165 Lilly Rd NE, Suite B, Olympia • 360.455-8014

Incontinence

Physical Therapy in Olympia, Tumwater and Lacey, Where should I go?

There are many fine physical therapy clinics in the Olympia, Tumwater and Lacey area. How do you chose where to go?

You can choose based on location. A friend of mine told me today she chose to go to physical therapy at a clinic close to her house. What would prompt a close choice versus reputation? Maybe she needed to go 2 or 3 times per week. If someone needs to go to PT 2 or 3 times a week for a month or so, then going close to your house would be very convenient, HOWEVER, ask yourself the question: does your condition warrant 2 or 3 times per week?

Recently a former patient returned for a new session of physical therapy. She is a fairly frail 80 something year old, and was sent for BOTH headaches AND shoulder pain by her physician. Her prescription from the physician was directed to be 2 to 3 times per week for 4 to 6 weeks. She may have thought she needed to come that often, but…….when I evaluated her headache AND shoulder pain, I determined that both problems were mainly caused by the same anatomical structure.

I gave her an exercise program based on this one problem, and added customized and specific exercises for the shoulders and neck. As of Friday (January 30) 100% better in the headache and 75% better in the shoulders. She came for 6 visits at 1 x per week.

So the bottom line is, unless you actually NEED to have therapy 2 or 3 times per week consider going somewhere that uses less visits more effectively and you may save yourself some time and money.

The therapists at Comstock Physical Therapy, Joyce Mills, Lori Waterman and Linnea Comstock have extensively studied the body to make our exercise programs very effective and efficient. Give us a call if you would rather go to PT once per week instead of three times a week!

Pelvic Health Physical Therapy–Physical Therapy treats WHAT?

Okay, today we are discussing a very sensitive issue–Pelvic Health Physical Therapy. Having pelvic health issues can be intimidating–because, it is soooo personal. You may be wondering, what issues do people suffer that have poor pelvic health?

Lots of problems can happen down south. There are muscles in the pelvic floor (the levator ani aka pelvic floor muscles or PF) PF muscles can spasm or become weak, just like shoulder muscles, or any other muscle groups. The difference with these muscles causing problems, however, is that spasms here can cause other problems with how the pelvic organs function. Stress incontinence (leakage when you lift, cough, sneeze, run) can happen, often in women but also in men who have had prostate cancer surgery, from weakness.

Levator ani muscles, otherwise know as Pelvic Floor muscles

Levator ani muscles, otherwise know as Pelvic Floor muscles

Urge and frequency incontinence happens when the bladder muscles decide it is time for your bladder to let go, even if You don’t think it is time, and then… you leak. Medicine can be helpful for urgency and frequency, but they leave you with dry mouth side effects.

These muscles can also spasm causing a lot of pain and difficulty with fully emptying your bladder.

A lot of other pelvic health conditions can be treated by pelvic floor physical therapy…more tomorrow

Incontinence Therapy can restore endurance, and confidence

Do you have a small amount of urinary leakage when you cough or sneeze? Do you have a really strong urge to go to the restroom when you get home and put your key in the door? Do you wonder where you will be in 5 years with this condition?
There is a solution! Pelvic Floor Physical Therapy addresses incontinence by addressing how the muscles in the pelvic floor work, just like physical therapy addresses muscles that don’t work in your knee or shoulder. Comstock Physical Therapist has two female therapists who already treat this condition, Joyce Mills MPT, OCS and Linnea Comstock PT OCS MPA. This month we are adding a third therapist, Lori Waterman PT, DPT, OCS who specializes in this, too.
“What is the physical therapy treatment like for this condition,” you may wonder. If you have leakage, from weakness, such as coughing, sneezing, the physical therapist will check the muscles for movement and strength in a private room. This is usually done with a biofeedback unit that reads the muscle activity, telling the therapist how much strength and endurance the muscle has (or doesn’t have). After your strength and endurance baseline is established, the therapist will set you up on an exercise program and will have you come back for weekly updates to progress your strength and endurance.
A different problem happens when you don’t leak when cough or sneeze but you have leakage when you get home and put your key in the door, you have urge incontinence. Urge incontinence is fixed by retraining your bladder to hold until later. Physical therapy can help you fix this too, by teaching you the tools to retrain your bladder.
Sometimes you can have “mixed incontinence” which is having BOTH conditions, physical therapy can help both together.
The good news is with some work and effort, THIS CAN BE HELPED!