Search Results: pelvic floor

Pelvic Floor Physiotherapy

Pelvic Floor Impairments1A

 

Pelvic floor impairments

Pelvic floor physiotherapy is a relatively new branch of treatment which involves the assessment and treatment of various conditions which may manifest from the pelvic floor.

Who will benefit?

If you suffer from the following symptoms you should consider an assessment to determine which type of therapy will help:

  • Incontinence 
  • Frequency
  • Rectus Diastasis 
  • Prolapse 
  • Pelvic Pain – during or after intercourse 

Service provided by:

Tiffany Shi, RPT (Bio)

More information: https://orthophysio.com/latest-news/pelvic-floor-therapy/pelvic-floor-physiotherapy/

To Book an appointment call 416 925 4687 or email physio@orthophysio.com

 

Pelvic Floor Impairments

Pelvic floor impairments

Pelvic floor physiotherapy is a relatively new branch of treatment which involves the assessment and treatment of various conditions which may manifest from the pelvic floor.

Who will benefit? If you suffer from the following symptoms you should consider an assessment to determine which type of therapy will help: Incontinence, Frequency, Rectus Diastasis, Prolapse, Pelvic Pain – during or after intercourse

Service provided by: Svetlana Marianer RPT

More information: https://orthophysio.com/?s=pelvic+floor

 

Pelvic floor physiotherapy and what to expect in your assessment

Pelvic floor physiotherapy is a relatively new branch of treatment which involves the assessment and treatment of various conditions which may manifest from the pelvic floor. Often learning to do Kegel exercises is the most recognized and prescribed form of therapy, but treatment goes far beyond these simple exercises In fact for some Kegel’s are exactly the wrong exercises for your problem.  Many Obstetricians and Gynaecologists now recognize that the first line of treatment is working with a physiotherapist trained in pelvic health.

When should you consider pelvic floor physiotherapy ?

If you suffer from the following symptoms you should consider an assessment to determine which type of therapy will help:

  • Incontinence
  • Frequency
  • Rectus Diastasis – a gap between your abdominal muscles, commonly occurs after child birth
  • Prolapse – a condition where organs, such as the uterus, bladder or rectum, fall down or slip out of place
  • Pelvic Pain – during or after intercourse

What does our pelvic floor do?

medically accurate illustration of the pelvic floor muscles

The pelvic floor is a hammock of muscles and ligaments that extend from back to front and side to side across the bottom of the pelvis. They attach to the pubic bone in the front, our sit bones on each side, and to our tailbone at the back.

Their function is to:

  • support the uterus, rectum, bladder, and bowel
  • help control the bladder and bowels
  • works together with the muscles of the back and abdominal wall to support the low back
  • plays an important role in sexual function and pleasure.

What to Expect in Your Pelvic Assessment?

Prior to your initial assessment, you will complete a detailed questionnaire regarding your pelvic health. Your physiotherapist will review this form with you during your evaluation.  Further information will be asked regarding your medical history and any information that will help her better understand the reason for your visit.

The physical assessment will include both an external and internal evaluation to assess the strength, function and integrity of your pelvic floor muscles. You will be asked for your consent to proceed with the evaluation at every step of the way.  The complete assessment will help your physiotherapist determine the best plan of action prior to initiating treatment. A full discussion of the examination procedures and treatments will occur prior to proceeding at each step to ensure your comfort and safety. Once the assessment is complete your program may consist of direct treatment to reduce the tension in the muscles or to teach you proper pelvic contraction.  Home exercises are often included to address your specific symptoms, goals and concerns.

Why is an internal exam needed?

Research shows that when the pelvic floor muscles are assessed internally, that consequently the treatment carried out by a physiotherapist with advanced training in this area is highly successful. Thus, it should be the first line of defense, before surgery or any other medical intervention, for both pelvic pain and incontinence.

Contact us

If you are having pelvic floor symptoms or would like to have more information, please consult our registered physiotherapist Tiffany Shi at tshi@orthophysio.com or call 416-925-4687 to book an assessment.

Stress Incontinence, Organ Descent and Pelvic Pain

Physiotherapy is often associated with the treatment of athletes. Although this statement is true, the scope of physiotherapy is much broader and there are many areas of specialization which remain unrecognized. This article aims to highlight one of these lesser-known approaches being perineal, or otherwise known as, pelvic floor rehabilitation. We will specifically talk about how perineal rehabilitation helps relieve stress incontinence, organ descent, pelvic pain and more.

Who Benefits from Perineal Rehabilitation?

Women and men suffering from any of the following symptoms can benefit from perineal rehabiliations:

  • Stress Incontinence– inability to control the loss of urine with coughing, sneezing, laughing or exercise
  • Urge incontinence–loss of urine associated with a strong, uncontrollable need to void (i.e. leaking while running to bathroom )
  • Frequency– needing to urinate so often that your everyday routine is disrupted
  • Diastasis recti – a gap between your abdominal muscles, commonly occurs after child birth
  • Pain – during or after intercourse

What is Perineal Rehabilitation ?

Perineal rehabilitation focuses on pelvic pain and problems such as urinary incontinence.  It helps with the discomfort associated with organ descent and more. Research shows that pelvic floor muscle retraining is the first line of treatment for urinary incontinence.

Perineal rehabilitation may consist of strengthening the muscles of the pelvic floor (perineum) as strong perineal muscles can improve the pelvic health, prevent leakage of urine and decrease potential problems. However it is important to recognize that these problems are not always about improving strength.  Pelvic distress can be a result of too much muscle tension.

When muscles are tight and/or painful you may need to increase the elasticity of the fibers before strengthening them.  In this case doing the oft prescribed Kegel exercises can cause more weakness and/or pain.  Perineal treatment and specific exercises aim to increase the elasticity of the tissues and your ability to contract as well as relax the pelvic floor muscles.

Kegels are not for everyone!

Stress Incontinence

Statistics show that  3.3 million Canadians experience urinary incontinence. That’s 1 in 3 women and 1 in 9 men, and that only 1 in 12 discuss this with their health care professionals.

Stress urinary incontinence can affect up to 77% of women in the postnatal period. Studies show that nine out of ten women with stress urinary incontinence three months after childbirth WILL continue to suffer five years later.

However, on the upside, the same study shows that  pelvic floor muscle retraining is the first line of treatment for urinary incontinence. As a matter of fact, in Britain, it is standard for women to undergo pelvic floor muscle retraining before any perineal surgical procedure  is considered.

Common Misconceptions:  

Often these problems are accepted as there are many common misconceptions around urinary incontinence.

–> it is a misconception to think that it is normal to have urinary leakage after childbirth

–> it is a misconception to think that it is normal to have urinary leakage as you age

–> it is a misconception to think that there is nothing you can do about urinary leakage

Causes of Urinary Incontinence (UI):

  • Pelvic floor damage or nerve damage during pregnancy and labour
  • Surgical procedure such as a hysterectomy
  • Overweight / High body-mass
  • Muscle weakness
  • * A variety of other factors also appear to play a role, such as diabetes and smoking.

Pregnancy and childbirth are the primary causes of impairment of the pelvic floor muscles and resulting in urine or gas leakage, organ descent, decreased sexual satisfaction and low back pain.

Function of the Pelvic Floor:

  • Ensures the continence of urine and stool
  • Supports our pelvic organs (bladder, uterus and rectum)
  • Helps with sexual function (clitoral orgasm and erection)
  • Participates in improving the lumbar support, in conjunction with the abdominals

What to Expect in Your Pelvic Assessment?

Prior to you initial assessment, you will complete a detailed questionnaire regarding your pelvic health. Your physiotherapist will review this form with you during your evaluation.  Further information will be asked regarding your medical history and any information that will help her better understand the reason for your visit.

The physical assessment will include both an external and internal evaluation to assess the strength, function and integrity of your pelvic floor muscles. This complete assessment will help your physiotherapist determine the best plan of action prior to initiating treatment. A full discussion of the examination procedures and treatments will occur prior to proceeding at each step  to ensure your comfort and safety. Once the assessment is complete your program may consistent of direct treatment and/or home exercises to address your specific symptoms, goals and concerns.

If you are among the 11 out of 12 people with incontinence who do not seek help and would like to improve these or other pelvic floor problems please consult our registered physiotherapist Svetlana Marianer at smarianer@orthophysio.com or call 416-925-4687 to book an assessment.

Tiffany Shi Bio

Tiffany Shi

Registered Physiotherapist, MSc.PT, BSc

tshi@orthophysio.com

 

Tiffany is a graduate of University of Toronto with a Master of Science in Physical Therapy. Prior to pursuing a career in Physiotherapy, Tiffany obtained a Bachelor of Science degree in Honors Biochemistry from McMaster University.

Tiffany is passionate about helping people to reduce pain, recover from their injury and return to the activities they love. She loves to thoroughly understand the factors contributing to their injury and applies an individual, holistic physical examination which strives to identify the root cause of the condition. Tiffany utilizes education, hands on treatment and different modalities i.e. dry-needling. She combines this approach with evidence-based home exercise programs tailored to her clients’ needs.

Tiffany is a strong believer in life-long learning. Since graduation, she has received her certification in level 1 orthopaedic manual and manipulative physiotherapy, and level 1 functional dry-needling. She has also received advanced training in vestibular rehab to help those who are living with vertigo, dizziness, post-concussion syndrome, or balance deficits. She is training with Maureen Dwight, clinic director of the Orthopaedic Therapy Clinic, in scoliosis rehabilitation. Currently she is studying pelvic floor physiotherapy (non-internal).

In her spare time, Tiffany enjoys fencing, photography, sewing, life drawing, and reading. Tiffany is bilingual, she is happy to provide service in Mandarin if needed.

 

We are Hiring!

Experienced Pelvic Floor Physiotherapist Required

 

The Orthopaedic Therapy Clinic Inc. is looking for an experienced Pelvic Floor Physiotherapist for a  Part Time position. Existing pelvic floor case load and orthopaedic clients.

You will be joining a physiotherapist-owned, multidisciplinary clinic. Our team includes highly qualified physiotherapists, massage therapists, chiropractor, kinesiologist and a yoga/pilates instructor. Our physiotherapy team includes: clinical musculoskeletal specialist, Scoliosis, and FCAMPT  certifications.   Our clients are highly motivated with a wide variety of musculoskeletal injuries.

You must be Registered in the Province of Ontario enjoy a team approach to helping patients get well, show continuing education and a desire for learning,

This is the right position for you if you are looking to contribute to a strong team, enjoy collaborating and are looking to be challenged to grow. Send us your resume and show us what you’ve got, (references included please).

While you’re at it, look at our web site at www.orthophysio.com to get an understanding of why our practice has thrived for over 30 years. We are located at 1075 Bay Street in the heart of downtown Toronto.

Forward your resume to Maureen Dwight, Clinic Director at mdwight@orthophysio.com

 

PIlates and Yoga

Aniela Amio

Pilates, Yoga & Movement teacher, Certified Reiki Practitioner level 2

Aniela completed her yoga certification at The Yoga Sanctuary in 2011, adding courses in meditation, Yin Yoga and Restorative Yoga shortly after.  She then went on to become certified in Mat Pilates with Body Harmonics in 2013, Reformer Pilates with The Mindful Movement Centre and Leslie Parker. She is currently working towards her Comprehensive Pilates Diploma with Body Harmonics (2019) with a special focus on spinal health and injury recovery, as well as pre and post-natal care.

Aniela  empowers people of all ages and abilities by teaching them how to move and care for their own bodies.  She hopes her students find joy, safety and strength in their sessions which translates into better quality and functional movement in their daily lives.  She is interested in and continues to expand her studies with workshops on the mind body connection, chronic pain, scoliosis, fascia, pre and postnatal health and recovery as well as working with the aging population. Aniela has had the opportunity to work with professional athletes, dancers, chronic pain suffers and those recovering from spinal injuries and surgeries.

Aniela is excited to collaborate and learn from the team at The Orthopaedic Therapy Clinic to further her education.  She looks forward to being an integral part of your recovery and journey to health and vitality. To arrange an appointment please call 416-925-4687 or email: aamio@orthophysio.com

Recently she has added the following courses and certifications to her education.

  • Movement and Exercise for Pregnancy
  • Post-Natal Reconditioning and Diastasis Recti Repair
  • Towards a Healthy Pelvic Floor
  • Strength, Balance and Fall Prevention for Seniors
  • Handedness and Scoliosis
  • Kinesiology of Pilates

She is currently completing her Pilates Level 3: CCSB Cadillac Chair Springboard and Barrels which requires 275 hours of training.

When Aniela isn’t teaching or taking courses you can find her in the park with her dog, travelling, or in a plant store deciding which plant baby to add to her home.

 

Aniela Amio – Bio

Pilates, Yoga & movement teacher

Certified Reiki Practitioner level 2

Aniela completed her yoga certification at The Yoga Sanctuary in 2011, adding courses in meditation, Yin Yoga and Restorative Yoga shortly after.  She then went on to become certified in Mat Pilates with Body Harmonics in 2013, Reformer Pilates with The Mindful Movement Centre and Leslie Parker. She is currently working towards her Comprehensive Pilates Diploma with Body Harmonics (2019) with a special focus on spinal health and injury recovery, as well as pre and post-natal care.

Aniela  empowers people of all ages and abilities by teaching them how to move and care for their own bodies.  She hopes her students find joy, safety and strength in their sessions which translates into better quality and functional movement in their daily lives.  She is interested in and continues to expand her studies with workshops on the mind body connection, chronic pain, scoliosis, fascia, pre and postnatal health and recovery as well as working with the aging population. Aniela has had the opportunity to work with professional athletes, dancers, chronic pain suffers and those recovering from spinal injuries and surgeries.

Aniela is excited to collaborate and learn from the team at The Orthopaedic Therapy Clinic to further her education.  She looks forward to being an integral part of your recovery and journey to health and vitality. To arrange an appointment please call 416-925-4687 or email: aamio@orthophysio.com

Recently she has added the following courses and certifications to her education.

  • Movement and Exercise for Pregnancy
  • Post-Natal Reconditioning and Diastasis Recti Repair
  • Towards a Healthy Pelvic Floor
  • Strength, Balance and Fall Prevention for Seniors
  • Handedness and Scoliosis
  • Kinesiology of Pilates

She is currently completing her Pilates Level 3: CCSB Cadillac Chair Springboard and Barrels which requires 275 hours of training.

When Aniela isn’t teaching or taking courses you can find her in the park with her dog, travelling, or in a plant store deciding which plant baby to add to her home.

Suffering from postpartum incontinence? Here’s why and how to prevent it.

Are you a new mom or planning to be one in the near future? If so, you’ve probably heard or read about the risk of postpartum incontinence, as it affects up to 77% of women in the postnatal period.  However, don’t let this scare you! Read this article to understand why these changes are happening and what you can do to prevent them.

Types of incontinence:

The most common types of incontinence after birth are stress incontinence and urge incontinence.  As explained in my previous article, stress incontinence is classified as the inability to control the loss of urine with coughing, sneezing, laughing or exercise. Urge incontinence is described as the loss of urine associated with a strong, uncontrollable need to void (i.e. leaking while running to the bathroom ).

Stress incontinence can occur due to weak pelvic floor muscles that are underused or due to muscles that are being chronically contracted and therefore become fatigued from overuse. Urge incontinence on the other hand, can also be caused secondary to weak muscles however is most commonly caused by nerve damage during pregnancy and labour or due to surgical procedures such as a hysterectomy.

Studies show that nine out of ten women with stress urinary incontinence three months after childbirth WILL continue to suffer five years later.  Remember, Incontinence after birth is more common than you think – common but not normal.

So now what? we’ve determined that the reason why you are probably leaking is because your muscles are either too weak or too tight and therefore do not contract properly.  A healthy, functional pelvic floor has a balance between the ability to contract and the ability to relax. A dysfunctional pelvic floor is one that is either too relaxed or too contracted and therefore needs to be addressed.

Remember! Kegels are not for everyone!

Stress incontinence responds well to pelvic floor exercise, postural correction and breathing exercise. The type of exercise will be dependent on if your pelvic floor muscles are weak from underuse or weak from overuse. Many of you have already heard or read about the Kegel exercise which is the standard “go-to” pelvic floor exercise however not many women know how to perform them correctly and for those whose pelvic floor is weak from overuse, Kegels will only make their situation worse.

In the case where  you are not sure what is causing your leakage or if you want to prevent it from happening, consult our registered physiotherapist Svetlana Marianer at smarianer@orthophysio.com or call 416-925-4687 to book an assessment.

Svetlana Marianer – Bio

SvetlanaMarianerSvetlana Marianer

 

Registered Physiotherapist, MSc. Pht

smarianer@orthophysio.com

Svetlana Marianer graduated from McGill University with a Bachelor’s in Rehabilitation Science and a Master’s in Physiotherapy in 2012. Since completing her degree, she has taken various continuing education courses such as Manual Therapy, Mckenzie’s Cervical, Thoracic and Lumbar spine, Mulligan’s Lower Quadrant assessment and treatment, Blaise Dubois’s Prevention of running injuries and non-traumatic lower extremity injury, numerous courses from the Advanced Physical Therapy Education Institute (APTEI) and many more.

As a former ballet dancer and a present CrossFit athlete, Svetlana is particularly interested in orthopedic care, the prevention and treatment of sport injuries and the biomechanics of movement and all it encompasses. Moreover, although Svetlana’s nature is that of an athlete, she has a strong foundation in managing acute and chronic low back and neck pain, various repetitive strain injuries and a variety of musculoskeletal impairments resulting from every day and or recreational activity. Svetlana’s recent passion has been in women’s health which prompt her to get her training in pelvic floor therapy. Her focus is to create a comfortable environment where issues related to the  bowel, bladder and the sexual health are openly discussed and treated. Her skills allow her to treat clientele of all ages. Svetlana is fluent in four languages : English, French, Hebrew and Russian.

Physiotherapy & Cancer Care

Registered Physiotherapy and Cancer Care

Certified in Cancer CareOur physiotherapists can help you to reduce pain, regain strength and restore mobility after a wide variety of cancer treatments. We work with your oncology team to provide physiotherapy after chemotherapy, radiation treatments or surgery. Physiotherapy treatment is available for:

Post-operative soft tissue, joint and bone surgeries

Our team has extensive experience in post-operative rehabilitation. Whether you have had a joint replacement, a fracture repair or have a large incision that is interfering with your mobility, our physiotherapists can help to develop a plan to regain strength, movement and restore your independence.

Frozen Shoulder Rehabilitation

Frozen shoulder can occur after the removal of lymph nodes in breast surgery and malignant melanoma. In this condition the shoulder suddenly becomes stiff and painful. Physiotherapy can help you to restore the movement through active stretching, manual therapy and a targeted home exercise program.

Post-mastectomy muscle imbalances

Mastectomy surgery can cause imbalances of the muscles around the chest and shoulder region. Often there is tightness in the muscles located at the front of the chest. Although it is uncommon, these procedures can sometimes irritate a nerve which results in a winging of the shoulder blade. Unaddressed these restrictions may cause neck pain and leave you at risk for shoulder pain and immobility.

Physiotherapy can help to restore your mobility and reduce the pain occurring after these procedures. Once your condition is stable we can assess the flexibility and strength of the muscles around the shoulder and chest to help you develop a program to balance these muscles before they cause you any symptoms.

Muscle weakness following radiation therapy

Radiation therapy can sometimes cause weakness and tightness in the muscles in and around the treatment area. Head and neck weaknesses can occur after lymphoma treatment where the radiation has targeted what is termed the “mantle area”. Physiotherapy can determine which muscles have been weakened or shortened. A stretching or strengthening program is developed to specifically address these muscles at a level appropriate for your recovery.

Posture correction

Weakness, fatigue, surgery and/or stiffness can all contribute to poor posture. Posture is one of the most important factors predicting a loss of independence and pain. Read more…

Physiotherapy can assess the cause of your postural changes and develop a specific program to help you alleviate the barriers so you can regain a strong and healthy spine.

Balance retraining

Certain types of chemotherapy and medication can cause a loss of sensory awareness leaving you at risk for falls. Loss of muscle strength after chemotherapy, prolonged rest or surgery can also contribute to falls. Our physiotherapists will assess your balance and strength to develop a program which can help to reduce your risk of falling.

Osteoporosis

Certain types of chemotherapy and medication cause a loss of bone density leaving you at risk for fractures. Loss of muscle strength after chemotherapy, prolonged rest or surgery can be another cause of falls that, when combined with osteoporosis, leave you more at risk for fractures. Our physiotherapists will develop an exercise program that includes weight bearing exercises and integrate an appropriate level of strengthening to help restore your bone density.  It is important before starting your program to let your physiotherapist know the results of your bone density testing to ensure that the program is targeted at an appropriate level.

Prostate post-surgical incontinence

Physiotherapy training of pelvic floor muscles can accelerate the speed of regaining urinary continence after surgery. Research shows that men who go through pre or post-operative training can regain continence in as little as 3 months whereas natural recovery averages 9 months. We recommend that whenever possible men who are scheduled for prostate surgery meet with the therapist before surgery as learning these exercises is easier at this time.

Post-operative transposition of muscles and nerves

Rehabilitation after these types of surgeries requires the expertise of an experienced physiotherapist to develop a plan to regain your previous level of function. Our therapists apply their extensive knowledge in post-operative rehabilitation and injury to help you to retrain movement, regain mobility and restore strength.

Where does it hurt?

Pilates and Yoga now available at The Orthopaedic Therapy Clinic

Aniela Amio – Pilates and Yoga Instructor, Reiki practitioner is joining our team at the Orthopaedic Therapy Clinic. Aniela brings extensive experience in injury rehabilitation through Yoga and Pilates. She is a certified instructor Pilates, Yoga and Reiki. Her focus is on spinal health and injury recovery as well as pre and post-natal care. https://orthophysio.com/pilates-and-yoga/

Aniela will be an integral part of the therapeutic team, along with our registered kinesiologist, John Gray, in helping you to advance your recovery to return to fitness while reducing your risk of injury.

Aniela’s passion is to empower people of all ages and abilities to improve how they to move and help them to take care for their own bodies.  She is interested in and continues to expand her studies with workshops on the mind body connection, chronic pain, scoliosis, fascia, pre and postnatal health and recovery as well as working with the aging population.  Aniela has had the opportunity to work with professional athletes, dancers, chronic pain suffers and those recovering from spinal injuries and surgeries.

Aniela will be at our clinic on Tuesday’s starting February 19, 2019. Call us  at 416-925-4687 to book an appointment or chat with your therapist to determine when you are ready to benefit from working with her.