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42 Saint Mark Rd, Taylors, SC
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Have You Drank Enough Water Today?

66% of your body is water, so replenish yourself with the best: pure natural water. If you feel thirsty, you are all ready dehydrated – drink water regularly and your body will thank you!

Urinary Incontinence

Urinary incontinence (UI) is the inability to control urine. An estimated 13 million adults (men and women) of all ages suffer from UI. Dysfunctional voiding patterns and leakage also occur in children of all ages. There are four basic types of incontinence.

Stress incontinence is when urine leaks out when stress (pressure) is put on the bladder, for example when someone sneezes or coughs.

Another type of leakage is called urge incontinence which is sometimes known as “overactive bladder.” This leakage occurs when there is a strong urge to urinate occurs and someone is not able to make it in time to urinate.

The other type of incontinence is called overflow incontinence which occurs when the bladder does not empty normally and becomes very full. Then dribble occurs out of the bladder.

Finally mixed incontinence is also another form which means basically that someone suffers from more than one type of incontinence which are described above.

If you or someone you know is suffering from urinary incontinence, please know that there are options for treatment. You do not have to live everyday wearing depends pad and you can learn to gain the control you need to live an enjoyable life. Some options that people have are medication, surgery and pelvic floor physical therapy. After discussing these options with your doctor, you should make the best treatment for yourself.

In terms of pelvic floor therapy, it does help to teach people new ways to control their bladder and train those muscles that are involved in controlling and stopping the leakage. These are the pelvic floor muscles.    

Pelvic floor therapists can help patients with the following interventions:

1) Education on proper food and fluid intake
2) Retraining of voiding habits
3) Strengthening and muscle re-education of the pelvic floor muscles
4) Strengthening Core muscles 
5) Biofeedback used to help retrain the muscles
6) Electrical Stimulation
7) Proper postural control and body mechanics
8) Education on proper home program

Benefits of Physical Therapy
* Increased bladder control
*Increased bowel control
*Decreased pain or pressure
*Restore or improve function with : less pad usage, eliminate pad usage, improve sleep, decrease or eliminate accidents, improve ability to function in the community, decrease adult isolation

Please contact us at HisTherapy if you have any questions regarding pelvic floor PT and how it can help with bladder control. 864-534-1780 or Sabina@histherapy.net

Bed Wetting

We got the opportunity to do a segment on Mommy Matters on Fox News this weekend on bed-wetting. We wanted to share the tips that we discussed on the segment with you! 

Bed-wetting: What do you do to help children get through this?
•    Education- anatomy and physiology
•    Counseling parents and the child regarding voiding and drinking habits
•    Toilet posturing 
•    Positive motivation of the child and parents
•    BIOFEEDBACK – method of allowing the child to see the EMG tracing of the pelvic floor muscle contraction and relaxation in a fun manner tailored specifically for children
Food or physical changes you recommend-
•    Typical America diet lacks fiber
•    Children often don’t drink enough water to maintain a healthy bladder
•    Bladder irritants- caffeine and sugar
•    Sedentary lifestyles and obesity are huge contributing factors to urinary dysfunction and bedwetting
Advice for parents who are struggling with this issue
•    You are not alone in this- research shows 5 million children in the US wet their bed
•    Every child is different and may need a different treatment plan- seek advice, research and ask questions. 
•    Go with your gut instinct- no one knows your child better than you
•    Research shows pelvic floor therapy is an effective treatment option. If you’ve not tried it, consider it!

Can Diet and Lack of Rest Cause Pelvic Pain

YES your diet and lack of rest can cause your pelvic pain!

Found a great website with a lot of great information. www.Pelvicguru.com. Tracy Sher is an amazing PT and has a ton of information about pelvic floor health. She has an article about nutrition and how what we eat will effect your pain. Please take a look at it.

https://pelvicguru.com/2012/08/26/is-your-pelvic-pain-related-to-what-youre-eating/

Three things she mentions in this blog I totally agree with: 

“Consider an elimination diet to see if you are sensitive to or allergic to any of the most common food allergens.”                            I have my patient’s go through a 1 to 2 week detox period to try to find out what they may be sensitive to which is similar to what she describes on this blog. We all have certain foods and drinks that we are sensitive to and the only way we can truly know what these are is by getting rid of possible irritants then slowly bringing them back into our diet to see how we react to them.
“Once you figure out if you are sensitive to any foods, then you can eliminate them from your diet and begin to heal your digestive system.  Your digestive system is key to your overall health.”                                       Very true! I also believe this to be true. Probiotics and natural foods and herbs are very important to put into our diets. I am from India and growing with a very traditional Indian diet I realize how those herbs and ingredients were and are so important. For example garlic, turmeric, onions, flax seeds, chia seeds, and cloves were used in almost all the meals. These ingredients plus many more are essential for our bodies to decrease the toxins and help with healing. Normal American diets just do not have these ingredients and more processed the meals are in this country the more unhealthy they are for us.
“Heal your hormone system.”                               In this step she discusses how sleeping and naturally healing our hormone imbalances is so important. She recommends going to sleep at 10pm and getting adequate rest every night is crucial for us to help no only digest our foods but heal our bodies. I do so agree with this as well. SLEEP and REST are so important for all of us. It can and will reduce pelvic pain!

Thank you Tracy for your information!

If you have any questions or comments on this blog, please feel free to contact me at Sabina@histherapy.net or to 864-534-1780.    www.histherapy.net

Why Would You Need to Have Pelvic Floor Therapy

Have you ever wondered if pelvic floor therapy is for you? Here are a couple questions you can ask yourself to determine whether you could benefit from seeing our specialist.

1) Do you leak urine when you cough or sneeze?
2) Do you strain with bowel movements and often find yourself constipated?
3) Do you wake up during the night to use the bathroom?
4) Do you have pain during sexual intercourse?

If you answered “yes” to any of these, pelvic floor therapy IS for you! With as little as 2-3 sessions, you will see improvements in your pelvic floor which will improve your confidence and help you live the happy and healthy life we all desire!

Call  today for  more information: 864-534-1780
www.histherapy.net

Free Workshop Being Offered

https://www.facebook.com/Histherapy/photos/gm.758447364322190/648700108649775/?type=3

MAY 4th at 6pm

RSVP call us at 864-534-1780!

Is Your Elementary Age Child Bed Wetting? We Can Help

Summer is right around the corner, which means longer days, sleep overs, and summer camps! Is your child ready or is bed wetting restricting them from these experiences? Often times bed wetting can be significantly reduced with pelvic floor training along with dietary and behavior counseling. With only a few visits, your child can learn to have more control of their bladder and you both can get a more restful night’s rest. Call us today for an appointment!

Stop Bedwetting

Dear Moms,

Did you know that research shows 5 million children in the US wet their bed? This is an astonishing number, and we don’t want this to be your child. That’s why at His Therapy our physical therapist will work with you and your child to encourage and help stop the bed-wetting. Throughout treatment your child will receive education, counseling, toilet posture, positive motivation, and biofeedback- a method of allowing the child to see the EMG tracing of the pelvic floor muscle contraction and relaxation in a fun manner tailored specifically for children. Don’t let your child suffer. Research shows that pelvic floor therapy is an effective option, so if you haven’t tried it please consider. Do not hesitate to call us for more information, or to schedule an appointment. We would be happy to help.

Diastasis Recti

Diastasis Recti refers to the unnatural separation of the abdominal muscles via stretching or thinning of the connective tissue in the midline (Linea Alba). While this is very normal to occur during pregnancy to allow for a growing baby (100% of women will have some separation at 37 weeks gestation), it is when the muscles remain apart after baby is born that this can become a concern. A distance of 1-1.5 finger widths between the muscle bellies is considered “normal” and greater than this would be considered a diastasis, however the prognosis of healing will be affected not just by the distance of separation, but also the amount of tension remaining in the linea alba. 

*Just to be clear, even though DR is often referred to as a ‘separation’, this does not mean that there is an opening in the abdominal wall, rather that the muscle bellies are sitting a bit further apart. There is still intact connective tissue between the muscles, however it may be thinner than before – unlike an hernia which refers to an actual tear or hole in the connective tissue.*
 
The most common symptoms of Diastasis Recti are the appearance of a belly bulge, a feeling of core ‘weakness’, and compromised function of the deep core and pelvic floor muscles (which stabilize the pelvis and the spine) leading to hip, pelvic, and back pain or pelvic floor issues. 
 
However, Diastasis Recti is not always visible or symptomatic. For example, I have known some women with 4cm separations postpartum to have a ‘flat’ stomach (as defined by societal expectations), be pain-free and still be able to perform very physically strong feats. Therefore, I don’t believe the end goal of healing is just about the width of separation, but how all of the muscles in the body function as a whole.
 
Some causes of this can be:

Over-corrected sitting and standing posture – a habit of thrusting the ribs with chest out, shoulders back. Although we are often taught is a good posture – this actually creates excessive tension on the linea alba – pulling it apart – AND generates more IAP!
 
Very tight abdominal musculature – which can increase IAP and also pull away (think tight oblique muscles pulling on a diagonal away from the midline)
Shortened psoas major – this will often appear as rib thrusting when lying down on your back with the legs out straight (this was the most noticeable factor amongst the three aforementioned men with DR) and means that even just lying flat on your back, doing nothing(!) can actually contribute to a diastasis

 Do your ribs do this when you lie down?

Tight shoulders and chest muscles which will lift the ribcage and create a lateral pull on the LA every time you reach overhead
Constantly increased intra-abdominal due to chronic digestive upsets and bloating
Repetitive increased intra-abdominal pressure via habitual movement and exercises (think repetitive sit ups, straining on the toilet, breath holding, or ALWAYS sucking in your stomach)

For more information please contact us today at 864-534-1780 or sabina@histherapy.net