Oregon, Shelton Domino, Muscle Spasms discussed on A Bridge To Wholeness


Is they're both in the pelvic region. They're gonNA have scar tissue. You know you have to cooperate. Why is it that a surgeon or physician or your care team would never even suggest therapy for pelvic rehabilitation? You know it's it's a great question. I wonder this myself all the time. and part of our job is physical. Therapist is to educate and network with doctors. And I've I've done a lot of that in my career. I was very lucky to have People surrounding me that really promoted the networking with doctors and teaching them. What physical therapists can do and a lot of doctors and nurses healthcare providers are really open minded. And they say oh. Wow this can happen. Like they'll do anything to help their patients so if they find that there's a treatment that can help their patients that they often hear these complaints in the clinic. Then they're happy to send they're happy to refer but for some reason You know a lot of providers sorta stuck in their ways not really thinking. This was never in their medical school training. They didn't they weren't taught about this. What that's what I was thinking because you know it's just it's amazing to me when you have a knee surgery. Hip Surgery Ankle surgery arm surgery. Whatever it is they give you a prescription for physical therapy. It's it's automatic. It's actually part of the air plan. Yeah yeah call. Why not have a prescription ready for pelvic therapy that Shelton Domino surgeries there are yet? I mean some providers do internally posted directs me or bladder suspension or. You know prolapse repair a lot of gynecologists you're gonNA constantly do refer and they're they're really good about it But others abdominal. They don't always think of that. Because you know there's probably many patients who don't suffer after they scar tissue moves fine. They don't develop adhesions. They don't have pain. You know chronically right then there you know I see. I'm biased. Because I see I don't WanNa say the failures but I see the patients who do have problems down the road. They had that procedure. I had helped her. Didn't with whatever they were trying to improve and and then they come to me either weeks months. Even years later with dysfunction they. It's typically chronic pain and it's like you know either. They related to their surgery or not and I will say too. I mean you can have chronic pain in the abdomen pelvis or the back and has never had surgery on and you may have never had children okay. You know that that's where the visceral manipulation and visceral assessment come into play meaning Oregon And I'm talking the intestines and the bladder and the uterus and deliver. And the gallbladder pancreas. I mean all your abdominal thoracic pelvic organs K. and There are many and we don't pay enough attention to those rounded by connective tissue And they're you know connected to ligaments throughout our body and they suffer throughout our lives whether it's a fall or a car accident or we could ask you because if you haven't had children and if you're a man why would you have these issues but I'm hearing what you're saying now is it can be from a fall or a car There's lots of other reasons. And sometimes you know I I always say the the brain forgets but your body doesn't forget you know your liberty dozen. Forget that you got in a car accident your intestines don't forget and then there's the whole other door that we can open of emotions. Lie In your organs. You know your they say I had a gut feeling or you know I felt it in my heart and you literally do. I mean you you your your organs. Feel all of your emotions and they can get weighed down and restricted. And they're not as vital as they once were and so Those practice visceral manipulation visceral assessment are really looking not just at the container meaning our muscles and bones and joints and ligaments. That hold our Oregon's that's really what what they're all doing. They're all container for our organs that keep us alive that yes the process. Every function of our body Through these organs and so you know when patients come in and they've been through traditional physical therapy you know. They've gone to an outpatient clinic and had the range of motion in their posture and their alignment than their strength and they've been assessed and treated and they're still having pain. They come to me and I say okay while you know. Is it related to pelvis abdomen? We kind of rule that kind of stuff out to and then we have this assessment and see how well their organs are. Moving in relation to the other organs. And how well? They're they're moving within themselves. Every Oregon has natural intrinsic movement on that question then when a patient is finally referred to you. Because I think that is another big challenge if we don't have the healthcare providers who even know to think that way Because even sometimes getting an appointment with a gynecologist may not even recommend that. I'm thinking it's more a European colonists but just to be able to get into one so you can have somebody who like many other disease processes Mike go through several years or several different healthcare practitioners complaining about the same thing but not getting where they need to go. But let's say they finally get to you and it's been a number of years where they have been suffering. Let's say they've been suffering anywhere from three to five to seven years which I think is not abnormal malls at what happens when they come into your office. They finally got the referral to you. What actually do you do next? Winger D- this'll assessment. Because I think that this. I'm all about educating the patient on what to expect when they actually go in because he's a lot of fears when there's when you have fear of the unknown it causes a lot of anxiety but if you know what's going to happen or you know the steps it can do a lot to empower you and to help you relax. Yes absolutely so when patients come in I have a general idea why they're coming in. They complete paperwork ahead of time so that they can give me a little bit more of a sense of what their medical history is is all about because sometimes I have to ask questions to bring up some of these old issues that they may have had that may be contributing to their current pathology. So they come in. I do a full history. Subjective and that can take anywhere from fifteen to forty five minutes. You know because a lot of these people have been through so much and they're really complex. That history is very very important that I get the details. And all the imaging and everything like that And then I do my exams. So the exam involves an assessment of posture range of motion through their neck and their hips and back Depending you know if there's ankle or knee involvement. I'll certainly look at that as well. Anything ORTHOPEDIC -Ly And then rule some sort of extremity orthopedic issues out and Look a little bit closer at it brings emotion and I look at Alignment through the palace in the back so making sure. Everything is metrical looking at a SCAR TISSUE. So any scars. They may have had just palpitations so feeling through the abdominal tissue the back muscles the hips pelvis the size and seeing you know whereas their pain whereas there is there any high tone meaning like the resting tension of of muscles Is there muscle spasms that kind of thing? So we're we're KINDA ruling out. How patient wise and Scar Tissue He June and then depending on what they have going on they may require a pelvic exam and this is not the same thing as going to the gynocologist. Where they're they're doing speculation at a PAP smear and that kind of thing. There's no specula- No stirrups or anything. It's it's very simple all manual Exam using latex gloves and we assess the pelvis externally and then internally if it's warranted so if they may be complaining prolapse symptoms or they're complaining of bladder or bowel issues or poly pain patients will come with how pain at rest or intercourse with any type of insertion And so we assess those muscles and see what what their state of health is at the time and how other muscles around. The pelvis are kind of feeding into that so the abdominal muscles back muscles the hip muscles the diaphragm and public floor. They really all work together as a team. And you have to see how that team is working. Is Everybody doing their job. Everybody's strong is everybody. Flexible are all the muscles at the right lengths pension relationship. And often you find you know public Florida's where they have pain except their diaphragm and their hip muscles are extremely weak. So you get those strong so that public four feels like he can relax a little bit. And it's not working. Triple time or vice versa. Maybe the pelvic floor is you know is strong but the dominoes are weak and that kind of thing they. They all worked together synergistically in life. You know when we pick something up for. We open door. Several muscles are doing them that action and we often don't give those muscles any credit. We just take it for granted and I think sometimes the only way you know that you have those muscles is when you have surgery. Yeah and then you go to do something and you think. Oh that's interesting. I never felt that muscle before. You're you're still in the healing process. So you up and sation or you've had a fall or you may be starting exercise program so I'm GonNa stop us right here just for a minute. We're GONNA take a quick commercial break and we will be right back. Sounds great so thank you for tuning into which homeless podcast. We hope that you enjoy the episode today with Erica.

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