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Women's Health Physical Therapy

Josh Krueger • January 28, 2021

There are many conditions related to women's health that can be treated through physical therapy. Some of these conditions include urinary incontinence (leaking urine), pelvic pain, pelvic organ prolapse, urinary frequency, and diastasis recti (the separation of abdominal connective tissue which commonly occurs during and post pregnancy). Treating these conditions often takes a “whole body” approach from looking at your mid back mobility, rib cage movement, hip strength and even your foot strength! Strengthening just the core and pelvic floor is not always the full solution. Often, one part of the body is tight or weak which puts too much strain either on the pelvic floor (in the case of prolapse) or on the abdominal connective tissue (in the case of diastasis.). 


Let's talk a little more about a few of these conditions and what is "normal". 

 

Urinary stress incontinence is common in women and examples of this include leaking small amounts of urine with sneezing, coughing, running or jumping. Studies have shown that 25% of female athletes struggle with urinary incontinence. Even though this is common, it should not be considered just a "fact of life"; it is something that can be treated! Many women are familiar with Kegel exercises, but there are times that these exercises are actually not the solution. So if you are trying to strengthen your pelvic floor on your own without success, pelvic floor PT can help you find a better solution. 

 

Pelvic organ prolapse is also a common problem in women. Depending on the stage of prolapse, symptoms can be improved through physical therapy. Symptoms of prolapse can include a feeling of heaviness or pressure in the pelvis, difficulty starting a stream of urine or difficulty fully emptying the bladder. 

 

Research has shown that 1 in 7 women have suffered from pelvic pain. There are many conditions that can cause pelvic pain, including overactive pelvic floor muscles. Pelvic health physical therapy can help identify and treat the cause of your pain.

 

Diastasis Recti is the separation of abdominal muscles that commonly happens during and after pregnancy. Having a diastasis can make it hard for you to effectively use your core muscles to accept load through your body. 

 

What can you expect during your first visit? 

 

Your general strength and mobility will be assessed. We will talk about your health history, symptoms and goals. Some women benefit from internal assessment of pelvic floor muscle tightness, tenderness and strength. However, if you prefer, there are many treatment and assessment options that do not require any internal treatment. 

 

Anya Polehna, DPT, earned her Doctorate in Physical Therapy from the University of Iowa. She has 12 years of experience as a physical therapist and has been specializing in women’s health for 7 years. She enjoys working with patients, addressing their individual needs to help them return to the activities they love.


Call the Rec Center Physical Therapy clinic at 319-295-8899, to schedule your women’s health physical therapy appointment today.

08 Dec, 2022
Keeping up with physical therapy during the holidays is tough. There are so many other things to do - cooking, parties, shopping, travel, and visiting with family and friends. But if you're in physical therapy over the holidays, there's a reason. You're having pain, or not moving as well as you want to. These issues place limitations on your life, which are going to affect your ability to do things - like cooking, partying, shopping, traveling, or enjoying time with friends and family. So even though keeping up with your PT this time of year is tough, it's important. That's why we're going to give you our best tips to help you through the holidays. Plan Some of what makes the holidays challenging is the crazy schedule. To survive this, you're going to have to plan ahead. We're not just talking about appointments on your calendar, either (although those are important). Here are some things to think about planning ahead: Your PT appointments Your schedule is busy during the holidays. So is your PT's. Plan and schedule your appointments in advance. You'll get the times and days that work best for you, and you'll already have your PT appointments in your calendar to plan other things around. Your exercise Hopefully you have a regular time to exercise. With the holiday mania about to shake up your routine, that time may no longer work. Think about when you're going to exercise ahead of time and you'll stay consistent. Your diet Healthy eating often gets derailed during the holidays. Putting low quality fuel into your body won't help you feel better. Think about planning what you're going to eat ahead of time. We're not saying to skip every holiday treat offered to you, but maybe think about which ones you really need to have, and which ones you can skip in advance. It makes saying "no thanks" to that third slice of fruitcake easier. Modify We're realistic. We understand that life isn't the same during the holidays as it is during the rest of the year. That's part of what makes this time of year special! With that in mind, our next set of tips focuses on making modifications to help you get through the holidays successfully. Your PT Plan When you planned your PT appointments out well in advance, you might have run into some challenges. Talk to your therapist about how you might be able to modify your plan of care through the holidays to make it all work. Maybe you're going to PT three times a week and you can only come twice a week for a week or two. Plan this sort of thing in advance with your PT and you can work together to come up with the best plan. Your exercise Exercise is so important, it made our list twice. Now that you know when you'll exercise, you might have to modify your routine to make it fit. Again, we recommend talking with your PT to see what you can do. Maybe your home exercise program can be modified so you can do everything in the kitchen during downtime when you're cooking up your holiday feast. Maybe you can reduce the number of exercises to focus on maintaining the gains you've made until things settle down. Your schedule In your planning in advance (see how important it is?) you might have found that your normal routine wasn't going to work. If your PT appointments or exercise time is usually right after work and you've now got commitments during that time, maybe you can move them to the morning before work. If you've been exercising outside, the shortened days may move you into the gym. Be flexible and consider temporarily modifying your schedule and your routine to make it work better during the holiday season. You can always go back to your previous routine after. The holidays are a special time of year. Keeping up with your health and your physical therapy can be challenging during this time. But you don't have to fall behind. With some planning and flexibility, you can stay healthy, survive the holidays and head into next year with good momentum!
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