• HIS THERAPY PT and PELVIC HEALTH
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Category: Pelvic Health

His TherapyBlogPelvic Health
By Sabina Kapasi Pelvic Health

Test Your Pelvic Health IQ

1. When you get past the age of 74 it is normal to wear protection pads.                           T or F
2. When I sneeze or cough, I pee myself.                                                                       T or F
3. Most children who bed wet are also constipated.                                                          T or F
4. Children who are bedwetters turn into adults who have incontinence.                             T or F
5. Painful intercourse happens after every childbirth.                                                        T or F
6. It is normal to wake up at night to urinate at least once.                                               T or F
7. It is ok to push or strain when you defecate (poop).                                                     T or F
8. 3 functions of the pelvic floor are sexual, sphincteric and supportive.                              T or F

By Sabina Kapasi Pelvic Floor, Pelvic Health, Physical Therapy, Pregnancy

Pelvic Floor Therapy for Pregnancy

Pregnancy is a beautiful things, but it can be hard on any woman’s body. It can cause: 
hormonal changes
physical changes
postural changes
musculature changes
This stress from a baby on your bladder and rectum can also lead to pelvic floor dysfunctions such as: 
stress or urge incontinence
back pain 
prolapse
bowel problems 

In the busy days ahead, remember to take care of yourself and your pelvic floor. Come see His Therapy for any pelvic floor dysfunction or question you have today! We will get you a specialized plan that best fits you. 

By Sabina Kapasi Pelvic Floor, Pelvic Health, Pregnancy

Protect Your Pelvic Floor During Labor and Delivery

Lunch And Learn
October 24th – 12:30p – 1:30p 

Please join us for a $5.00 Lunch and Learn session with Mid-Wife, Linda Weaver,
as she explains how to protect your pelvic floor during labor and delivery.
His Therapy is hosting this event, we are located at 2 Parkway Commons Way
in Greer, SC
 
Please RSVP to 864.534.1780, so that we can hold you a spot.  Be sure to invite your friends who may benefit as well! Lunch will be provided.

By Sabina Kapasi Pelvic Health

Specializing In Pelvic Health and Wellness Therapy

Proven results in as little as 2-3 sessions!  

*  Bladder and Bowel Dysfunction
*  Prenantal/Postpartum Care
*  Men’s Pelvic/Prostate Health
*  Pediatric Bladder Dysfunction/Bed Wetting
*  Pelvic Pain including, but not limeted to:  Coccydynia, Dyspareunia, Interstitial Cystitis and Vulvodynia

For more information and or a personal evaluation, Please contact our office at 864-534-1780.

By Sabina Kapasi Pelvic Health, Prolapse

Pelvic Organ Prolapse

Pelvic organ prolapse, defined as protrusion of the Pelvic organs (uterus, bladder or rectum) into the vagina, is a common but often overlooked problem.  Two large epidemiologic studies – the Women’s Health Initiative (WHI) and a Kaiser Permanente study – evaluated the incidence of pelvic organ prolapse among a wide range of women.  The WHI, which followed more than 160,000 postmenopausal women ages 50-70, documented pelvic organ prolapse in 41% of women who had not undergone hysterectomy and in 38% of women who had undergone the procedure.  Kaiser Permanente’s epidemiology of Prolapse and Incontinence Questionnaire (EPIQ), documented self-reported pelvic organ Prolapse in 7% of 4,458 respondents ages 25 to 84. 

Pelvic Organ Prolapse occurs when the pelvic floor muscle (levator ani) weakens and allows the pelvic organs to bulge into the vaginal cavity.  In its early stages, the condition often produces no symptoms.  As the pelvic floor muscle weakens, prolapse worsens and leads to urinary and fecal symptoms. 
 
Management Options 
  Surgery is the only definitive therapy for pelvic organ prolapse, but it is often imperfect.  That’s because the repair of one vaginal compartment may predispose another compartment to develop prolapse.  In addition, the integrity of pelvic floor innervation and muscle strength can affect surgical outcome.  This conclusion is supported by the fact that approximately one-third of procedures for pelvic organ prolapse are repeat operations. 

Nonsurgical Treatment Options for Pelvic Organ Prolapse are: 
Pelvic floor muscle exercises (PFME) 
For women who are unable to perform PFME, biofeedback 
Space-occupying devices (tampons, pessaries, etc.) 
Behavioral modification 
            Avoidance of heavy lifting     Maintenance of a healthy weight 
            Avoidance of constipation     Avoidance of chronic coughing 
 
The Colpexin Sphere 
A new intravaginal device, the Colpexin Sphere, offers a unique option for conservative management.  The Colpexin Sphere, which became available in the United States in 2006, supports the pelvic floor muscle and facilitates performance of PFME. The device is a medical-grade polycarbonate sphere with a locator string that is fitted above the hymenal ring to support the pelvic floor muscle. 
 
Pelvic Organ Prolapse is a significant clinical issue among women of all ages, and it often results in discomfort, altered lifestyle and urinary incontinence.  The Colpexin Sphere, which provides pelvic organ support and facilitates pelvic floor muscle strengthening, is an efficacious and conservative management option that should be considered for women with urinary incontinence and pelvic organ prolapse.

By Sabina Kapasi Health, Pelvic Floor, Pelvic Health

Take Care Of Your Pelvic Floor

What Are Pelvic Floor Muscles? 
 Pelvic floor muscles are the collection of skeletal muscles covering the bottom edge of the abdominal cavity.  They run from the pubic bone in the front to the coccyx (tail bone)  in the back and attach to both sides of the pelvis.  They form a “sling” at the base of the pelvic bowl and help to hold up the organs of that area, which include the bladder, uterus and the rectum. 

What Do They Do? 
 Pelvic floor muscles have three main functions:  supportive, sphincteric, and sexual.  Strong pelvic floor muscles help to hold the pelvic organs in place against the pull of gravity.  They also help you maintain control of your bladder and bowels by lifting the urethra and rectum to keep them closed.  Finally, pelvic floor muscles play a role in sexual function by enabling the vagina to be lifted in tighter, thus increasing sensation, during intercourse.  They can become weak or injured in different ways including birthing injuries or neurological dysfunction. 

How Can I Keep Mine Strong? 
You can strengthen pelvic floor muscles by routinely performing some exercises that target them.  You should pull the muscles “up and in,” meaning if you had an object inserted into your vagina you would be pulling it into your body with these contractions.  You can tell if you are using the correct muscles because the sensation of contraction the pelvic floor muscles is the same as when you stop your urine flow (however, this is NOT part of the exercise program, do not routinely stop your urine flow). Perform these contractions, being careful not to 
substitute” with contraction of your abdominal, buttocks, or hip muscles.  Try to contract the muscles as strongly as you can for as long as you can hold the contraction.  Do as many of these “strong holds” as you can.  Another exercise involves contractions of the same muscles, but in quick succession and as many as you can.  A good format to begin with is: 

Strong Hold:                                                         Quick Hold: 
5 repetitions of 10 second holds                     15 repetitions of 1-2 second holds 
   
      Rules to go by 
Water intake should be 8-10  10 oz. glasses per day 
You should void only 6-8 times in a 24 -hour period. 
You should be able to go 2-5 hours between voids. 
You should be able to count 8-10 seconds during the urine stream. 
If you are younger than 65, you should not need to void in the middle of the night
Avoid bladder irritants such as caffeine, alcohol, acidic juices, sodas, and nicotine