Lisa Trunzo has extensive experience in all areas of physical therapy with a specialty in men and women's pelvic health. She addresses issues related to:
The environment is private, calming and compassionate. Your treatment plan is devised based on your individual needs and Lisa will work closely with your physician to incorporate holistic well-being.
The pelvic floor muscles are part of the inner unit core musculature. Specifically, they are a sling of muscles that attach from the pubic bone to the sacrum, supporting the bladder, uterus, and the rectum.
Pelvic floor dysfunction is caused by weak or tight pelvic floor muscles, or some combination thereof. When these muscles are too weak (hypotonic), they contribute to incontinence and organ prolapse. When these muscles are too tight (hypertonic), they may cause pelvic pain or frequency of the bladder and/or bowels.
Kegel exercises have long been the classic prescription for pelvic floor dysfunction. However, they are not necessarily the right answer, especially when pelvic floor muscles are too tight, rather than unresponsive and weak.
You may have muscles that are too tight if you have some of the following symptoms:
If you have the above symptoms, Kegel exercises may not be the answer! Consultation with a pelvic health physical therapist will help to provide you with appropriate treatments and exercises.
Specialized physical therapy is indicated as the first line of defense for a range of pelvic floor dysfunctions. The research presented by the Crochrane Collaboration (2010) concluded that specialized training in pelvic floor rehabilitation, which specifically uses internal examination and treatment, should be considered prior to surgical consultation for symptoms of unusual urgency and mixed incontinence.
Pelvic floor physical therapists work with other members of your healthcare team, including your family physician, obstetrician, and urogynecologist. A doctor's referral is required for consultation with a pelvic floor physical therapist.
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