Pelvic Pain : “When you are at the end of your rope, tie a knot and hang on.”


Well worth a read.

Women's & Men's Health Physiotherapy

Sara Sudder

Dr Sara Sauder , Pelvic Physical Therapist, Austin Texas ( For biography see below)

http://www.sullivanphysicaltherapy.com/staff.html

When I was in graduate school, I was forced to come up with a business plan to open up a physical therapy clinic. It was a group project, so I had to work with others (which I don’t prefer to do because everything has to be my way). That wasn’t easy for me, but I loved my classmates and it ended up being really fun. Through the collective effort, we came up with something pretty incredible that I was immeasurably proud of. We were the only group that decided to come up with a non-profit physical therapy clinic. It would be a clinic serving people with amputations. It would be austere and efficient. We called the clinic Residual Hope.

The second step of this project was to pitch the idea to a group of “investors”…

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Gehrung pessary suitable for cystocele, rectocele and procidentia


Healthy Solutions

Gehrung Pessary:
The Gehrung pessaries are available with or without support knob in Milex, please note that Bioteque no longer supply the gehrun with knob into the UK.

The Gehrung is suitable for women presenting a cystocele and/or rectocele. They are also very effective treating procidentia where the uterus tends to herniate when other pessaries are used.

Fitting the Gehrung: If being fitted using the one with knob support, this gehrung should be fitted with a full bladder then you will be asked to empty the bladder post fitting. This ensures the knob is positioned properly and you can empty your bladder properly. The one without the knob, it isn’t necessary to fit with a full bladder, however the patient must be able to empty the bladder fully when the gehrung is inserted.
I would suggest you irriagate the vagine prior to fitting, this removes any loose membrane and excess…

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Dr Arabin Cerclage pessaries for preventing preterm birth in asymptomatic singleton pregnant women


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Dr Arabin Cerclage Pessary Dr Arabin Cerclage Pessary

Vaginal progesterone, cerclage or cervical pessary for preventing preterm birth in asymptomatic singleton pregnant
women with a history of preterm birth and a sonographic short cervix.
Reference: Ultrasound Obstet Gynecol 2013; 41: 146–151Published online 17 January 2013 in Wiley Online Library (wileyonlinelibrary.com). DOI: 10.1002/uog.12300
Z. ALFIREVIC*, J. OWEN†, E. CARRERAS MORATONAS‡, A. N. SHARP*, J. M. SZYCHOWSKI§
and M. GOYA‡
*Department of Women’s and Children’s Health, Institute of Translational Medicine, University of Liverpool, Liverpool, UK; †Department of Obstetrics and Gynecology, Maternal-Fetal Medicine Division, University of Alabama, Birmingham, AL, USA; ‡Maternal Fetal Medicine Unit, Department of Obstetrics, Hospital Universitari Vall d’Hebron, Universitat Autonoma de Barcelona, Barcelona, Spain; §Department of Biostatistics, University of Alabama, Birmingham, AL, USA
ABSTRACT
Objective To compare the outcome of pregnancy in cohorts of women with singleton pregnancy and history of preterm birth and sonographic short cervix managed with different treatment protocols, namely…

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Feel like you’re coughing your guts out?


has written a spot on article about the effects of coughing on the pelvic floor

Healthy Solutions

APOPS new logo jpgCredit to Sherrie Palm founder Associateion for Pelvic Organ Prolapse Support

It’s flu season; you’re hacking and hacking until you feel like your bottom end is going to blow out. And it just might be. if you’re like me you start to ramp up the germ-phoebe aspect of your personality around this time of year. We all start paying more attention to washing our hands, get nervous about grabbing the door at stores we shop at, walk the other way when we hear someone  coughing. No one wants to get the flu. Yet despite the extra protective measures we take, we somehow manage to contract it. The majority of us are exposed to hundreds of germ infested surfaces every day; there’s just no way to get around it beyond wrapping ourselves in one of those protective bubbles. Not a very user friendly way to avoid getting sick.

I recently returned…

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Whats so all the fuss about a natural sea sponge


Ideal for post op surgery as these sponges are soft and don’t pull on the skin like synthetic sponges.

Healthy Solutions

Natural Sea Sponges Natural Sea Sponges

Natural Sea Sponges The Story

History | Processing | Usage | Environment | Features & Benefits | Natural vs Synthetic | How they work

 History

Earliest documented use by Romans C2-3BC – National Geographic report back 635 million years

Commercial trading since mid C19

Early years, crews were press ganged in to joining the ships

Heroes of the time, brought wealth to the Islands

Collection was very dangerous, many divers became very ill, crippled or died at sea

The collection ships and crew would gather in the village square and be blessed by a priest for safety

Earliest divers would go in naked and strapped to heavy rocks to help them submerge

Collection and processing skills passed through families, who still operate today

Early Europeans used natural sponges for crash helmets, drinking utensils and municipal water filters

Used by athletes in the ancient Olympic games for…

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Shaatz pessary for uterine prolapse and cystocele


Shaatz pessary for mild to moderate prolapse and cystocele

Healthy Solutions

This months pessary lesson is the Shaatz Pessary.

For whom is the Shaatz pessary suitable for ?

The Shaatz pessary is ideally recommended for women who have a first or second degree prolapse (mild – moderate) which has complications of a mild cystocele.

I can’t retain a ring pessary so will this help?

Possibly, as the Shaatz is ideal for the patient that has a shallow pubic notch.

How does this work with someone that has very little pubic notch to support a pessary?

The Shaatz uses the levator muscles to hold it in place, so good pelvic muscle structure is a great help in this case.

Can I build up muscle structure?

Through regular kegel exercises and physiotherapy, women have built up a good pelvic floor muscle strength leading to good structure.

I have pressure sores on the pubic notch can I use the Shaatz?

Yes it is designed…

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Pelvic Organ Prolapse awareness month for June


Pelvic Organ Prolapse Awareness is the Month of June

Healthy Solutions

One womans journey and a whole lot of help for those who have pelvic organ prolapse One womans journey and a whole lot of help for those who have pelvic organ prolapse

Helping raise the awareness of pelvic organ prolapse will help educate those who need to know what to do when they do find ‘bits falling outside of their bodies’.

Thousands of women are either too ashamed or simply don’t know what is happening to them. Pelvic organ prolapse happens for many reasons and over 50% of women experience this especially after giving birth.

One of the most common feelings is that you feel you are sitting on a tennis ball.

There are methods to help and prevent pelvic organ prolapse and with your help of passing this message along we can help those who need it.

Mothers, speak to your daughters (not always an easy subject) about it if you have experienced pelvic floor dysfunction. Chances are that if you have it so will…

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La fistule obstétricale est réparable !


Françoise Soros's Blog

Plus de deux millions de femmes souffrent de fistules obstétricales en Afrique, en Asie et au Moyen-Orient. 

La fistule obstétricale est la constitution d’une communication anormale (une fistule) entre la vessie et le vagin (fistule vésico-vaginale) ou entre la vessie et le rectum (fistule vésico-rectale) survenant à la suite d’une grossesse compliquée et  pendant un accouchement prolongé, dû à l’obstruction de la voie de délivrance et lorsque la femme n’obtient pas la césarienne jugée nécessaire dans un tel cas. 

Image Capture écran : Global Fistula Map

Les femmes, qui présentent cette affection évitable, souffrent d’une incontinence urinaire permanente qui peut être à l’origine d’infections cutanées, de troubles rénaux, voire de décès en l’absence de traitement et développer au sein de la famille et de la communauté une stigmatisation qui contraint les femmes souffrant de cette affection  à se cacher.

La fistule obstétricale peut être évitée. Pour cela, il suffirait, selon l’Organisation…

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Pessaries and pelvic organ prolapse – The history


The history of the pessary

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Pessaries and pelvic organ prolapse – The history

Image

PES.SA.RY (/ˈpesərē/)

The word pessary comes from the Greek word pesos and the Latin word pessarium meaning oval stone.

Pessaries have been around hundreds of years to treat symptoms as a treatment for menstrual problems, dysmenorrhea, incompetent cervix, infertility, uterovaginal prolapse and displacement of the uterus and treatment of women who showed symptoms of a pelvic organ prolapse has been around for thousands of years.

The earliest text found to be on obstetrics and gynaecology is that of Soranus of Ephesus a Greek physician (A.D. 98-138), which can be found in the ‘Bibliothèque Royale’ in Paris. Soranus had observed and reviewed a number of techniques used for management of uterovaginal prolapse during the Hippocratic era.

Soranus challenged and criticized treatments involving suspending the patient upside down by her feet from a moving frame which moved rapidly up and down for a few…

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Pelvic floor dysfunction in women before their first pregnancy


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Credit: Lead women’s health physiotherapist Mary O’Dwyer newsletter

A high rate of pelvic floor dysfunction (PFD) in nulliparous women with clinically significant symptoms and associated bother has been reported in a cross sectional study (part of the SCOPE study) in Ireland.

A total of 1484 women completed the validated Australian Pelvic Floor Questionnaire at 15 weeks gestation. Urinary dysfunction was present in 61%, faecal dysfunction in 41%, prolapse in 5% and sexual dysfunction in 41%. The dysfunction was perceived as bothersome by 37%.

In the urinary section, 61% of participants reported at least one primary symptom and 35% showed clinically significant symptoms. In those who reported urinary incontinence (UI), stress urinary incontinence was present in 50%, urge urinary incontinence alone in 20% and mixed urinary incontinence in 30%. The overall prevalence of UI in this study was 24%.

In the faecal dysfunction (FD) section, 41% of all women…

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