risk for falls.

Some easy solutions include having the patient do ankle “pumps” (bending the foot back and forth) before bedtime to move fluids out of the legs earlier. If a diuretic is being taken, altering the dose or timing may also help. The literature suggests that physicians should screen for incontinence in diabetic patients, as they may not share this information by themselves.

Elser D, Diabetes and Urinary Incontinence. Quality Care. 2011 Nov

Phelan S et al., Clinical Research in Diabetes and Incontinence: What We Know and Need to Know. J Urol. 2009 Dec 

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  • Home
  • About
    • Michelle Dela Rosa, PT, DPT, PRPC
    • Karen A. Bruno, PT, DPT
    • Becca Ironside, PT, MSPT
    • Bryn Zolty, PT, DPT, PRPC, BCB-PMD, PCES
    • Katelyn (Kate) R. Sheehan, PT, DPT, ATC
    • Jennifer Watt, PT, DPT
    • Shraddha Wagh PT, DPT
    • Marzena Bard, PTA, CYT
    • Donna Zamost, PTA
  • Services
  • New Patients
  • Existing patients
    • Patient Cheat Sheet
    • Pelvic Floor Relaxation
    • Core Strengthening
    • Hip Strengthening
    • Pelvic Correctives
  • Videos
    • Female pelvic pain
    • Male pelvic pain
    • Meditation
    • Back pain
    • Pregnancy & postpartum
    • Yoga
  • Ask us
  • Blog
  • Location