Women & Men's Health
JJPT brings both the methods of Traditional Women & Men's Health Physical Therapy AND the unique Functional Manual Therapy approach to address the whole person and the whole body in the following areas:
- Unresolved low back, pelvic, and hip pain
- Core weakness despite exercise attempts
- Urinary stress incontinence (leakage) or (if you worry about laughing too hard, jumping on a trampoline with your kiddos, or are avoiding certain exercises, you don’t have to live this way!)
- Pre and post partum concerns
- Prostate issues
They will work with your current health care team in providing a safe and results oriented approach so that you regain the quality of life you desire. Contact us at (970) 879-4558 for a consultation. Visit us at www.jandjpt.com for a more detailed description of our approach under the Women’s Health
The pelvic floor is often the ignored link between low back pain, pelvic instability, and coccyx (tailbone) pain. Over 69% of people with low back pain have some form of stress incontinence associated with back pain that is being missed with standard physical therapy. At JJPT, this link has been explored and successfully treated for many years without calling it “women’s health” or “pelvic PT”. After all, it isn’t just women’s health. We all have a pelvic floor that can be affected over a lifetime of slips, falls, trauma, surgeries, and pain that lead to various dysfunctions. As with any region of the body that develops pain or dysfunction, the pelvic floor can wrec havoc on life, work, and social interaction. Often this region is not discussed because of the stigma that it is a private area and “we don’t talk about that”. Kegel exercises are the ability to contract the pelvic floor muscles as if “stopping the flow of urine” or “lifting the floor much like going up in an elevator.” Kegel exercises are often prescribed as the fix all to pelvic floor pain or incontinence, but it is not the only consideration to a thorough pelvic program. A favorite saying after several years of practicing pelvic floor PT has quickly become “Kegels aren’t cutting it.” There may be a reason that the exercises have not fixed the issue.
In research, a study showed that if a person was shown a threatening image, the first muscle group to contract and remain sensitive or overactive was the pelvic floor. The second group was the upper shoulders and neck. Top that with life’s everyday stressors, driving, slips, falls, and we have a very overactive pelvic floor or a pelvic floor that is not working appropriately. Add a baby or two to that list above and we continue to pile and load the pelvic floor muscles much like an overloaded hammock. The constant stress and strain without addressing muscle weakness, appropriate firing of muscles together (synergies), and overall low back and pelvic joint alignment and we may have missed the bigger picture. While the pelvic floor mucles are the emphasis in pelvic PT, it is important to remember that the floor is a part of the “core”. The core consist of the diaphragm as the top, abdominals as the front wrapping to connect to the back multifidi muscles. When firing appropriately the core contracts together and stabilizes the ribcage, low back, pelvis, and hips, as well preventing an unwanted loss. Techniques at JJPT include manual therapy addressing soft tissue imbalances, joint alignment of the ribcage, low back, pelvis, and hips as well as pelvic floor strengthening. A large component of this strengthening process is through proprioceptive neuromuscular facilitation (PNF) where the target is to gain more than strengthening one muscle or a group of muscles. The pelvic floor is an important part of the core, but a PART all the same. The body is a beautiful unit, interconnected from head to toe. While local pelvic floor strengthening is appropriate, it is important to cross the bridge and translate the strengthening not just to local pelvic floor control and progressing from sitting to standing but make sure that the functional training becomes specific to the lifestyle and challenges that the patient will face. Core facilitation through resisted PNF patterns is key to ensure that this bridge translates through the whole body, not just the pelvis.
Another key highlight to pelvic floor therapy is the transition to retraining body mechanics throughout the rehab process. This is essential to retrain and break the cycle of constant postural and movement habits, chronic constipation or bad voiding habits, and poor lifting techniques that continue to place the body under stresses that continue the process or return of the original problem. With proper retraining through postural corrections, toileting postures, education, lifting retraining, and functional strengthening, we can better target the continuation of treating the person as more than just a pelvic floor problem, but a person who expects to see the carry over into a more efficient, stronger system.