Women's Pelvic Therapy in Chicago Loop, Lakeview, and Glenview
Women’s Health and Pelvic Floor Disorders
Physical therapy and occupational therapy for women’s health needs and pelvic floor disorders specializes in the unique needs of women throughout their lives. Physical therapists are specialists in musculoskeletal disorders and their specific training allows them to provide effective management for women with various problems across the lifespan. From the young female athlete, before, during and after pregnancy, to menopausal woman -- all can benefit from intervention by a physical therapist or occupational therapist.
Wondering if you might be experiencing pelvic floor dysfunction? Take the confidential screening here.
During Pregnancy and The Postnatal Period
A woman’s body experiences many changes that affect their skeletal system during pregnancy and in the postnatal period. In particular, changes in hormone levels to assist the body with the pregnancy and prepare the body for delivery can contribute to lower back pain, pelvic pain, sacroiliac dysfunction, sciatica, upper back pain, diastasis recti (abdominal muscle separation) carpal tunnel syndrome, urinary incontinence (involuntary leakage of urine), dyspareunia (painful sexual intercourse) and organ prolapse. These are some of the women’s health conditions a pelvic health physical therapist or occupational therapist can successfully treat.
Patients can see Dr. Maureen O'Connell in our Lakeview location, while Dr. Rachel Philipp treats in Lakeview and the Loop.
Constipation is a common diagnosis that many individuals leave untreated, but it can effectively be treated by a pelvic health physical therapist or occupational therapist. Signs and symptoms of constipation can include infrequent bowel movements, hard stools, excessive straining, bloating, flatulence, decreased appetite, and depression. A pelvic health physical therapist or occupational therapist can treat constipation through education on proper defecation techniques, nervous system desensitization, pelvic floor muscle re-education, addressing your bowel habits, diet and hydration, and assessing for musculoskeletal tension limiting bowel evacuation.
An involuntary leakage of urine. Four types of urinary incontinence are successfully treated by physical therapists and occupational therapists.
Stress Urinary Incontinence
Leakage of urine that occurs during coughing, sneezing, laughing, exercise and lifting. Leakage occurs when the intra abdominal pressure exceeds the urethral closure pressure and can also be contributed to by tight muscles in the pelvic floor that change the angle of the muscles around the bladder. These muscles can then “push” on the bladder instead of assist with bladder closure. A history of low back pain and pelvic pain can also add to a change in these muscles and exacerbate this condition.
Urge Urinary Incontinence
Leakage of urine can be associated with a strong, sudden urge to urinate. Those experiencing this condition will frequently leak urine when they hear the sound of running water or as they are running to the bathroom.
Mixed Urinary Incontinence
A combination of both stress and urge urinary incontinence. Those experiencing mixed incontinence may leak during coughing, sneezing, laughing, as well as have a strong urge to urinate.
Occurs when you are functionally limited in mobility and cannot make it to the bathroom in time. For example, someone with severe arthritis moves slowly and may not be able to remove her clothing fast enough or slow mobility due to hip or knee pain may limit the ability to reach the toilet in time.
An involuntary leakage of flatus, solid, or liquid feces. Anal incontinence can be successfully treated by physical therapists and occupational therapists. Causes can include inflammatory bowel diseases, post-radiation, neurological conditions, pelvic floor weakness, pelvic floor tightness, or constipation.
Physical therapist and occupational therapist care for incontinence may include a combination of therapeutic exercises to strengthen and relax the pelvic floor and abdominal muscles, as well as muscles surrounding the hips and spine. Other treatment options may include bladder training and education on bladder irritants.
Dyspareunia, Interstitial Cystitis (IC), Levator Ani Syndrome, Vulvodynia, Pelvic Floor Dysfunction
In addition to urinary incontinence, a women’s health physical therapist can treat women suffering from pelvic pain, including vaginal pain, pain with intercourse, buttock pain or pain in the pelvis that radiates to the front or back of the thighs. Some woman experience burning vaginal or anal pain. A variety of musculoskeletal problems throughout the low back, hips, pelvic girdle, and even the knee and ankles can contribute to changes in the pelvic floor musculature, sometimes leading to pain. A physical therapist or occupational therapist can help address these limitations and help the body work efficiently with less pain.
Men can also experience pelvic pain, also called pelvic floor dysfunction or levator ani syndrome. They may experience similar symptoms, frequently described by them as testicular pain, pain at the base or tip of the penis, or in the perineum. Symptoms may “feel like I am sitting on a golf ball” and include symptoms of urinary frequency and sexual dysfunction.
Pelvic Organ Prolapse
Cystocele, Rectocele, Enterocele, Urethrocele and Uterine Prolapse
Pelvic Organ Prolapse (POP) occurs when a pelvic organ “drops down” in the pelvis. This can occur due to childbirth, pelvic floor muscle weakness, chronic constipation and straining, menopause, or a hysterectomy. Common symptoms of POP include a sensation of “fullness” or “heaviness” in the vagina, difficulty having bowel movements, urinary or fecal incontinence, tissue protruding from your vagina, urinary retention, pelvic pain, or pain with intercourse.
Cystocele: The bladder bulges into the front wall of the vagina.
Rectocele: The rectum bulges into the back wall of the vagina.
Enterocele: The small intestine bulges into the back wall of the vagina.
Uterine Prolapse: The cervix and/or uterus drops down into the vaginal canal.
Urethrocele: The urethra bulges into the front wall of the vagina.
Pelvic Organ Prolapse Treatment
Treatment for POP can include bowel/bladder retraining, education on support wear, pelvic floor strengthening, and functional assessments.
What to expect during therapy:
A pelvic health physical or occupational therapist will provide a thorough subjective and objective evaluation and develop a treatment program specific to your problems and goals. Treatments may include one or more of the following: manual therapy or dry needling to reduce muscle guarding and tightness, joint mobilization or muscle energy techniques to influence the joints in the pelvis, hips, ribs or spine. Specific therapeutic exercises will be prescribed to address muscle tightness and improve strength. Meditation and breathing techniques may be utilized to relax muscles and change blood chemistry. Neuro-muscular reeducation improves the coordination between muscle contractions and relaxations so that joints and muscles are used efficiently with less pain and increased function. Depending on your particular problem, specific functional training will be geared toward your specific goals. Functional activities may include changing posture while nursing your infant or changing the mechanics for lifting or bathing your toddler to change the neurological and motor pathways used and decrease pain. Treatment may also include education on bladder training or foods that may irritate their bladder and cause urgency and frequency.
Click here to request an onsite appointment with one of our pelvic therapy specialists, Dr. Maureen O'Connell and Dr. Rachel Philipp.
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