PTC Blog

It is understandable the benefits of Physical Therapy after a surgery including restoring range of motion, improved strengthening and function.  But are there benefits to Physical Therapy prior to surgery? YES!  It is called Prehab!

Prehab is a preoperative program is designed by a Doctor of Physical Therapy and created specifically for the individual. Current strength, range of motion and functional abilities are assessed and a comprehensive training program is created that will help improve postoperative functional outcomes. It is recommended that Prehab starts about 6-8 weeks prior to your surgery.

Here are a few of the possible benefits:

  • Shorten hospital stays
  • Improve healing times
  • Regain strength and motion faster
  • Improve ability to perform functional activities such as climbing stairs, walking, getting in and out of bed, etc.
  • Familiarize yourself with walking aids such as canes, crutches or walker if necessary
  • Mentally prepare patients for surgery and receive education on postoperative care and rehab

Contact one of our offices or get a referral if needed from your doctor and start your journey to recovery!

Kerra Pietsch, LPTA
Physical Therapist Assistant
Andover Physical Therapy

November 28th, 2018

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Do you deal with incontinence on a daily basis? Urinary incontinence is the unintentional loss of urine. Stress incontinence happens when physical movement or activity — such as coughing, sneezing, running or heavy lifting — puts pressure (stress) on your bladder. Stress incontinence is not related to psychological stress.

Stress incontinence differs from urge incontinence, which is the unintentional loss of urine caused by the bladder muscle contracting, usually associated with a sense of urgency. Stress incontinence is much more common in women than men.

If you have stress incontinence, you may feel embarrassed, isolate yourself, or limit your work and social life, especially exercise and leisure activities. With treatment, you’ll likely be able to manage stress incontinence and improve your overall well-being.

Symptoms
If you have stress incontinence, you may experience urine leakage when you:

  • Cough
  • Sneeze
  • Laugh
  • Stand up
  • Get out of a car
  • Lift something heavy
  • Exercise
  • Have sexual intercourse

You may not experience incontinence every time you do one of these things, but any pressure-increasing activity can make you more vulnerable to unintentional urine loss, particularly when your bladder is full.

Stress incontinence occurs when the muscles and other tissues that support the bladder (pelvic floor muscles) and the muscles that regulate the release of urine (urinary sphincter) weaken.  The bladder expands as it fills with urine. Normally, valve-like muscles in the urethra — the short tube that carries urine out of your body — stay closed as the bladder expands, preventing urine leakage until you reach a bathroom. But when those muscles weaken, anything that exerts force on the abdominal and pelvic muscles — sneezing, bending over, lifting, laughing hard, for instance — can put pressure on your bladder and cause urine leakage.

Some methods of treating female incontinence through physical therapy include:

  • Pelvic floor exercises, sometimes called Kegel exercises, which tighten and tone the pelvic floor muscles that have become weak over time. Learning to use these muscles during activities that cause your leakage is key to success.
  • Bladder training, with the help of your therapist, will teach you to extend the time between voiding, develop a schedule to use the bathroom, and manage overwhelming urges to urinate.
  • Biofeedback involves becoming attuned to your body’s functions in order to gain control over your muscles and suppress urges.

Kaitlyn Grell, LPTA
Licensed Physical Therapist Assistant
Physical Therapy Consultants, Inc.

November 21st, 2018

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Calling all women!! It is time to have an open and honest conversation. So who is ready to open up the dialogue and start talking about life after pregnancy?

Having a baby is one of the many blessings we, as women, get to experience. But, that does not come without sacrifice and change. The change we are going to talk about today is embarrassing, and something many women go through privately.

But what if… just what if we stop hiding behind closed doors and bring to the forefront the mere fact that many of us pee our pants.

Yep, I said it. WE PEE OUR PANTS!

Now of course this bladder debacle is not purposeful. We don’t intentionally pee ourselves. It is actually a condition called Stress Incontinence and it is very common with women, especially postpartum women. BUT we have to know that just because this is common, does not mean it is normal. In fact, many of us joke about that fact that we laugh, cough or sneeze and end up peeing but let’s be honest, that joke is merely a tool used to hide embarrassment and convince ourselves that this is how we have to live the rest of our lives.

What if you had an opportunity to STOP accidentally peeing your pants when you exercise, laugh, cough and sneeze? Would you take it?

Before we talk about how we can improve our quality of life by treating Stress Incontinence, we first have to understand Stress Incontinence. Stress Incontinence occurs when we place “stress” on our bladder from physical activity or movement. It occurs when the muscles that surround or support your bladder become weak. Weakness of the bladder’s support system or “pelvic floor muscles” can occur for a variety of reasons one of which is childbirth.

We already have enough going on with a new baby that thinking of ourselves is one of the last things on the agenda. And many us will talk with our friends who experience the same obnoxious leakage that we do, so we settle in knowing that because others experience similar issues that we do we just have to deal with the fact that we now pee our pants.

Let’s stop settling for the abnormal and start advocating for a better quality of life. What would It mean to you to be able to jump on a trampoline with your kids, or cough without crossing your legs?

If you said that it would be the difference in you doing what you WANT to do versus settling for sitting on the sidelines then you should seek the expert advice of a physical therapist.

YES… I said PHYSICAL THERAPIST!!

A Physical Therapist that has specialized training in pelvic pain and incontinence can help YOU have dry pants in as few at 4-5 visits, especially if your kids are still kids!

YEP! I said relief in as few as 4-5 visits!! Sign me up!

Let’s stop taking something that is common and allowing it to become “normal” when we have resources to solve the problem and live a better life.

Reach out to Dr. Lindsey Johnson, Physical Therapist and Pelvic Floor Specialist at St. Francis Physical Therapy for more questions or a private free phone consultation. Call (763) 753-8804 or click the Consultation tab at the top of our website www.physicaltherapyptc.com.

Jackie Giese, LPTA
Physical Therapist Assistant
Community Outreach Coordinator
Physical Therapy Consultants

November 14th, 2018

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Over 700,000 knee replacements are performed each year. That number is expected to increase to 3.48 million by 2030. That’s a lot of artificial knees! The most common cause leading to a knee replacement is arthritis. Arthritis is degeneration of the cartilage in the joints, leading to increased friction and pain. Physical Therapy is important part of the recovery process both BEFORE and AFTER surgery.

You might say: Well if my knee already hurts why would I want to go to Physical Therapy before surgery. Can’t I just wait until after?!? Not quite. PT is more than just giving you exercises and making you sore. We have a variety of techniques that can be used to help decrease pain including manual therapy, electrical stimulation, ice, balance, and strengthening exercises. Prior to surgery it’s important to improve range of motion and strength in all of the muscles and joints surrounding the knee. The better the ROM and strength going into surgery, the better it will be post surgery.  That is why it’s so important to keep up with exercises prior to surgery. Sometimes patients
are even able to postpone their surgery because they feel so great with Physical Therapy.

Physical Therapy following a total knee replacement in the outpatient setting usually begins a few days to a week following surgery. In the first few days following surgery the main focus is on pain relief and regaining motion. This will allow you to return to day to day activities and eventually to all of the other activities you love! It is important to improve range of motion and most importantly quadriceps function. The quadriceps are the group of large muscles on front of your thigh. They are important in standing, sitting, walking, and changing positions. As you are able to progress we will advance to more challenging exercises. Patients are usually in Physical Therapy 8-12 weeks following surgery, but each patient is different. Luckily we create individualized treatment plans for each patient.

Physical Therapy following a total knee isn’t easy, but it’s necessary to get you back to doing the activities you love!

Do you experience knee pain and/or have questions about Physical Therapy before and after a knee replacement?
Give us a call at 1-888-THERAPY!

Rebecca Varoga, PT, DPT
Physical Therapist
Isanti Physical Therapy

November 7th, 2018

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