For Professionals

• REFERRAL PAD* - Physician's Prescription for Physical Therapy

• List of Services

• Professional Articles

*Click on the links in each category to read more. All documents are in Adobe PDF format. Click here to download the free Adobe Reader.

List of Services:

Pelvic Physical Therapy and Lymphedema Services at Beth Shelly PT:

• Swelling management and lymphedema

  • Manual lymphatic drainage

  • Multilayer compression bandages

  • Pneumatic, gradient, sequential pump

  • Measurement and fitting of compression garments

  • Patient education on self care

  • Orthopedic, peripheral vascular, wounds and lymphedema
    
     

• Obstetrical physical therapy

  • Prenatal and postpartum musculoskeletal pain (sciatica, low back, pubic symphysis, neck, wrist – carpal tunnel syndrome)

    • Therapeutic exercise to stretch tight muscles

    • Manual stretching of specific muscle spasms

    • Joint mobilization

    • Heat packs

    • Education on body mechanics, posture and self care

    • Support binders and straps
       

  • High risk OB

    • Pain treatment as above

    • Establish maintenance exercise program
       

• Pelvic floor dysfunction

  • Underactive pelvic floor muscle – weakness, incontinence, prolapse, male and female

    • Specific PFM strengthening with and without biofeedback (EMG, pressure)

    • Proper abdominal muscle contraction, lifting

    • Bladder, bowel training

    • Electrical stimulation

  • Overactive pelvic floor muscle – spasm & pain (levator ani, vaginismus, vulvodynia, dyspareunia)

    • Complete evaluation of primary & secondary musculoskeletal pelvic dysfunction

    • Treatment of joint dysfunction – lumbar, SI, pubic, coccyx, hip

    • Exercise for pelvic muscles to stretch and strengthen

    • Manual techniques to scars and tight tissues – pelvis, vagina, rectum – internal and external

    • Vaginal dilators

    • Pain reducing modalities – TENS, HP, CP, US

    • Education on self management

  • Incoordination – Obstructed defecation, urinary retention

    • Similar to supportive dysfunction

    • Biofeedback – EMG

    • Visceral dysfunction – Endometriosis, interstitial cystitis, abdominal adhesions

    • Pain reducing modalities

    • Exercise to increase functional activity level

Professional articles

*Click on the links in each category to read more. All documents are in Adobe PDF format. Click here to download the free Adobe Reader.

• Messelink B, et al. Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction: report from the pelvic floor clinical assessment group of the International continence society. Neurourol and Urodynam. 1005;24:374-380.
   

• Mayrovitz HN, et al. Lymphedema, Role of truncal clearance as a therapy component. Home Health Care Management and Practice. 2009
   

• Overactive Pelvic Floor Muscle – spasm, pain
  Backman H, et al. Combines physical and psychosexual therapy for provoked vestibulodynia – an evaluation of a multidisciplinary treatment model. J Sex Res. 2008;45(4):378-385.
   

• FitzGerald MF, Kotarinos R. Rehabilitation of the short pelvic floor 1: Background and patient education. Int Urogynecol J. 2003;14:261-268.
   

• Weiss JM, et al. Pelvic floor myofascial trigger points: manual therapy for interstitial cystitis and urgency-frequency syndrome. J or Urol. 2001;166:2226-2231.
   

• Underactive Pelvic Floor Muscle – leakage, prolapse
  Jarvis SK, et al. Peri-operative physiotherapy outcomes for women undergoing incontinence and or prolapse surgery: results of a randomized controlled trail. Aust N Z J Obstet Gynecol. 2005;45(4):300-303.
   

• Burgio KL, et al. Pre operative biofeedback assisted behavioral training to decrease post-prostatectomy incontinence: a randomized controlled trail. J of Urol. 2006;175:196-201.
   

• Porru D et al. Impact of early pelvic floor rehabilitation after transuethral resection of the prostate. Neurourol and Urodynam. 2001;20:53-59.
   

• Borello-France DF, et al. Continence and quality-of-life outcomes 6 months following an intensive pelvic-floor muscle exercise program for female stress urinary incontinence: a randomized trial comparing low- and high-frequency maintenance exercise. Phys Ther. 2008;88(12):1545-1553.
   

• Rett MT, et al. Management of Stress Urinary Incontinence with Surface Electromyography-Assisted Biofeedback in Women of Reproductive Age. Phys Ther. 2007;87(2):136-142.
   

• Swithinbank L, et al. The effects of fluid intake on urinary symptoms in women. J or Urol. 2005;174:187-189.
   

• Shamiliyan TA, et al. Systematic Review: Randomized, Controlled Trials of Nonsurgical Treatments for Urinary Incontinence in Women . Ann Internal Med. 2008;148(6).
   

• Landefeld CS et al. National institutes of health state-of-the-science statement: Prevention of fecal and urinary incontinence in adults. Ann Internal Med. 2008;148.

Obstetrics

• ACPWH Guidance on the Safe Use of Transcutaneous Electrical Nerve Stimulation (TENS) for Musculosketal Pain during Pregnancy
   

• Veeming A, et al. European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine J. 2007.

*Click on the links in each category to read more. All documents are in Adobe PDF format. Click here to download the free Adobe Reader.