Pelvic Floor Physical Therapy Kimberly Vincent, PT, DPT Advocate - - PowerPoint PPT Presentation

Pelvic Floor Physical Therapy

Kimberly Vincent, PT, DPT Advocate Lutheran General Hospital Outpatient Rehab Services Sept 26, 2015

What is Pelvic Floor PT?

• Specialized Physical Therapy Program designed to

address the musculoskeletal and behavioral components of Pelvic Floor Dysfunction:

• Conditions treated:

– Stress and Urge Urinary Incontinence, OAB – Pelvic organ prolapse – Pelvic pain, dyspareunia – Pregnancy-related pain and dysfunction – Post-partum pain and dysfunction, including diastasis rectus abdominus (DRA) management – Colorectal dysfunction

Who are we?

• A team of 6 physical therapists with

specialized training in the evaluation and treatment of pelvic floor muscle dysfunction

• Doctorate- and Masters-level trained

therapists

• Pelvic floor therapy program since 2001
• Located in Parkside Building, Suite G-10

What we provide

• Comprehensive, individualized evaluation and

treatment

– Detailed subjective history – Intravaginal and/or intrarectal evaluation and treatment of pelvic floor muscles, as indicated – EMG Biofeedback evaluation and treatment, as indicated – Behavioral modification techniques – Evaluation and treatment of related musculoskeletal dysfunction impacting pelvic floor function – Patient education, HEP instruction – Patient involvement in development of plan of care, and treatment options that are right for her

Why ALGH PT?

• Private treatment rooms
• 45 minute treatments
• “Beyond kegels” treatment
• State-of-the-art equipment

Insurance/Visits

• Generally insurance covers pelvic floor

physical therapy as long as medical need is indicated; MD prescription/referral is required with diagnosis on prescription

• Average PT visits are 1-2x/week for 8-12 visits

How to Refer

• We are located in Parkside Suite G10
• Scheduling Phone number: 847-723-7500
• Scheduling Fax number: 847-723-8981
• Active fax: 847-723-6987
• Prescription for PT, which includes diagnosis
• A referral for PT, if patient is a member of an

HMO

When to Refer

• Suspected musculoskeletal or behavioral

component to incontinence and/or pelvic pain

• Pain during pregnancy that is interfering with

function

• Diagnosed Diastasis Rectus Abdominus (DRA)

Questions to Help Determine PFM Dysfunction

• How often do you urinate during the day?
• Do you ever have accidental leakage of urine

during activities such as coughing, sneezing, laughing, running, exercising or lifting.

• Do you ever have accidental leakage or urine

associate with a sudden strong urge to urinate

• r do you have trouble reaching the toilet in

time?

Questions to Help Determine PFM Dysfunction

• Do you do a lot of “just in case” toileting
• Do you have trouble controlling gas?
• Do you have pain before, during and/or after

urination or bowel movements

• If pregnant, does your pain cause you to not

do certain functional activities such as walk, sit to stand, carry children

• Questions and Thank you!!