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18/Jul/2019

The pelvic floor is made up of a layer of muscles covering the bottom of the pelvis that supports the bladder and bowel in men and bladder, bowel and womb in women. Pelvic floor dysfunction(PFD) constitute a health problem affecting a lot of men and women around the world. A person may be referred to pelvic floor physical therapy to treat incontinence, difficulty with urination or bowel movements, constipation, chronic pelvic pain, and painful intercourse.

Symptoms of pelvic floor dysfunction

Pelvic floor dysfunction is caused by muscles or dysfunction. Some of the symptoms include:

  • Urinary incontinence This happens when the pelvic floor muscles cannot support the bladder.
  • Fecal incontinence The inability to control bowel movements or causing stool to leak unexpectedly from the rectum.
  • Constipation Another common pelvic floor condition is constipation that does not respond to laxatives and other standard treatments. In most cases, the cause is either slow fecal transit or a pelvic floor obstruction.

Exercise for pelvic floor dysfunction

People suffering from pelvic floor dysfunction can perform various physiotherapy exercises to strengthen their pelvic floor, and enhance bowel and bladder control. Some of the exercises include:

Kegel exercises

Kegel exercises focuses on tightening and holding the muscles that control urine flow. You may benefit from kegels if experience urine leakage from laughing, jumping ,sneezing or coughing.

A Kegel exercise consists of the following steps:

  • Sit in a comfortable position
  • Visualize the muscles that control your bladder.
  • Contract these muscles for 5 seconds. And then release for several seconds.
  • Repeat this exercise 10 times daily.

Squeeze and release

The rapid “squeeze and release” movement that builds the ability of the pelvic floor muscles to respond quickly.

This exercise consists of the following steps:

  • Sit in a comfortable position and visualize the pelvic floor muscles.
  • Squeeze the muscles as quickly as possible and release it.
  • Repeat this for 10 to 20 times, resting for 3-5 seconds in between.
  • Repeat the exercise twice in a day.

Bridge 

While bridges primarily strengthen the buttocks, they also help work the pelvic floor.

A bridge exercise  consists of the following steps :

  • Lie down on your back, with knees bent at a 90 degree angle, and place your feet flat on the floor,while your arms resting besides you on both sides facing downward.
  • Push your upper body through your heels, raising your hips from the ground. Your upper body and shoulders should be resting on the floor forming a straight line down from the knees.
  • Hold that position for 1 second and then return to the starting position.
  • Repeat up to 10 times.

Squat

  • A squat consists of the following steps:
  • Stand in a straight position with your feet hip-width apart, keeping them flat on the floor.
  • Bend the knees, pushing your butt and hip and keep going only as low as is comfortable. Keep the back straight and your knees in line with the toes.
  • Straighten your legs and return to the standing position.
  • Complete 10 reps. Remember it’s important to rest before starting a new set.

Benefits of pelvic floor physiotherapy

  • We highly recommend that you seek the advice of a physiotherapist with a special interest in pelvic floor. Good results take time and with the help of a physiotherapist it will take less time with the right advice.
  • In order to build up your pelvic floor muscles, it is important to work hard at the exercises under the guidance of your pelvic floor physiotherapist.
  • A pelvic floor physiotherapist is an important part of the multi-disciplinary team managing bladder and bowel health, sexual difficulties and pelvic pain.

Prime Physio Plus Pelvic Floor Rehabilitation Program includes treatment for men and women with urinary or fecal incontinence, urgency/frequency of urination, and/or pain in the pelvic region. Physical therapists at the Clinic are specially trained to rehabilitate the pelvic floor muscles. The therapist evaluates each individual and develops a plan of care.


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12/Jul/2019

Cupping therapy is an ancient form of alternative medicine in which a therapist uses special cups on your skin for a few minutes to create suction. Therapists apply to glass, bamboo or silicone cups to the skin for a few minutes to create suction. It increases blood circulation to the area where the cups are placed. This may relieve muscle tension, which can improve overall blood flow and promote cell repair.

During Dry Cupping, the cups are placed over several areas to create a vacuum which lifts the soft tissue and creates an upward stretch within the muscle and associated fascia. This vacuum lift helps to increase blood flow and induces a stretch effect, which results in a reduction in muscle tension and associated pain. The cups can either be left in a static position or moved to provide a deep tissue massage effect.

History of Cupping therapy

Cupping was established as an official therapeutic practice in the 1950s across hospitals in China after research conducted by Chinese and former Soviet Union acupuncturists confirmed cupping’s effectiveness. Prior to the 1950s, cupping had also been practiced as an auxiliary method in traditional Chinese surgery.

The procedure of dry cupping therapy

The cups used in this process are made of glass, plastic, bamboo, iron or pottery. The most popular ones are glass and plastic.

In dry cupping therapy, the therapist will soak a cotton ball in alcohol, light it and place the ball inside the cup. This will help to remove the oxygen from the cup, creating a suction which makes it easier to attach the cup to the skin. The other ways to create suction includes the cup over a small flame.

The cups are usually placed on the back, stomach arms and legs and are left on the skin for several minutes while the patient relaxes.

Benefits of dry cupping

  • This treatment is valuable for the lung and can clear congestion from a common cold or help to control a person’s asthma. In fact, respiratory conditions are one of the most common maladies that cupping is used to relieve.
  • Cupping’s detoxifying effect on skin and circulatory system is also significant, with a visible improvement in skin color after three to five treatments. Cupping removes toxins and improves blood flow through the veins and arteries. Especially useful for athletes is cupping’s potential to relieve muscle spasms.
  • Cupping also affects the digestive system. A few benefits include improved metabolism, relief from constipation, a healthy appetite, and stronger digestion.

Our Dry Cupping is an effective drugless therapy that is used to treat a variety of conditions including constipation, joint pain, migraines, fatigue, shoulder tension, asthma, and rheumatoid arthritis.


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12/May/2019

What you might be feeling

Classically CTS presents as pins and needles, numbness, burning or pain in the thumb, index finger, middle finger and half of the ring finger. The symptoms can be associated with swelling, difficulties distinguishing between hot and cold temperatures and reduced coordination of the hand. Commonly, people affected by this condition wake at night with symptoms and have to shake their hand to obtain relief.

What’s going on inside

The carpal tunnel is a canal formed by ligaments and the small bones of the wrist on the palm side of your hand. Several tendons, blood vessels and a nerve pass through the carpal tunnel as they travel from the forearm to the hand. The nerve that passes through this narrow tunnel is called the Median nerve. If the median nerve is be com-pressed, it may result in carpal tunnel syndrome

CTS is thought to occur as a result of increased pressure in the carpal tunnel. In some instances there is an obvious reason for the increase in pressure such as:

– A fracture of the small bones in the hand or the bones of the forearm.
– Swelling of the tendons that pass through the carpal tunnel.
Other causes can be related to occupational practices such as:
– Exposure to vibration.
– Maintaining the wrist in a bent position for prolonged periods e.g. sewing, painting, writing and computer work.
Other contributing factors/causes are:
– Pregnancy
– Age
– Diabetes
– Rheumatoid arthritis

How a physio can help

Determining the cause and contributing factors is important in the management of CTS. Reducing inflammation associated with a fracture or an injured tendon will help reduce pressure in the carpal tunnel. If symptoms are related to vibration then modifying work practices to avoid prolonged exposure is important. Similarly avoiding prolonged positioning of the wrist in a flexed or extended position is important. Splints, different equipment, different grips may all be useful to change and support the wrist mechanics.

Wear a splint:

A specific carpal tunnel splint that helps to keep the wrist in a neutral position helps minimise the pressure in the carpal tunnel. Initially the splint may need to be worn for long periods to allow symptoms to settle. As symptoms settle the splint is worn for shorter periods.

Rest:

Rest from aggravating activities is important, it helps settle inflammation and alleviates symptoms.

Exercise Program:

Your physiotherapist will give you stretches and exercises that help to mobilise the median nerve, help strengthen the muscles around the wrist and stretches to stretch the structures around the wrist to help settle and alleviate symptoms and to prevent recurrences.
Surgery?

In cases that are left untreated, serious cases, or cases that don’t respond to treatment, surgery is sometimes needed. Surgery involves decompression of the nerve. Most people do well after such surgery.


About Us

We aim to remove your pain and develop personalized treatments while maintaining up-to date practices provided by our qualified experts. It is through dedication and a cohesive team of energetic and educated individuals that we will continue to uphold this vision.

Initial assessment

We will start with identifying the cause of the problem, not only the symptoms. We can then design a tailor-made treatment plan that will help you recover in the shortest period of time, so you can get back to enjoying your life to the fullest.

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