What causes pelvic floor disorders?

Several things can contribute to pelvic floor disorders. These can include but are not limited to history of pregnancy, childhood bladder problems, chronic coughing, poor body mechanics, genetics, painful periods, hormone treatments, obesity, trauma, menopause, abdominal or pelvic surgery or pelvic radiation. Pelvic floor disorders can also be related to dysfunction within the trunk, low back and hips.

Are pelvic floor disorders a normal part of aging?

NO. Pain and leaking are never normal ! About 1 in 4 women have incontinence in the U.S. Just because leaking or pain is common after having a baby, menopause or pelvic surgery does not mean it should be normal or acceptable. Pelvic floor therapy helps to retrain the muscles and structures in the pelvis so you can go live the rest of your life without thinking about it.

If I have had these symptoms for a long time is there still hope?

Absolutely. Just because you have had ongoing symptoms for several months or years doesn’t mean we can’t retrain these structures and habits. Just like any other muscle or injury to a joint, we can retrain movement patterns and address the soft tissue and organs in order to restore function.

What can I expect at my first visit?

At your first visit you can expect to discuss your concerns and goals with your physical therapist. You will review your medical history and prior treatment you’ve had for your condition. Your physical therapist will perform a physical examination of your hips, low back and pelvis. An internal pelvic exam/techniques may be indicated at some point during treatment, but it is always up to your comfort levels. You and your physical therapist will decide on a treatment plan that will most benefit you moving forward.

Can I do pelvic floor PT if I have my period?

This is a very common question. Yes, you can come to your appointment during your menstrual cycle. Internal techniques can still be performed during your cycle, however it is always up to your comfort levels. Many therapy techniques can be performed externally and are still just as beneficial.

Is lymphedema just in the arm?

No. Lymphedema can happen at any location in the body where there has been disruption or compromise to the lymphatic system (ex: lymph nodes removed or radiation) this is usually called secondary lymphedema. Lymphedema can also be related to a genetic condition or be present at birth, we call this primary lymphedema.

Does lymph massage spread cancer cells around my body?

No. This is a common misconception. Lymph massage will not spread your cancer cells around your body to other places, otherwise known as metastasis. In order for cancer to spread there is a much more involved physiologic process that has to happen within the cells and tissue it affects. This depends on the type of cancer, stage and what causes specific cancer cells to replicate. Thus, it is safe to receive lymph drainage massage or therapy if you had or have a cancer diagnosis.

Can lymphedema go away?

Lymphedema is classified in 4 different stage (stage 0-3). In its earliest stages it can be reversible. The lymph system has the ability to compensate for damage and heal over time. With lymphedema therapy we can support the lymph system in doing this. Once it is progressed to stage 2 or 3 it is most likely not reversible because of the tissue damage that has occurred. We are still able to treat and maintain the lymphedema so it is manageable.

Can lymphedema happen even though my cancer was a long time ago?

The average onset of breast cancer related lymphedema is within the first two years of treatment. However if you have had lymph nodes removed or radiation (at any location in the body) you are at a lifelong risk for swelling. It is important to not be afraid of this, but to be aware that it could arise later on. The first symptoms are typically fullness, achiness or heaviness into the limb, face or truncal region where nodes were removed. It can be beneficial to meet with a lymphedema therapist to learn more about prevention, risk reduction and to receive baseline measurements for screening purposes.

Does my insurance cover these services?

We are an out of network provider, however you are still able to submit your claim to insurance for reimbursement. After your visit you will receive a superbill, this is a receipt of your services with all necessary information and codes to submit your claim. You are always allowed to use cash, check, HSA, HRA or FSA funds to pay for services (depending on the companies requirements).