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

Scar Tissue

Pelvic and abdominal pain: What kind of treatments help?

I've recently treated 2 ladies with significant pelvic pain. One patient is fairly young, and for some unknown reason seemed to develop pelvic floor pain, specifically by the soft tissue on and below the pubic bone, as well as in the bladder area. Sometimes the pain was referred down into her leg and sitting and walking were difficult. Chronic-Pelvic-Pain-Treatment

She has received 3 treatments consisting of gentle stretches as well as manual therapy/myofascial release to the fascia and tissue which are painful and tight. The major problem turned out to be a sprain of the round ligament on the right:

round ligament is shown in blue

round ligament is shown in blue

Another patient had endometriosis which caused significant scarring through her abdominal area, including on the bladder, bowel, uterus, and ligaments. Douglas_endometriose2 She received gentle stretches as well as core strengthening and has returned to a normal workout routine. She also has avoided another surgery and higher intensity medication.

If you have questions, please feel free to comment.

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!

Bunion Surgery Rehabilitation needs Foot Strengthening

Have you ever had bunion surgery?  It can be a long rehabilitation process. Often people shift the weight onto the second toe when walking after bunion surgery, instead of putting full weight down onto the big toe right before pushing off.  The patient has been walking this way for a very long time, and now shifting the way one walks is pretty hard.

Part of the problem is that people who have bunion surgery developed a bunion partly due to having too much pronation (flat feet). If you have flat feet, your arch will get too stretched out and you will push off your second toe instead of your first toe. Even after the bunion surgery you might continue to push off your second toe–and that will be aggravating. What exercise can you do to strengthen your foot to reduce flat foot and prepare for a bunion surgery?

While you are sitting you can raise you feet up like are coming up on your tip toes. That will start to strengthen the arch, and give your big toe better range of motion.

You will also need scar tissue mobilization to help the big toe be able to bend down and up as you walk.

Good luck with your bunion surgery!

Physical Therapy

165 Lilly Rd. NE, Suite B
Olympia, Washington 98506


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