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Happy Holidays from our team at Provenance Rehabilitation! We wish you peace and good health in the coming year ❤️ ... See MoreSee Less

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You visit your medical provider and mention that you’ve been having a little problem - leaking urine with coughing, sneezing, laughing, and exercise…. sometimes even just with walking. Your medical provider says you have stress urinary incontinence. She recommends you have surgery.

Surgery is something you’d really like to avoid. So, what are your options?

Pelvic Physical Therapy is a risk-free, non-invasive alternative to surgery for incontinence, and it is often very effective in improving stress urinary incontinence.

Physical Therapy for the pelvic floor means “kegel” exercises and biofeedback, right?

Sometimes. But not always!

The most essential determinant of effective treatment for incontinence is a thorough assessment of the tone and function of the pelvic floor muscles. This examination is most effectively performed by a physical therapist who has extensive training in the evaluation and treatment of pelvic floor muscle dysfunction. Only after this specific examination is performed can a provider determine what type of treatment will be most effective.

Not everyone will benefit from kegels, biofeedback, and/or electrical stimulation. In fact, in many cases of pelvic floor dysfunction, these treatments may be a complete waste of time and money.

Ask your medical provider to refer you to a pelvic physical therapist for proper assessment of the pelvic floor muscles to determine what treatment may be best to help you regain control and improve the quality of your life.
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We’re in the middle of our series on Diastasis Recti. Today is all about protecting that belly! Although it isn’t always possible to avoid a DR - some say as many as 100% of pregnant women have some separation by their 3rd trimester - it isn’t all bad news. Here are some things we can do:

Avoid overdoing it with the ab workouts. If you’re having back pain or lots of rounding/arching in your spine with say a double leg lift, chances are you aren’t ready for that exercise. Once you’re fatigued with any type of exercise your chances of injury increase. The same is true for abs. When you’re straining your neck muscles to do a sit-up, it’s time for a break.

Modify movements that pull or stretch the middle of the stomach. Grab a step stool to reach the top shelf instead of over-stretching and flaring the ribs. Roll to one side before sitting up from bed. Use good body mechanics when reaching for your baby in the crib (spare your back!).

Watch your posture. Slouching allows those muscles to gape which we want to avoid. Think about ears over shoulders over hips over knees over ankles. Can’t tell if you’ve got it? Have a friend take a picture of your profile and see what you notice. Still not sure? Keep an eye out for the next post where we’ll go into specifics of good posture to support a DR.

Hope you’re enjoying these posts! Let us know what you think below.
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