HUNTINGTON PHYSICAL THERAPY
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  • Home
  • Therapists
  • Locations
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  • Conditions & Injuries
    • Arms >
      • Shoulder
      • Elbow
      • Wrist & Hand
    • Legs >
      • Hip
      • Knee
      • Ankle & Foot
    • Spine >
      • Neck
      • Lower Back
    • Neurological
  • Services
    • Pelvic Health Services
    • Supplies
    • Dry Needling
    • Sports Medicine >
      • Return to Sports
      • Return to Sports Tools
    • Massage Therapy
    • Work Related Physical Therapy Services >
      • Ergonomic Work Evaluation
      • Functional Capacity Evaluation
      • Job Site Analysis
      • Pre-Placement
      • Stop Loss
      • W.O.R.C.
    • Splints, Braces, & Inserts >
      • Custom Hand Splinting
      • Custom Brace Fitting
  • Information
    • Patient Info
    • About >
      • Reviews
      • Vision
      • Successes
    • Videos >
      • Exercises To Do At Home
      • HPT Success Stories
      • Sports Rehabilitation Techniques
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    • Baby Boomers
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Pelvic Organ Prolapse

1/13/2025

1 Comment

 
​​Pelvic Organ Prolapse (POP) occurs when there is a weakness in pelvic floor muscles or the connective tissue within the pelvis that causes one or more of the pelvic organs to slip or bulge into the vagina. The pelvic organs that can prolapse include the uterus, vagina, bladder, or rectum. Weakness can occur for a number of reasons, but the most common include childbirth, aging, obesity, chronic constipation, and frequent heavy lifting (with improper lifting mechanics). 

Common symptoms of POP include: pelvic heaviness, pelvic pressure, low back pain, and issues with urination and/or defecation. 
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​Symptom severity is dependent on the type of prolapse and the stage/severity. Your provider (Gynecologist or PT) will determine the severity of the prolapse, and it is labeled by a staging system. Stage 0- Stage 4. Stage 0 is no descent or no shift of the organs. Stage 4 is a complete prolapse, with bulging completely outside the vagina. 

Like many other musculoskeletal conditions, treatment for pelvic organ prolapse includes surgical and nonsurgical treatment options. 

Pelvic floor physical therapy is often utilized as the first line of treatment. By performing specific exercises, we can improve the strength and coordination of the pelvic floor musculature, which can reduce your symptoms and improve your overall quality of life. 

A pelvic floor PT can perform a thorough evaluation to assess your pelvic floor and determine a treatment plan to improve your symptoms. 

For more information regarding this topic, feel free to message us or schedule a consultation with Taylor, our pelvic health PT, to find out if you would benefit from physical therapy. 
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​Taylor Scott, PT, DPT
1 Comment

What to expect on your first visit with a Pelvic Floor Physical Therapist

11/12/2024

0 Comments

 
An initial evaluation (first visit) with a Pelvic Floor Physical Therapist will last anywhere from 45 minutes to an hour, typically. 
  • The evaluation will begin with a thorough medical history talking about symptoms and concerns
  • We will go over an anatomy review of the pelvis, hips, and spine in regards to muscles, joints, nerves, organs, and connective tissue.
  • We will perform an orthopedic examination, including examination of the spine and lower extremities. 
    • This will likely include assessment of range of motion, flexibility testing, and assessing your strength with manual muscle testing.
    • Depending on your symptoms and your history, we might palpate structures like your abdomen, scars (C-section, abdominal surgeries), spine, hips, and other bone structures. 
  • Next, if consent is provided by the patient and if time allows, we would perform an internal examination of pelvic floor musculature. 
    • An internal examination is not a speculum exam, it is one gloved finger assessing muscle tone, your ability to contract and relax the pelvic floor, strength, and endurance. 
    • An internal examination is not required to treat the pelvic floor, but there is great value in being able to palpate the muscles directly, which will provide information about the cause of symptoms and the most effective way to treat them. 
    • Patients or the PT may defer internal examination to the second visit if time, comfort, or other factors are limiting. 
  • At the conclusion of the evaluation, you will be provided with a home exercise program (HEP), which typically includes 1-3 exercises to work on the observed limitations during your examination. 
    • HEP are individualized and tailored to each patient's needs. 
  • Pelvic floor patients are generally seen once every week in the clinic to allow adequate time to work on prescribed HEP. 
0 Comments

Urinary Incontinence: What Is It, and How Can PT Help?

11/30/2023

3 Comments

 
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Urinary incontinence is the accidental leakage of urine. It is classified into several different types: stress, urge, mixed, and functional incontinence. There are many different causes of urinary incontinence, but it is typically caused by weakness or dysfunction of the pelvic floor muscles.
  • Stress urinary incontinence (SUI): leakage caused by increased pressure (stress) on the bladder.
    • Can occur during sneezing, coughing, laughing, exercising, lifting, or other activities requiring exertion.
  • Urge urinary incontinence (UUI): leakage of urine associated with a strong urge to urinate, typically associated with difficulty getting to the bathroom in time. 
    • Increased frequency of urination, often a result of habit, like using the bathroom before you leave the house or “just in case.”
  • Mixed incontinence: combination of stress and urge incontinence. 
    • As individuals age, it is more common to develop both stress and urge urinary incontinence together. 
  • Functional incontinence: leakage of urine that occurs to a person with normal bladder function that is unable to get to the bathroom due to other factors. 
    • Physical or cognitive conditions
    • Environmental barriers

​The pelvic floor muscles can become tight, weak, or uncoordinated, and that can lead to urinary incontinence. A pelvic health physical therapist will take a subjective history, perform an objective exam to determine your specific type of incontinence as well as other limitations, and create a plan of care to address these limitations.

Pelvic health PT can include exercises to strengthen the pelvic floor, exercises to lengthen the pelvic floor, behavior modifications, bladder training, bladder diary/voiding log, diet modifications, treatment of surrounding joints or musculature, etc. Your pelvic health PT will design an individualized treatment plan to fit your specific needs. For more information regarding this topic, feel free to message us or schedule a consultation with a pelvic health PT. 
3 Comments

5 Tips to Keep You Healthy During the Dreaded Spring Yard Clean Up!

4/10/2023

0 Comments

 
Spring outdoor cleaning can involve a lot of physical activity, such as lifting, bending, and reaching. Here are five tips to help you avoid injuries while cleaning outdoors:
1. Warm-up: Before starting any physical activity, it's important to warm-up your muscles and prepare them for the work ahead. This can include light stretching, taking a short walk, or doing some easy exercises.
2. Use proper lifting techniques: When lifting heavy objects, use your legs to lift, not your back. Keep your back straight, bend your knees, and use your leg muscles to lift the weight.
3. Wear protective gear: Depending on the task at hand, it may be necessary to wear protective gear such as gloves, safety glasses, or a mask. This can help prevent injuries from sharp objects, debris, or airborne particles.
4. Take breaks: Don't push yourself too hard and take regular breaks to rest and rehydrate. This can help prevent fatigue and reduce the risk of injury.
5. Stay aware of your surroundings: Be aware of any hazards in the area, such as uneven terrain, sharp objects, or loose debris. Watch your step and be cautious when moving around to avoid slipping, tripping, or falling.
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0 Comments

Nerve Flossing the Pain Away

4/28/2022

3 Comments

 
Many times, patients come into therapy with symptoms of tightness in one limb or another, and the individual is usually blaming a tight muscle. Well, muscles aren’t always the culprit for pain or tightness. What if I told you that nerves are just as mobile as joints or muscles? What if I said that nerves can be injured like a joint or muscle can be injured? If you haven’t figured it out yet, spoiler alert…they can!

​Nerve flossing, or neurodynamics, is a treatment approach and concept used to improve pain, motion, and flexibility of a symptomatic extremity. A nerve must be able to slide or stretch along its pathway and adapt to load and compression. Mobilization of nerves has been shown to improve chemical communication across the nerve, as well as improve blood flow to the nerve.
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