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Urinary urgency or urge incontinence happens when the bladder contracts when it is not supposed to and may result in subsequent leakage of urine. This can occur for different reasons. However, it can commonly be due to either overactive or under active pelvic floor muscles. Due to the connection with the pelvic floor muscles, Physical Therapists specializing in Pelvic Floor Dysfunction can help. They can use bladder retraining which is a technique to improve urinary urge incontinence by trying to improve bladder and pelvic floor function. It is best to be evaluated first by a medical professional to find out which category you fall in, as well as to rule out other possible causes.
Pelvic health physical therapy can be a difficult topic for many people to discuss. It can be embarrassing, confusing, and even painful. Society tends to discourage discussion of these topics, causing confusion and lack of awareness regarding what is or is not normal. The reality is that pelvic floor dysfunction is common and there is something we can do about it. As one of my professors once pointed out, “There is an entire aisle dedicated to adult pads and diapers in every Target, someone is buying them!”
In his seminal book “The Body Keeps the Score,” trauma expert Dr. Bessel van der Kolk states “the ability to feel relaxed in one’s body requires the emotional experience of safety.”
Key Highlights For the first time, USA Weightlifting is actively getting involved in educating their coaches and lifters about pelvic health. On Thursday, December 6, Tamra Wroblesky gave an hour and a half interactive seminar to coaches and lifters about pelvic health, pressure regulation, hip and thoracic mobility, bowel and bladder regulation, all to improve performance under the bar. This will be an uphill battle as there is poor awareness and education about pelvic health. They have hired Tamra for their 2 international female camps (Barbados and Ohio) in 2019 due to the popularity of the first camp in Las Vegas last year. Check out Tamra's original Team USA article, Supercharge Your Pelvis, which has gained momentum in the weightlifting community and her latest report below!
On August 9th, I gave my "Supercharge Your Pelvis" talk to the inaugural All Women's Weightlifting Camp in Las Vegas. I was invited by USA Weightlifting to come and speak about pelvic health and physical therapy targeted towards female weightlifters. This opportunity came about due to my close workings with a female weightlifting patient for the past 3 years who my business sponsored to go to University Nationals in 2017 where she won 6 gold medals. Through her, I met her Mike McKenna, her weightlifting coach based out of York, PA. I began traveling there on weekends to give my pelvic health seminars and do individual assessments. I noticed how much my knowledge could help both men and women, not just with pelvic pain and incontinence, but with low back, hip, groin, knee, and leg pain. We also worked on proper hip and thoracic mobility programs for the weightlifter, nervous system warm-ups, and proper muscle activation during the squat, clean and jerk, and the snatch.
The pelvic floor consists of muscle fibers and connective tissue located in the base of the pelvis. It is important in supporting the pelvic organs, maintaining continence, and sexual function. These muscles can become overactive, tight, or have spasm in them which can lead to dysfunction and/or pain. Overactive muscles restrict normal blood flow, resulting in a buildup of waste products. This can lead to further irritation, pain, and increased muscle tension. When someone develops pelvic floor pain, this can cause more involuntary tightening or guarding of these muscles, leading to more pain and dysfunction. Relaxation of these muscles can interrupt the pain cycle and promote healing.
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Posted on: October 2nd, 2017 by SOWHeditor No Comments