Newsletter & Blog

This month we recognize how many women suffer from POP. This is something we successfully treat. Pelvic organ prolapse (POP) occurs when there is a weakness or laxity in the supporting structures of the bladder, urethra, rectum, or uterus. When there is a lack of support, one or more of these organs can drop down, bulge, or prolapse into the vagina. The organ may also begin to exit out of the vagina. The support structures for these organs include the pelvic floor muscles, pelvic ligaments, and connective tissue or fascia. There are several types of prolapses. A prolapse of the bladder is call[...]

Here is the ultrasound image of our patient’s baby who has now assumed the correct position of head down from breech position. We had quickly evaluated her and found asymmetry in her pelvic girdle and a mild sacral torsion or rotation. This means that sacroiliac joints were misaligned. These findings may have made it challenging for the baby to properly find its way head down due to lack of room or tension in the uterus-making movement for the baby more challenging. If the sacroiliac joints/pelvis are not in alignment it can result in a tension or pulling of the uterosacral ligament(s) or roun[...]

In this photo we are using proprioceptive neuromuscular facilitation to encourage improved core muscle recruitment and strength. Having the patient use gross motor movements utilized in rolling on her weaker side will work her core muscles. It is ideal to give the bladder a lot of support by strengthening the diaphragm, multifidis, pelvic floor muscles, and lower abdominals (otherwise known as the canister muscles). ADEM is acute disseminated encephalomyelitis and is characterized by a brief widespread attack of inflammation in the brain and spinal cord that damages the myelin of nerves. Our p[...]

Here we are performing hip mobilizations in sidelying on a pregnant patient who has a prior history of hip dysfunction. Because of an old trauma she has a history of hip impingement. Femoroacetabular Impingement (FAI) is also known as Hip Impingement. This painful condition occurs when there is abnormal contact between the femoral head and acetabulum during motion. With hip impingement, patients usually present with groin pain and a reduction in hip range of motion. Even if the disorder is asymptomatic prior to pregnancy or during the 1st trimester, the patient can become symptomatic during th[...]

Scoliosis is a spinal curvature that can be a cause of an symmetrical pelvis. One side of the pelvis sheers upwards as a compensation of the curvature. Besides causing a functional leg length discrepancy (side of sheered pelvis upwards “shortens” the leg), there are many changes in the soft tissue structures such as pelvic ligaments, pelvic muscles, and nerves. Structures on the sheered or upslip side are tractioned or pulled upwards. In this patient, she is experiencing left sided chronic pelvic pain. Her left pelvic floor muscles are being tractioned or pulled upwards. This can result in pel[...]

Femoroacetabular Impingement (FAI), also known as Hip Impingement, occurs when there is abnormal contact between the femoral head and acetabulum during motion. FAI and the muscle imbalances around the joint can alter hip and pelvic biomechanics during gait. Performing range of motion testing of the hip and special orthopedic tests such as the FADIR may help diagnose the issue. With the patient supine with one leg extended, flex, adduct, and internally rotate the hip. The test is positive if this reproduces the patient’s anterior groin or anterolateral hip pain. In patients with FAI there is a [...]

Featured articles include Osteitis Pubis, Retraining the Pelvic Floor in a Pilates Instructor, and Hip Impingement Can Cause Pelvic Floor Muscle Pain. To view the newsletter, please click here.[...]

‬There are 2 types of reflux that patients suffer from. Laryngopharyngeal reflux (or LPR) is when stomach acid comes up into the throat. A common treatment for this is a proton pump inhibitor oral medication. Gastroesophageal reflux or GERD involves a backup of stomach acid into the lower esophagus. We treat GERD and LPR via visceral manipulation, spinal joint mobilization, corrective breathing pattern techniques, and other advanced manual therapies. Here we are performing a manual release technique of the lesser curvature of the stomach. This patient has decreased mobility and motilit[...]

Here we are using Rehabilitative Real-Time Ultrasound to help our patient downtrain the dominant use of her transversus abdominus muscle (a lower abdominal muscle). Many people who perform Pilates learn to overuse their lower abdominals instead of utilizing their pelvic floor muscles. The overuse of abdominal muscles during a pelvic floor contraction can create a downward force on the bladder. This is counterproductive because the pelvic floor contraction is to gain support of the bladder in an elevation pattern. The pelvic floor needs to contract in an “elevator fashion” upwards or cranially [...]

Our practice has been helping the transgender patient overcome pelvic pain and other symptoms they have due to transitioning surgeries. Dr. Morrison was the first physical therapist in the US to lecture nationally on the topic of physical therapy for the male to female transgender patient. She presented the surgeries they undergo, the overall costs, healing process, medications, post-operative pelvic pain issues, and how best to provide comprehensive care at the American Physical Therapy Association Meeting in 2012. Her audience included pelvic floor physical therapists predominantly. She also[...]