womens health

Low Back Pain During Pregnancy

Low back pain during pregnancy can be miserable for many new mothers, interfering with work, fun, sleep and daily activities. The pain usually begins in the 2nd trimester and generally located on one side of the low back and can cause radiating pain down the leg. Pain medication typically do not work for this type of pain and not recommended during pregnancy. Interventional treatment is usually physical therapy. Unfortunately, exercise is not helpful for this type of pain and in some exercise makes it worse.

Research shows acupuncture therapy and manual therapy are the most effective treatment.  Our physical therapy clinic is extremely trained with excellent out-comes of 100% pain free after 1 to 3 visits. You do not need a prescription to schedule an appointment, but recommend contacting your physician before any treatment is started. Our clinic also provides same day service for patients experiencing severe pain.

 

References

Liddle, S. D., Pennick, V., & Liddle, S. D. (n.d.). Interventions for preventing and treating low‐back and pelvic pain during pregnancy. Cochrane Database of Systematic Reviews9.

 

 

 

Low Back Pain During Pregnancy2021-02-08T19:45:50+00:00

Women’s Health

Most people confuse women’s health with just pelvic floor dysfunction, but there are many other reasons women seek help from physical therapist.  Other reasons include: incontinence, pelvic pain, lupus, rheumatoid arthritis, breast cancer, lymphedema, osteoporosis, fibromyalgia and other diagnoses that are more prominent in women than men. Treating women for women’s health issues is really just about treating women throughout their span.

Our team understands women’s health needs are different than men’s Health needs, such as women have different cardiac symptoms like jaw and neck pain. Whereas men will complain of chest pain, shortness of breath and upper body pain.

The pelvic floor is a large part of women’s health and our clinic has over 24 years of pelvic floor experience. Pelvic floor conditions include post-surgical complications, post C-section, episiotomy and hysterectomy.

Our clinic is an evident based practice using research to provide successful treatment to meet our patient’s goals. There’s adequate research out there supporting pelvic floor dysfunction and physical therapy intervention.

References

Wojciechowski, M. (2009). Women’s Health: It’s More Than You may Realize. PT in Motion, 1-8.

 

Women’s Health2020-03-04T20:39:31+00:00

Osteoporosis – What You Need to Know

Got Calcium? May is Osteoporosis Month.

 

Osteoporosis is the thinning and loss of bone density over time.

Osteoporosis occurs when the bone mass decreases when bone resorption is greater than bone formation. As a result, the bone weakens and easily fractures especially in the hip and vertebrae. (Image credit: American Recall Center) #YWCR #osteoporosis #calcium #fractures

Osteoporosis – What You Need to Know2019-01-22T19:42:29+00:00

Sleep Health

What is sleep?

Inactivity of the body, but electrical activity of the brain continues in a predictable pattern of brain waves – from slow wave sleep to brain states that mimic wakefulness in 90 minute cycles.

Stage I

Light sleep
REM

Refreshes memory / dreaming occurs

Stage II

Stable sleep /diff to wake

Stage III

Deep sleep, growth hormone released
Sleep restores learning, memory, temperament and regulates hormones.

Average adult needs 7 to 7 1/2 hours each night.

Lack of sleep is defined as frequent daytime sleepiness as a result of sleep deprivation daily for at least 3 months.

Lack of sleep can be unintentional or intentional.

Sleep Disorders:

  • Insomnia
  • Circaid rhythm sleep-wake disorders
  • Sleep-related breathing
  • Parasomnias disorders
  • Central disorder of hypersomnolence
  • Other sleep disorders

 

Facts about sleep:

34% of US questioned stated less than 7hrs sleep nightly.

25% of US adults report lack of sleep 15 out of 30 days.

50-70 million US adults have sleep or wakefulness disorder.

 

Poor sleep is a public health concern!

Common causes of sleep disorders:

  • Stress
  • Occupational worries
  • Medical illness
  • Loneliness
  • Pain
  • Bereavement
  • Family dynamics
  • Financial worries

Health effects of insufficient sleep:

  • Decreased immunological function
  • Higher risk of chronic disease
  • Higher cardiovascular death
  • Higher risk of diabetes
  • Higher risk of hypertension
  • Higher risk of obesity
  • Decreased mental performance
  • Considerable higher risk in injury and accidents

Inadequate sleep is associated with behavior

  • When sleep is inadequate to support sufficient alertness, work routine,      and health from decreased total sleep time or fragmented sleep by short term awakenings.
  • Lack of sleep syndrome is characterized by increased daytime sleepiness caused by shortened sleep daily for at least 3 months.

3 Most common sleep disorders:

  • Insomnia- trouble falling asleep, staying asleep, or waking up early 3 times week for 3 months and affects daily activity.
  • Sleep Apnea- respiratory disturbance index > 15 per night with or without symptoms.
  • Restless leg syndrome-painful legs causing overwhelming urges to move legs during inactivity

Quantity verses Quality:

  • Quantity- hours of sleep per night.
  • Quality – number of times awaken from sleep and percentage / duration and type of sleep stages entered REM verses NREM

How much sleep do we need?

  • Sleep need is different for everyone and across the lifespan it changes.
  • 6 to 8 hours is sufficient for most adults.
  • Healthy people may feel refreshed with 6 to 10 hours.

Sleep intervention techniques:

  • Sleep hygiene education
  • Exercise
  • Stimulus control
  • Reducing sedentary rest
  • Relaxation
  • Positioning for rest
  • Weight control
  • Progressive relaxation
  • Cognitive behavior therapy
  • Medication – antidepressants, ADHD meds, corticosteroids, thyroid hormone, high blood pressure meds, contraceptives, pain relievers containing caffeine, diuretics and diet pills
  • Medical appliances
  • Mindfulness sleep induction

Positive lifestyle changes to restore your sleep facilitates daily recovery and promotes improved health:

  • Go to bed and get out of bed at the same time daily
  • Avoid screen activity before bed
  • Drink caffeinated drinks in in AM only
  • Get out of bed if you cannot sleep after 20 min and return when sleepy
  • Avoid alcohol
  • Avoid smoking in PM
  • Make your bedroom cozy, quite and cool
  • Weight reduction if overweight
  • Exercise on regular basis but  not 2 hours before bedtime
  • Eat a light snack (food with tryptophan)
  • Use bed only for sleep and sex
  • Avoid daytime napping
  • Mouth exercise to stop snoring and improve sleep
  • Weighted blanket
  • Sleep temperature 67-69 degrees

Natural sleep remedies that do work need 4 essential ingredients:

Melatonin

Magnesium

Theanine

5 essential herbs for sleep health

  • Valerian
  • Passionflower
  • Lemon balm
  • Hops
  • Chamomile

#1 Nocurest Advanced sleep support     5 out 5

#2 NaturesWellness Natural sleep aid   3 out 5

#3 SourceNaturals NiteRest                   3 out 5

#4 NowFoods Sleep Sleep                     2 out 3

#5 Somnis Natural sleep aid          2 out 5

Newest natural sleep aid

#6 RediNite

Sherri Boos, PT, DPT

 

 

References

Clark, D., Lein, D., & Morris, D. (2017, July 17). Integrating Sleep Health in Physical Therapy Clinical Practice.

Sleep Disorders & Problems – National Sleep Foundation. (n.d.). Retrieved from https://sleepfoundation.org/sleep-disorders-problems

 

 

 

 

Sleep Health2019-01-22T19:42:32+00:00

Clarifying Women’s Health

Women’s health is much more than just treating lady parts or pelvic floor complications. Physical therapist address women’s health conditions from infancy through geriatric years focusing on specific women’s health needs. 

Clarifying Women’s Health:

I have provided women’s health care for years and find many people including women are confused about women’s health care. The definition of women’s health is providing specific care during the entire life cycle for women’s issues including: incontinence, pelvic dysfunction, osteoporosis, breast cancer, lymphedema, fibromyalgia and other diseases that differ for women than men (Wojciechowski, 2009).

Kristie C. is a patient of mine and is an avid female runner that I admire and appreciate. Kristie has ran 9 marathons all over the world including Ethiopia in 2015. She suffered a right knee injury requiring meniscal repair with osteoarthritis debridement. As a result of her injury and lack of post-op rehabilitation she gained 60 lbs and began suffering additional complications of depression, anxiety and chronic pain. As a women’s health therapist I was able to treat Kristie’s knee, but also considered her complete lifestyle and surpass traditional knee rehabilitation to meet her goals of resuming running. Meeting Kristie’s running goals resolved her depression, anxiety, weight gain and chronic pain. Returning women or any patient to their previous lifestyle or passion, like running marathons is a true blessing.

Another example of women’s health is a patient of mine that was diagnosed with breast cancer resulting in several lymph node removal with lumpectomy. As a result of lymph node removal she suffered with lymphedema in her arm making her job as a hairstylist and being a grandmother difficult. Treating her lymphedema, shoulder range of motion and shoulder strength allowed her to return to full function using her arm as a hairstylist and playing with her grandson again.

Many times women’s health focuses on women during menopause, for things like urinary incontinence and constipation or in younger women with diagnoses of pelvic pain and / or sexual dysfunction (Wojciechowski, 2009). However, pelvic floor diagnoses are not the only conditions women are affected with more than men. Women also are more often diagnosed with rotator cuff tears, shoulder impingement, shoulder adhesive capsulitis, carpel tunnel, osteoarthritis, rheumatoid arthritis, fibromyalgia and lupus (Wojciechowski, 2009). All injuries and diseases affect women differently than men and physical therapist should be aware of the differences even if they don’t treat gynecological  and obstetric care (Wojciechowski, 2009). Not only do women recover and heal differently than men they also have heart disease signs and symptoms differently (Wojciechowski, 2009). For example, women usually complain of difficulty breathing, nausea and vomiting, fatigue, back pain, shoulder pain and jaw pain (Medline, 2014).

In conclusion, treating the pelvic floor is a huge part of women’s health physical therapy for condition such as post-surgical complication after c-section, episiotomy, hysterectomy, sexual dysfunction, bowel and bladder disorders. In addition, women’s health physical therapy is treating all women’s health conditions throughout their life cycle for their specific needs and differences.

Respectfully,

Sherri Boos, PT, DPT

References

Wojciechowski, M. (2009). Women’s Health: It’s More Than You May Realize. PT in Motion 7. Retrieved from http://www.apta.org/PTinMotion/2009/11/Feature/WomensHealth

Women’s Heart Disease: Heart Disease Risk Factors. (2014). Retrieved from https://medlineplus.gov/…/winter14/articles/winter14pg26-27.html

 

 

Clarifying Women’s Health2018-01-02T21:47:35+00:00