Pelvic Pain and Sexual Dysfunction – Physiotherapy, Naturopathic Medicine, Social Work, Yoga and more:
Pelvic pain is often multifactorial and can often appear to have a mysterious onset. Many women can pinpoint the moment in their lives where their pelvic pain became a negative focus, while others are just “used” to the pain and can’t remember a moment when it wasn’t there. Pelvic pain can lead to:
- poor sexual experiences
- a difficult pregnancy or post-partum period
- chronic low backpain, hip pain, pubic bone pain and sacroiliac joint pain
- changes in activity levels.
At GWHA or team has many tools to assist you through your journey of recovering your life back. Often people dealing with pelvic pain clients utilize our Physiotherapists, Naturopathic Doctors, Social Workers and our Yoga programing. To learn more click here.
Physiotherapy for Incontinence:
Is it common for you to have episodes of urinary (or fecal) leakage when you cough, sneeze or make a quick movement? Are you avoiding fitness activities because you know your pad won’t be enough protection? We have helped many women get their lives back. To learn more about our approach to the treatment of stress and urge incontinence visit: http://eramosaphysio.com/conditions-we-treat/male-female-incontinence/female-incontinence/
Pregnancy and Beyond – Motherhood Program
You have decided that this is the time to transition into the role of a mother and for a lot of women the reality is you will be wearing many hats and that change is on the horizon.
Some women feel like a new wonderful person in the early stages of pregnancy and other women wonder how they are going to get through the next 9+months. Expecting moms can be dealing with:
- Fertility challenges
- Waves of fatigue/sleep deprivation
- Worry that they are not eating appropriately for the new “two”.
As your body changes you realize that you cannot simply “do” the things you used to.
- Why is getting out of car or chair suddenly giving you sharp back pains?
- Are you dreading the first couple steps of walking?
- Are you are wondering, “am I doing too much?” or “should I really be exercising the same way I used to?”
For a detailed review on our Pregnancy and Beyond Program click here.
Rectus Diastasis (RD) occurs when the front abdominal muscles pull apart during pregnancy. This actually happens in 60-100% of women during pregnancy. The problem arises post-partum if the abdominal wall does return to its normal state.
Many women will notice a “bulge” in their stomach muscle or suffer during the embarrassing moment when 3 months post partum their friend asks if they are pregnant again.
If RD is present a specific exercise program should be used. Many typical stomach muscle exercises actually can cause more harm than good. Like many complaints during and after pregnancy, RD may be common but it is not normal and treatment is readily available. A pelvic physiotherapist can not only assess the integrity of the core from the outside, they can also enhance strengthening with the pelvic floor.
Prolapse (Cystocele, Rectocele)
Women who suffer from prolapse can notice a variety of symptoms ranging from minimal to more noted severity. Often women will feel a sense of vaginal heaviness as the day progresses or after they have been standing on their feet for too long. Other women will be suddenly alarmed when they actually feel or see a bulge extending from their vaginal opening.
Prolapse can be a result of the the bladder pushing downwards or “falling” against the vaginal wall, the rectum pushing against the vaginal wall or the uterus descending downwards on the vaginal canal.
There are several options available for women with prolapse including conservative physiotherapy care and surgery. Recent studies demonstrate the physiotherapy can improve the “grade” of prolapse and prevent unnecessary surgeries. In addition, studies are showing that women who participate in pelvic floor strengthening prior to surgery have less post surgical recurrences of prolapse.
Low Back Pain
Low back pain can impact women along their lifespan. Young women will often experience low back pain secondary to increased mobility and often lack of core strength. Conversely women across all ages have experienced low back pain secondary to common postures like prolonged sitting or standing. Unique low back can surface during times of pregnancy and menopause. Our approach to low back explores the body as a whole and evaluates your posture, joints, discs, muscle and how they coordinate with each other. Read more about our detailed approach to low back pain: http://eramosaphysio.com/conditions-we-treat/back/
Shoulder pain can be as minimal as a quick intermittent pain that is often described as a sharp catch, but can progress to a more constant dull ache down the arm. Common medical diagnoses for shoulder pain include: rotator cuff tendonitis, rotator cuff tear,impingement syndrome, frozen shoulder, shoulder dislocations and shoulder separations. Read more about our approach to Shoulder Pain http://eramosaphysio.com/conditions-we-treat/shoulder/
Women are just as likely to suffer from shoulder pain as men, but some conditions appear to be more common in women like frozen shoulder or adhesive capsulitis. The research is unclear as to what is the mechanism that appears to make women more prone to adhesive capsulitis, but it is often seen in pre and postmenopausal women.
Mastitis – blocked milk ducts
Many women are unaware of treatment that is available for mastitis through the use of therapeutic ultrasound. Typically, when used with properly screened mothers, mastitis responds within 1-3 treatments. Mothers need to attend this session with their infant as nursing is required post ultrasound.
Breast Cancer Rehabilitation:
Physiotherapy plays an integral role in the management of breast cancer in women who have undergone either a lumpectomy or full mastectomy as part of their breast cancer treatment. Physiotherapy treatment targets edema, loss of shoulder range of motion, burning sensation from neural sensitivity, fatigue levels and general return to activity and/or work considerations. For a detailed review of the role of physiotherapy and breast cancer visit: Breast Cancer – Post Lumpectomy or Mastectomy Rehabilitation
Pelvic Girdle/Sacroiliac Joint Pain/Tailbone Pain
A unique area of low back pain is often referred to as Pelvic Girdle or Sacroiliac Joint (SIJ) pain. The SIJ is the junction where your tailbone(sacrum) meets your hip bones (innominate). SIJ pain is a common subgroup of low back pain, and women who have had episodic SIJ pain prior to pregnancy are more likely to have increased SIJ or Pelvic Girdle pain during pregnancy.
Osteoporosis is often referred to as the “Silent Disease”. While Osteoporosis is more common in women than men secondary to hormonal changes, it is also seen as a side effect to medications that contain steroids.
Our osteoporosis program utilizes exercises taken from research studies and incorporate specific weight training exercises at the correct intensity, weight bearing exercises, balance and postural exercises. Utilizing such a program has been shown in research to increase or maintain bone mineral density when compared to control groups who did not exercise.
Osteoporosis is multifactorial, and we strongly urge our clients to access as many resources as possible. While we know that exercise alone can offer great value, combining with nutritional, hormonal or medication regimes may also add benefit.
Child and Youth Pelvic Physiotherapy
Childhood pelvic health complaints are very common, yet not often talked about. “Bathroom Accidents” such as leaking urine or stool during the day or at night, can be stressful for everyone. Late night sheet and pajama changes, extra laundry, and planning extra outfits for school and playdates can be exhausting, inconvenient and frustrating. But, more importantly, parents worry about how their child’s bowel and bladder struggles are impacting their confidence, self esteem, and ability to participate with their peers. They wonder: “Will my 5 year old smell like urine because he still wears a pull-up? Will his friends notice?” or “ Is my child avoiding activities because they might have an accident? Are they being teased by their classmates?” Parents may even worry that they have somehow caused their child’s bowel and bladder difficulties. Read more about our approach to Shoulder Pain https://guelphwomenshealthassociates.com/conditions-we-treat/child-and-youth-pelvic-physiotherapy/