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Advocacy and Research

Live (Yesterday) from New York!

By Riva Preil

Even if you snoozed, you DIDN’T lose your chance! If you missed yesterday’s live episode of The Pelvic Messenger, May the Floors Force Be With You with Diane Lee, you can STILL listen to it and enjoy her knowledge and wisdom. I feel blessed to have had the opportunity to interview such a renowned clinician and educator, and I am pleased to share my reflections on the experience with you.

Diane opened the conversation with a description of her professional journey and telling us about her role models. She then described the Integrated Systems Model and explained the difference between form closure, force closure, and motor control.

Diane also elaborated upon various postpartum issues that mothers may face, and she shared helpful hints with listeners regarding how to address those problems. (I don’t want to spoiler alert y’all and ruin the excitement for you, but I WILL give you a hint: Baby Belly Belt. Listen to the show, link below, for more details!)

Diane proceeded to discuss some of her most rewarding experiences as a physical therapist, and she whet our appetite for her upcoming International Pelvic Pain Society presentation (October 22-26 in Chicago, Illinois). She also described her upcoming exciting trip to South Africa, where she will work with other PTs to educate health care providers and treat underprivileged women. One of my favorite parts was when Diane extended a PERSONAL INVITATION to me to join her on her medical mission!

It was an honor and privilege to (virtually) meet one of MY role models, and I encourage you to sit back, relax, and enjoy the show. Comments and feedback are warmly welcome- this was my first show (!) and I would love to hear your thoughts 🙂

http://blogtalk.vo.llnwd.net/o23/show/6/640/show_6640983.mp3

P.S. The interview starts 1 minute and 13 seconds into the show, so don’t be alarmed if you don’t hear anything for the first minute or so. ENJOY!

—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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