Friday, March 20, 2009

Physical Therapists offer help for Incontinence

Urinary incontinence, or the complaint of involuntary leakage of urine, is not just something that happens to older people. This condition can affect men and women of all ages. The National Association for Incontinence estimates that 25 million Americans experience urinary incontinence.

Stress Incontinence is a sudden involuntary loss of urine on effort or exertion. This may occur with activities such as exercising, sneezing, coughing or laughing. Stress incontinence usually results from weakness and lack of support in the muscles of the pelvic floor. Women with stress incontinence often have “under active” pelvic floor muscles. Causes may be pregnancy or childbirth, injury or trauma, surgery in the vagina or rectum, episiotomy (during childbirth), or lack of exercise or use.

Urge Incontinence is the loss of urine that occurs as soon as you get the urge to urinate. Women with urge incontinence often have weak and “over active” pelvic floor muscles.

Mixed Incontinence is involuntary loss of urine associated with urgency and also with exertion, effort, sneezing or coughing. Mixed incontinence can include any combination of the causes of stress and urge incontinence.

Many symptoms of urinary incontinence are caused by pelvic floor muscle weakness and dysfunction. Our specially trained pelvic floor physical therapists are the ideal healthcare providers to help you gain control over your symptoms. Our therapists use their specialized medical training to evaluate your problem and design an individualized treatment program to meet your specific needs.

Physical therapy can:

  • Give you control over your bladder and your life

  • Save money and embarrassment by allowing less use of pads and undergarments

  • Reduce use of medications for incontinence

  • Possibly prevent the need for surgery

Physical therapy treatment may include:

  • Education on diet and nutrition to avoid food and beverages that may irritate the bladder

  • Advice on how to change behaviors that make symptoms worse

  • Techniques to increase awareness of the correct use of muscles that control urinary flow

  • Exercises to strengthen the muscles of the pelvic floor

  • Exercises to stretch and strengthen other important muscles to help you gain control

  • Techniques to decrease urinary urge and frequency

  • Biofeedback to help you re-train your muscles

  • Electrical stimulation to improve awareness and strengthen muscles

You should be referred to a pelvic physical therapist if:

  • You leak urine during normal daily activities

  • You leak urine with sneezing, coughing, or laughing

  • You have difficulty starting a urine stream

  • You have trouble holding urine when you feel a strong urge to go

  • You urinate frequently (more than every 3-4 hours during the day, up more than once to urinate at night)

  • You have difficulty getting to the bathroom because of other problems such as pain or balance.

    At Fauquier Health Outpatient Physical Medicine and Rehabilitation, our pelvic physical therapy team has completed extensive training in pelvic physical therapy through the American Physical Therapy Association. Our therapists use a variety of techniques as well as provide you with education to ensure your needs are addressed. All pelvic floor treatments are conducted confidentially with your therapist in a comfortable, private setting.

    If you feel you may benefit from this service and would like to hear more, please call us at 540-316-2680. Or click on the button below to ask a question.

Andy Nowack"

Wednesday, March 18, 2009

Do you suffer from dizziness?

You are not alone. Did you know that symptoms of dizziness are the third most frequent reason people over the age of 65 seek medical attention? Dizziness is the number one reason people over the age of 70 seek medical attention.

Fifty percent of individuals over the age of 65 who suffer from dizziness will develop a particular form of vertigo that can be alleviated with one simple physical therapy treatment. The most common form of vertigo is Benign Paroxsymal Positioning Vertigo (BPPV).

Symptoms include:

  • Sudden onset
  • Brief episodes of dizziness, typically lasting less than one minute
  • A sense of imbalance or motion sensitivity brought on by changes in head position relative to gravity by activities such as:
    o Lying down
    o Rolling over in bed
    o Bending over
    o Looking up
BPPV is caused by tiny crystals being dislodged in the inner ear causing changes in the movement of lymph fluid, giving you the sensation you are losing your balance.

Fortunately, this problem is easily detected and can be treated with a few different repositioning techniques to move the crystals through the ear canal and “dump” them into an area that no longer causes vertigo. This treatment is usually very successful, with resolution of all symptoms within 1 or 2 therapy sessions.

A Vestibular Rehabilitation course was recently held at Fauquier Hospital and was attended by some of our therapists. They received training in these vestibular techniques and are ready to help alleviate your dizziness. If you feel you may benefit from this service and would like to hear more, please call us at 540-316-2680. Or click on the button below to ask a question.

© Monkey Business Images

Thursday, March 12, 2009

Congratulations Andrew!

Outpatient Rehabilitation Services is proud to announce that Andrew Mazur, physical therapist, has received certification from the Aquatic & Rehabilitation Institute. Andrew provides outpatient aquatic physical therapy for adults at our pool in the Fauquier Health Rehabilitation & Nursing Center. Andrew’s patients enjoy the skilled, individualized care he provides that helps them maximize their range of motion, strength & function after an injury, illness or surgery.

We are the only clinic in the area to offer aquatic physical therapy. Our pool is kept at an inviting 92 degrees, optimal for therapeutic exercise.

We also offer aquatic physical therapy for our pediatric patients, provided by Kristine Trimble, our pediatric physical therapist.
If you or someone you know may benefit from aquatic physical therapy, please call us at (540) 316-2680 for further information. We look forward to hearing from you!

Have questions?

Right this way...

We've installed a new directional sign to help clients find their way to our outpatient clinic on the Fauquier Hospital campus. We are located in the Medical Office Building at 253 Veteran's Drive in Warreton, Virginia. Our clinic is on the first floor of the building, to the right of the elevator in the main lobby.