Pelvic Health Blog

Case Study: Hip and abdominal Pain

10/30/2011

Patient: 54-year-old female
Chief Complaint: 4/10 right-sided abdominal pain that radiates to the right hip, for many years
Past Medical History: Uterine fibroid removal X 2, ectopic pregnancy and removal of fallopian tubes, surgical removal of abdominal adhesions
Pelvic Ultrasound: Negative

Treatment: Scar mobilization; trunk and hip stretches; manual therapy (including visceral mobilization) to abdomen, middle and lower back; moist heat and ultrasound treatment to abdomen; postural education and exercise; and home exercise program
Results: 0 radiating pain to R hip after 5 physical therapy visits, and 0 abdominal pain after 12 visits

What the Research Says: Visceral Manipulation

10/30/2011

Written by Michelle Dela Rosa, PT.

New research presents visceral manipulation as a modality to reduce adhesions post-operatively.
Researchers employing an experimental animal model reported significantly less adhesions in the
group that received VM after an adhesion-producing surgery (as compared to controls). The authors
believe that VM encourages tissue mobility and decreases fibroblast invasion of tissues in animals as
it would in humans. They suggest that patients may benefit from VM in post-surgical care and patient
education by preventing/treating abdominal adhesions.

Bove, G.M., Chapelle, S.L., Visceral mobilization can lyse and prevent peritoneal adhesions in a rat model, Journal of Bodywork & Movement Therapies (2011), doi:10.1016/j.jbmt.2011.02.004

Did You Know: Exercise's Lesser Known Impact

10/30/2011

People who exercise greater than 1 hour per week have a lower risk of neck, back, and shoulder pain, as demonstrated by a recent article published in the American Journal of Epidemiology (June ’11).

Exercise, Low Back Pain, Neck and shoulder pain

Visceral Manipulation

10/30/2011

Michelle Dela Rosa, PT uses visceral manipulation (VM), a type of manual therapy to effectively treat abdominal connective tissue restrictions. It uses gentle, specifically placed manual pressures to promote mobility and tone of organ tissue and surrounding structures. Often, inflammatory processes, like infections, trauma, repetitive movement, diet, environmental toxins, and emotional stress, cause tissues to lose their normal motion. Natural healing can lead to the disruption of tissues by replacing them with rigid granular tissues. VM treats these restrictions to restore normal physiologic motion, which aids in improving organ function.

“The purpose of Visceral Manipulation is to recreate, harmonize and increase proprioceptive communication in the body to enhance its internal mechanism for better health.”
- Jean-Pierre Barral, D.O, developer of VM

Recommended Resource: The Stick

10/30/2011

Connect PT loves The Stick! We use it to carryover the benefits of hands-on techniques achieved in the clinic. The stick can be used to roll out trigger points and encourage blood flow within the muscle. It helps to reduce pain and increase flexibility, while empowering patients to participate in their own recovery.

Did You Know: Irritating Bladder

10/30/2011

Caffeinated and carbonated drinks can be irritating for the bladder and cause episodes of urinary frequency.

So curb the coffee, cut down the soda, and cut out an extra trip to the bathroom!

Did You Know: Intervals for Urination

10/30/2011

A normal interval for urination is 2-3 hours. Getting up to void in the middle of a 2-hour movie on a regular basis may be an early warning sign for problems.

What does low back pain and urinary incontinence have in common?

10/14/2011

Urinary incontinence is defined as the involuntary loss of urine. The urethra is the tube that carries urine to the outside of the body. The factors that must be present for stability in the low back and pelvic girdle are also required to close the urethra properly. These include:

Proper function of bones, joints, and ligaments
Proper function of muscles and fascia
Proper motor control (timing)

A recent multi-centered study in Holland found that 52% reported low back pain with pelvic dysfunction (difficulty voiding of urine or stool, incontinence, and/or sexual dysfunction). Of the 52%, 82% reported that symptoms began either with low back pain or pelvic pain. Physical therapy can help both of these conditions by restoring joint mobility, correcting alignment, restoring timing of the stabilizing muscle system, and retraining functional motions.

(Stress Urinary Incontinence: A Consequences of Failed Load Transfer Through the Pelvis? by Dianne Lee, BSR, FCAMT, CGIMS & Linda-Joy Lee BSc, BSc(PT), FCAMT)

BLOG

Case Study: Hip and abdominal Pain

What the Research Says: Visceral Manipulation

Did You Know: Exercise's Lesser Known Impact

Visceral Manipulation

Recommended Resource: The Stick

Did You Know: Irritating Bladder

Did You Know: Intervals for Urination

What does low back pain and urinary incontinence have in common?

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