Pelvic Floor Rehabilitation At Therapeutic Associates Bethany Physical Therapy, we offer a comprehensive Pelvic Floor Rehabilitation Program that provides highly effective treatment. We treat a variety of health issues and offer services to males, females and pediatric patients. Pelvic Floor Muscles The muscles in our pelvis, often called the “Kegel Muscles”, have 5 important roles in our body: They SUPPORT the pelvic organs, bladder and colon They STOP and START the flow of urine and the passage of gas or stool by closing the sphincters They serve for SEXUAL function They STABILIZE the hips, lumbar spine, sacrum, and pelvis during movement to reduce low back, hip and lower extremity pain • They may provide “SUMP PUMP” ability for the lymphatic system which carries away toxins of the body, and protects against disease • • • • If you are having problems in one of these categories, that means these muscles may not be working optimally in other roles in your body. What Can Physical Therapy Do For You? Based on your needs, treatment may consist of: Pregnancy & postpartum physical therapy: • Education of pelvic floor anatomy and function • Exercise of pelvic floor and associated muscles • Instruction of bladder/bowel health • Diet modifications • Bladder re-training exercises and habits • Modalities • Manual therapy including stretching, soft tissue massage and joint mobilization • Relaxation exercises and biofeedback • Education to safely stay active during all stages of pregnancy, with specific exercise program designed to meet your needs • Instruction in proper mechanics to prevent sprain/strains • Treat joint and muscle dysfunction that may contribute to pregnancy related pain • Provide birthing positional advice to improve your labor experience and decrease chance of complications What to Expect on Your First Visit: 1. 30-60 minute evaluation. 2. Talk with a PT about prior history, current habits, pain or leaking, pregnancies and back pain. 3. Musculoskeletal exam including an abdominal assessment, external and internal assessment if and only if patient feels comfortable. 4. Based on assessment, initiate treatment including education, strengthening, relaxing or soft tissue work. 5. Plan for future appointments about once a week for 4-8 weeks depending on condition. SUNS E N UN ION T HW Y TO BEAVERTON RD NW CENTRAL DR BETHANY VILLAGE NW KAISER R D NW WE ST NW BET HANY BL VD BETHANY ATHLET IC CLUB W 143RD AVE NW 185TH AVE NW LAIDLAW RD NW CORNELL RD 26 Bethany Physical Therapy Jessica Dorrington PT, MPT, OCS, CMPT, CSC, Director 4876 NW Bethany Blvd, Suite L-1 Portland, OR 97229 Phone: 503-466-2254 Fax: 503-466-1143 Email: bethany@taiweb.com Diagnoses We Treat: Urinary and Bowel Dysfunctions • • • • • • • • • Stress, Urge and Mixed Incontinence Urinary Urgency/Frequency Incomplete Emptying, Retention Issues Constipation, Fecal Incontinence/ Urgency, Frequent Obstruction Irritable Bowel Syndrome Overactive/Underactive Bladder Post-Micturition Dribble Nocturia Prostatitis Sexual Dysfunctions • Vulvar and Vaginal Pain • Pain with Intercourse/Orgasm • Difficulty with Arousal, Orgasm and Desire • Turgor and Rigidity Issues in Erectile Dysfunction Pelvic and Genital Pain • • • • • • • • • Levator Ani Syndrome Pudendal Neuralgia Urethral or Anorectal Pain Painful Episiotomy Proctalgia Fugax Prolapse (bladder/uterus/rectum) Interstitial Cystitis Vulvar Pain Syndrome Perineal Pain Syndrome Musculoskeletal Pain • • • • Coccygodynia (tailbone) Pain Sacroiliac and Lumbosacral Pain Daistisis Recti Hip, Pubic or Low Back Pain Post-Surgical Pain • • • • • Bladder Suspension C-section Hysterectomy Prostatectomy Colorectal Pediatrics • • • • • • Enuresis/Bed Wetting Vaginal Reflux Giggle Incontinence Neurogenic Bladder Encopresis/Fecal Soiling Double Voiding Breast Cancer • Post-Mastectomy, Post-Lumpectomy Lymphedema • Manual Lymph Drainage www.therapeuticassociates.com/Bethany