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Advocacy and Research

It’s Time to Recognize Lyme (Part II)

By Riva Preil

After several months, the disease progresses to the third stage, late disseminated phase, if untreated. By this point, the disease has spread throughout the body and to multiple organs which severely impairs one’s ability to function. The joint pain intensifies and the neurological symptoms and pain (called Bannwarth syndrome) worsen. Permanent paresis may be present in the most severe cases. Cognitive changes such as short term memory loss and concentration difficulty may be present due to Lyme encephalopathy. Furthermore, personality changes, psychosis, anxiety, panic attacks, and depersonalization (a feeling of detachment from oneself) may occur.

Considering the horrible progression of the disease just described, it is important to be mindful of prevention and treatment tips, especially if you engage in activities that put you at greater risk of exposure to infected ticks. First of all, the more covered you are, the more protected you are! Tick bites can’t penetrate through one’s clothing, so be sure to wear clothing which minimizes skin exposure while camping to decrease risk of being bitten. In addition, it is important to inspect your body after hikes and camping trips, especially because tick bites, which are not necessarily painful, may go unnoticed by a bitten individual. If you notice a bite, especially if it develops into the bull’s-eye rash described above, speak with your primary care physician and request that you be screened for Lyme disease. Early detection means faster recovery via antibiotic treatment. It will prevent the disease from progressing to later, more debilitating stages which often involve lengthy and expensive intravenous antibiotic treatment regiments. Please refer here for more information and useful tips. Also, for more information about Lyme disease, please watch Under Our Skin, a documentary (available on Netflix, poster above) from director Andy Abraham Wilson.

—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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