6560 W. Emerald Street, Suite 124

Boise, Idaho 83704

(208) 949-8640

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Mon. / Wed. / Fri. 9:30am - 3:30pm

Tue. / Thur. 1pm - 7pm

Urogynecological Therapy

UROGYNECOLOGICAL THERAPY

Urogynecological Therapy For Men and Women

Urogynecological Therapy historically has been referred to as “Pelvic Floor” Or “Women’s Health” Therapy, yet goes far beyond that. Urogynecological Therapy is for Men AND Women and is beneficial for bowel, bladder, sexual dysfunctions, and chronic pelvic pain. Some conditions that would fall under this type of therapy are, but are not limited to, Painful Intercourse, Difficulty or Inability to Orgasm, Effects of Menopause, Chronic Pelvic Pain, Endometriosis, Fibroids and Cysts, PCOS, Dysmennorrhea (painful periods), C-section or Episiotomy Scar Adhesions, Urinary/ Fecal Incontinence, Urinary Frequency/Urgency, Pelvic Organ Prolapse (rectum, bladder, uterus, etc), Vestibulodynia, Coccydynia, Vulvodynia, Interstitial Cystitis/Painful Bladder, Prostate Dysfunction, Erectile Dysfunction, Referred Testicular Pain, and Pre/Post Prostatectomy care.

Urogynecological Treatment
WHAT TO EXPECT WITH UROGYNECOLOGICAL TREATMENT:

If the “why” isn’t known and treated, your symptoms may improve some or temporarily but, your dysfunction will remain and ultimately your chances of regression are greater. With specific intent to find the “why” to your symptoms a thorough external and, sometimes necessary, internal examination will be performed by our Certified Pelvic Rehabilitation Practitioner who has over 5 years of focus in this area of Physical Therapy. Examination and treatment sessions are held one-on-one in our private and serene treatment room. Once the examination is completed your plan of care will be established, but most often, sessions occur 1-2 times each month. Compliance outside of the clinic is essential to your recovery. In addition to your sessions at Renew Manual Physical Therapy you will document your bowel, bladder, and dietary habits for a few days, receive a plethora of information on healthy habits, and invest in your healing journey with changes to your current habits to renew yourself.

Patients have seen a complete turnaround in their symptoms within a few weeks to a couple of months with the right Manual Therapy and compliance with lifestyle outside of the clinic. Sometimes, however, it does take longer to facilitate change within tissue that has lived in a dysfunctional world for some time.

UROGYNECOLOGICAL TREATMENT FAQ's

The pelvic floor is a group of muscles that span the bottom of your pelvis, like a hammock, and provide support for your internal organs. Secondary to it’s neurological loop it plays an intricate part in your bowel, bladder, and sexual health. Often, because of it’s location “down there” the pelvic floor is overlooked or even underestimated.

The pelvic floor is a huge “protector”. If your have experienced a trauma, a loss, any form of abuse, or even just high amounts of stress, the pelvic floor can respond by guarding, or tightening up. This is great initially, until it forgets to relax. The excessive, long-standing, tension in this group of muscles can then result in other issues including pain, constipation, difficulty voiding, painful intercourse or the inability to achieve orgasm.  Our certified pelvic rehabilitation practitioner will provide you with profound education on the optimal function of this process and how to achieve harmony within this delicate loop.

Often, sadly, we are told “just squeeze your muscles” and your problems will, what, disappear? That should never be the answer. First, we know statistically that 87% of Americans were found to be performing a Kegel incorrectly. So, if you have been doing your Kegels and you are still leaking or your symptoms still persist, an evaluation of your musculature and the ability to isolate them properly is in order. Second, they are NOT for everyone! If you have pelvic/vaginal/penile pain of any kind, Kegels are not for you, at least not right now. Often, in someone with pain, the pelvic floor is found to be hypertonic/tight, if we strengthen these muscles by performing kegels as an exercise the symptoms will exacerbate. In this situation the muscles need to achieve proper length/tension relationship and mobility before strengthening them is appropriate.

Incontinence (fecal or urinary) can occur for many different reasons. The anatomical depth within the abdominal and pelvic cavity is nothing shy of impressive. The multitude of connections through fascia, ligaments, nerves and muscles are extensive. With that said, often, incontinence involves a handful of contributors.

Let’s look at the anatomical aspect of the bladder for a moment. The bladder is surrounded with peritoneum, the uterus, and even small intestines above it, the pubic bone in front of it, the vaginal canal and then rectum behind it, fascia and ligaments all around it and the muscular group called the pelvic floor beneath it. A dysfunction in any one or more of these can be the cause of your incontinence. Often, when someone reports incontinence it is assumed the pelvic floor is weak and you need to strengthen it and poof your symptoms will go away. True, the pelvic floor likely has weakened and can contribute to the involuntary passing of urine, but is it the primary “driver”, the “why”? If we assume this is the case, and we don’t address the other possibilities, we are doing you a disservice. At Renew Manual Physical Therapy, the depth of our assessments allows us insight into the “why” and thus a quicker, more profound recovery.

Clinically, what we know and see is, YOU DO NOT HAVE TO LIVE THIS WAY. It is not a badge of honor to leak urine, it demonstrates a dysfunction within your system.

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