Treating Incontinence and Pelvic Floor Dysfunction

kdpt_FD_400

 

Biofeedback (surface EMG)
to reinforce appropriate muscle response, reduce muscle resting tone and spasm

Therapeutic & Dynamic Exercise
Including functional training to utilize PFM during ADL’s, utilizing PFM to reduce urinary leakage, urinary frequency dysfunction, fecal soiling, improve visceral support, provide progressive resistive exercise to maximize PFM strengthening, Re-train: toileting/Valsalva habits, avoidance or reduction of forces contributing to prolapse issues, urgency-related habits

Neuromuscular Re-Education
to improve kinesthetic sense, proprioception for use of PFM in sitting, standing, improving lumbopelvic posture to reduce PFM inhibition in standing and sitting, recuce muscle inhibition/promote facilitation, improve PFM resting tonus & reduce muscle spasm

Manual Therapy
may include myofascial release, joint mobilization {for sacroiliac, sacrococcygeal or symphysis pubis pain/dysfunction and related muscle spasm, PFM inhibition}, scar tissue release, connective tissue realignment, strain counter strain to address bone, muscle, fascia, vessel, and fluid involvement to reduce muscle spasm and pain {address non-relaxing pelvic tension syndrome}, reduce dyspareunia

Self-Care and Home Management Training
educate patient re: pelvic muscle relaxation, bladder irritants, proper bowel and bladder habits, diaphragmatic breathing, anatomical structures within the pelvis specific to the individuals dysfunction, daily habits contributing to identified problems

Ultrasound
to improve scar mobility and myofascial pain, improve circulation, promote healing, address vulvar pain

Electrical Stimulation
to re-educate muscles, reduce pain, inhibit muscle spasm, including that contributing to urge dysfunction and urge-related pain

Thermal modalities
including heat and ice to reduce inflammation, improve circulation, promote muscle relaxation, improve joint mobility

Frequently addressed problems

  • Pelvic pain
  • Voiding dysfunction
  • Pregnancy related musculoskeletal pains
  • Pelvic Muscle Weakness
  • Incontinence (urge, stress, mixed)
  • Dyspareunia
  • Pelvic girdle dysfunction