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 or 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!!