PELVIC FLOOR WORKSHOP- LEARN AND GET TO KNOW YOUR FLOOR

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1 PELVIC FLOOR WORKSHOP- LEARN AND GET TO KNOW YOUR FLOOR LIFE FIT CENTER DR. SHERINE AUBERT, PT, DPT, PRPC

2 OVERVIEW What What are the functions of the pelvic floor muscles? Who Who goes to pelvic floor physical therapy? Common labels/ diagnoses How What to expect at an appointment How to make an appointment Questions and Answers

3 WHAT MAKES A HEALTHY MUSCLE? How do you keep muscles healthy? Motion is lotion! Know how to lengthen and strengthen

4 What are the functions of the pelvic floor muscles? 1. Sphincteric 2. Supportive 3. Stability 4. Sexual 5. Sup pump 6. Hold emotions previous trauma, perceived trauma and stress

5 SPHINTERIC Bladder control Bowel control

6 SUPPORTIVE

7 Pelvic organ Pelvic organ Water = pelvic floor

8 STABILITY Sacroiliac joints Pubic symphysis Sacrococcygeal Hip Lumbopelvic joints Mirrors breathing muscle (diaphragm) Works with deep abdominals (transverse abdominals) Moves with every step we take! (shock absorber)

9 SEXUAL Muscles should be able to relax/lengthen to accommodate for penetration Muscles should have the proper amount of strength for climax/orgasm Hypersensitive gynecological/ urological (example episiotomy scars) can limit pelvic floor muscles flexibility Hormone changes can also effect tissue quality and lubrication Carlson e Julva Mona lisa Pain can arise from muscle (trigger point/tightness/shortening) and nerve tension Pain spasm cycle

10 SUP PUMP Assists with lymphatic flow in the pelvis and trunk Works with diaphragm

11 HOLD EMOTIONS PREVIOUS TRAUMA, PERCEIVED TRAUMA AND STRESS TRIGGER POINTS IN MUSCLES CAN REFER TO OTHER PARTS OF THE BODY

12 pain fear, anger, frustration, helplessness guarding/ holding patterns/muscle spasm/ inflammation Reduction/loss of function decreased blood flow Restricted tissue mobility (muscle, fascia, nerve)

13 Common labels/ diagnoses Pelvic pain Sexual Pain & Pregnancy Bowel & Bladder Other Dyspareunia Pudendal Neuralgia cyclist pain Interstitial Cystitis Vulvodynia Vestibulodynia Coccydynia Endometriosis Prostatitis Painful Intercourse (Dyspareunia) Pregnancy Related Pain Diastasis Recti Pubic Symphysis Dysfunction Sacroiliac Strain/Sprain Urinary Frequency Urinary Urgency Stress Incontinence Urge Incontinence Fecal Incontinence Constipation Bowel Dysfunction Muscle Spasms Muscle Weakness Pelvic Organ Prolapse Low Back Pain Groin & Hip Pain Sciatica Scar Tissue/Adhesions

14 ON YOUR FIRST VISIT Data collection (what, where, how long, when, aggravating/easing factors) Assessment Posture, walking, range of motion of back, hips, pelvic joints External/Internal assessment of pelvic floor muscles (perineum, vaginally, rectally) Tone (how flexible) Trigger points Length, coordination, strength, endurance etc Abdominal Assessment Diastasis recti, soft tissue/scar tissue, core stability/ strength/coordination Breathing techniques Lower extremity musculature & connective tissue Education Plan of Care Home Program

15 HOW TO MAKE AN APPOINTMENT WITH A PELVIC FLOOR SPECIALIST (PT)? just like typical physical therapy Direct Access can make an appointment and be treated for 12 visits or 45 days Referrals and prescription from Gynecologist, Urologist, Urogynecologist, OBGYN, colorectal, internist/primary care physician, plastic surgeon, midwives, friends etc

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