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Advocacy and Research

BBPT Patient Testimonial: Tanya

I came to Amy as an out-of-town patient from the West Coast to treat anismus (pelvic floor and bowel dysfunction), that I developed after endometriosis excision surgery which included bowel resection. What I liked immediately about Amy is that she did not draw me a “picture perfect.” The first time when I spoke with her by phone, she did not say “after a few weeks of our treatment you will be 100% OK”, rather she was hesitant if I shall come, and referred me to a good PT in my area (how decent of her! She was ready to lose a client but do what’s best for me!) I still wanted to come, because I believed there is no one like Amy. And I was right!

Amy is the most thorough, thinking, caring and insightful physical therapist that I ever met (and I met several during the last year of my healing journey). She understood my condition and its root causes, she gave me the best treatments I’ve ever received (e.g. did myofascial release of certain trigger points that no other PT who treated me ever touched), and during the treatments I saw that she is thinking all the time, asking questions, adjusting treatments to my condition, always looking for new ways to make me feel better.

In addition, according to Amy’s recommendation, I was also treated by another PT in Amy’s office, Michele, who uses a different technique (visceral mobilization) which complemented Amy’s treatments for my condition. Besides, I opted-in for some acupuncture treatments, also provided in Amy’s office by Paula. After 3 weeks of intensive everyday treatments by Amy, Michele and Paula I feel so much better!

But in order to continue my progress, Amy also gave me an extensive home program, which included stretching exercises, breathing exercises, massage of trigger points, etc., and she also provided me with all the equipment needed to perform this program, such as massaging stick, organic heating pad, relaxation CD, etc. She also gave me a lot of tips regarding the diet and food supplements which may contribute to improving of my condition. Amy was so meticulous in training me of how to perform all self-care treatments, she repeated the home program several times with me.

And in the end Amy volunteered to speak with a PT in my area regarding the continuity of my care.

I cannot speak highly enough about Amy and her staff. Not only they are top-notch professionals, but also noble, kind and caring people, who really invest themselves in making you better. And they succeed!

Tanya P., 42

—FAQ

Frequently Asked Questions

Pelvic Floor Disorders and Treatment

What is pelvic floor dysfunction and why does it happen?

Pelvic floor dysfunction is extremely common and occurs when the muscles, tissues, or nerves of the pelvic floor are weakened, tightened, or injured by trauma, chronic strain, or overuse. Pelvic floor disorders can result from traumatic injury such as a fall, from sporting activity, surgery, or childbirth. They can also happen from more chronic issues, such as infection or chronic inflammation such as endometriosis. Pelvic floor disorders can be a consequence of poor alignment or posture, overuse, or improper movement. The pelvic floor muscles surround the urethra, rectum, vagina and prostate; therefore, if there is a dysfunction in these muscles it can result in urinary, bowel, or sexual dysfunction in people of all ages.

Who should I see to get a proper diagnosis?

Many healthcare providers don’t assess – or don’t know how to assess – the pelvic floor muscles and nerves, so it’s important to get a proper diagnosis from a practitioner who specializes in pelvic floor dysfunction and pelvic pain. Too often patients tell us that they’ve been to 10 different doctors and healthcare providers and their symptoms have not improved, or have worsened. Find a specialist right away and get on the path to healing as quickly as possible.

Why do healthcare providers miss (or misdiagnose) pelvic floor dysfunction?

Long story short, the medical practice is divided into areas of the body: Urology. Orthopedics. Gynecology. But the body itself doesn’t have walls; every system interacts with everything else. Sometimes providers are so laser-focused on what they treat that they miss the whole picture. 

As more and more research emphasizes the importance of physical therapy as part of a complete treatment regimen, more and more physicians are learning how to recognize and treat pelvic floor disorder. In the meantime, if you’re not getting relief from your current treatment, make an appointment with a pelvic floor specialist to learn more.

How does pelvic floor dysfunction affect sex?

Pelvic floor muscles have a huge impact on sex. Muscles that are shortened or tight and are unable to elongate will not allow for good blood flow into the genitals. This can result in pain, weaker erections, diminished sensation, inability to orgasm, and even decreased lubrication. Pelvic floor PT can help with these issues by enhancing blood flow and improving muscle function. 

How can pelvic floor dysfunction cause bloating?

Pelvic floor dysfunction, a condition characterized by the inability to correctly relax and coordinate pelvic floor muscles, can significantly contribute to bloating due to its impact on gastrointestinal functions. When these muscles are not functioning properly, it can impact the ease of emptying and make it difficult for your body to pass stool and gas through the intestines. This obstruction leads to an accumulation of waste and gas in the gastrointestinal tract, causing bloating and abdominal discomfort.

Is it true there’s internal massage?

There can be. We do perform internal soft tissue mobilization of the pelvic muscles that are inside your pelvis and are accessible only through the vagina or rectum. We never do internal treatment without your consent and understanding.

What makes someone a pelvic floor PT vs a regular PT?

All pelvic PTs get additional training in pelvic floor internal treatment through continuing education and at our clinic. 

We pride ourselves on the level of training we provide, not just at the beginning but throughout the time our therapists spend at Beyond Basics. We know that learning is a life-long process.  We also provide additional training in physiology of the GI system and urinary system as well as sexual health and function and nutritional training. Most PT programs and schools do not provide the depth and breadth of knowledge that we provide all our PTs at Beyond Basics.

Get help now from a pelvic floor therapist.

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