From the Blog

What is Low Intensity Extracorporeal Shockwave Therapy?

Low Intensity Extracorporeal shockwave therapy

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Issues We Treat

At Fusion Wellness & Physical Therapy, we specialize in treating these conditions that are all too often misunderstood by the medical community.

Pelvic Floor Issues

  • Endometriosis (Endo)
  • Interstitial Cystitis (IC)
  • Pelvic Floor Prolapse
  • Urinary & Fecal Incontinence
  • Bowel & Gut Issues
  • All Pelvic & Core Issues
  • All Types of Pelvic Pain

Pregnancy & Postpartum

  • Pelvic pain, Low Back Pain, Hip Pain
  • Incontinence During & After Pregnancy
  • Diastasis Recti
  • Ligament and Joint Pain
  • All Manner of Core and Pelvic Issues
  • C-section Healing & Pain Management

Orthopedic Issues

  • Neck & Shoulder Pain
  • Lower Back Pain
  • Hip Pain
  • Hip & Knee Replacements
  • Knee Pain
  • Foot & Ankle pain
  • Pre-op Prep & Post-op Care

Let the therapists at Fusion Wellness & Physical Therapy help you along the journey back to wellness and function! Make an appointment today and let’s get started.

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Diagnoses of Male Pelvic Floor Issues

Diagnoses of Male Pelvic Floor Issues:

Pelvic Pain Conditions:

  • Chronic Pelvic Pain Syndrome
  • Nonbacterial Chronic Prostatitis
  • Pudendal neuralgia
  • Penis pain
  • Testicle pain (chronic orchialgia)
  • Rectal pain
  • Coccyx pain
  • Levator ani syndrome
  • Painful erection
  • Painful ejaculation

Bladder Conditions:

  • Urinary incontinence
  • Urinary incontinence (Post-prostatectomy)
  • Chronic Prostatitis (Nonbacterial)
  • Voiding dysfunction/Urinary retention
  • Urinary urgency/frequency

Bowel Conditions:

  • Fecal or gas incontinence
  • Constipation issues
  • Difficulties with defecation
  • Incomplete defecation
  • Bowel frequency/urgency
  • Rectal prolapse
  • Painful bowel movements

Post Surgical Conditions:

  • Scar tissue pain management:
    • colon resections
    • ileostomies
    • colostomies
    • vasectomies
    • prostatectomies
  • Strengthening of the abdominal wall
  • Post abdominal surgery hernia prevention
  • Parastomal hernia prevention

Meet Our Team

About Heather Jeffcoat, DPT | Los Angeles Pelvic Floor Doctor

Heather Jeffcoat, DPT - los angeles pelvic floor doctor

Read more … About Heather Jeffcoat, DPT...

About Laureen McVicker, PT, CLT

Laureen McVicker, PT, CLT

Read more … About Laureen McVicker, PT,...

About Kasia Gondek, PT, DPT, CSCS

Read more … About Kasia Gondek, PT, DPT,...

About Sarina Karwande PT, DPT, CAFS

sarina

Read more … About Sarina Karwande PT,...

About Stephany Tritt, PT, DPT

Stephany Tritt, PT, DPT
effective constipation treatment

Physical Therapy Can Play a Part in Effective Constipation Treatment

Constipation is a condition that affects approximately 63 million people in North America and it is the most common gastrointestinal complaint. The definition of constipation may vary depending on who you ask, however it is more than just a reduction in frequency of bowel movements. 

According to the Rome IV criteria, the diagnostic criteria for functional constipation states that at least 2 of the following symptoms must have occurred for at least 6 months before diagnosis, and during the last 3 months:

  • Straining during more than ¼ of bowel movements
  • Lumpy or hard stools for more than ¼ of defecations
  • Sensation of incomplete evacuation for more than ¼ of defecations
  • Sensations of anorectal blockage for more than ¼ of defecations
  • Manual maneuvers required to facilitate more than ¼ of bowel movements
  • Fewer than 3 spontaneous bowel movements per week
  • Loose stool rarely present without the use of laxatives
  • Insufficient criteria present for IBS. 

50% of individuals having constipation will also have a defecatory disorder, which is characterized by long toileting time to produce a bowel movement, straining, or needing to use manual maneuvers to empty the rectum. Pelvic floor physical therapy is known to be helpful to address physical impairments and functional limitations that contribute to constipation and its impact on a person’s daily life. In a recent article published in the Journal of Women’s and Pelvic Health Physical Therapy in 2021, authors highlighted several evidence-based treatments that physical therapists utilize to manage symptoms of functional constipation:

Evidence Based Treatments for Functional Constipation

Lifestyle modifications:

There are a variety of lifestyle factors that may contribute to your constipation symptoms such as fiber and fluid intake, musculoskeletal impairments, defecation mechanics, response to bowel urges and other toileting habits. Our staff of highly trained physical therapists at Fusion Wellness & Physical Therapy can help you to identify adverse lifestyle factors and guide you towards effective constipation treatment that can improve your overall bowel health. 

Coordination Training: 

For proper functional defecation to occur, adequate coordination from the pelvic floor and abdominal muscles must occur. The pelvic floor muscles control the expulsion of stool from the rectum. Physical therapy to work on muscular coordination can be helpful to restore proper function for those that suffer with functional constipation. 

Manual Therapy: 

According to the latest research guidelines update, there is good evidence to support that manual therapy and massage of the abdomen can help to increase gastrointestinal motility and aid with constipation symptoms including improving feelings of complete emptying, improved defecation frequency, and improved stool consistency. Our staff is trained in visceral mobilization - a technique used to restore mobility in the visceral organs, including the gastrointestinal system which is often restricted in those with chronic constipation.

Biofeedback Training:

Anorectal biofeedback training is another treatment method that can help with symptoms of chronic constipation. Biofeedback can be applied in multiple ways - electrodes may be placed around the anus that monitor pelvic floor muscle activity. We can use real time information that can show you how to relax your pelvic floor muscles completely to allow for easier, more complete bowel movements. 

Biofeedback can also be applied through the use of rectal balloons. This method may be more effective as it can mimic rectal fullness and can help to restore the brain-body connection in relation to muscle control with defecation. It can help to restore rectal sensory perception which is necessary to signal to your body that it is ready to have a bowel movement. This is helpful for those who do not have regular urges to defecate, as delayed time between bowel movements can cause stools to become hard and compacted. 

There are many physiological sources that may be contributing to your constipation symptoms and should be evaluated through a whole body and multi-systems. To schedule an evaluation with one of our physical therapists at Fusion Wellness & Femina PT, click here.

To read more about Constipation check out our other blog articles here.

 

References:

  1. LaCross, Jennifer A. PT, DPT, PhD(c)1; Borello-France, Diane PT, PhD2; Marchetti, Gregory F. PT, PhD2; Turner, Rose MLIS3; George, Susan PT, DPT4. Physical Therapy Management of Functional Constipation in Adults: A 2021 Evidence-Based Clinical Practice Guideline From the American Physical Therapy Association's Academy of Pelvic Health Physical Therapy. Journal of Women's Health Physical Therapy 46(3):p E59-E84, July/September 2022. | DOI: 10.1097/JWH.0000000000000244
  2. Binford, Joyce PT. Physical Therapy Management of Outlet Dysfunction Constipation and Pelvic Pain. Journal of Women's Health Physical Therapy 37(2):p 59-69, May/August 2013. | DOI: 10.1097/JWH.0b013e31829df717  

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  • BioNude™ Ultra Sensitive Personal Lubricant - Some bodies are naturally more sensitive than others, which is why we offer BioNude™ Ultra Sensitive Personal Lubricant. This water-based personal lubricant is made with hydroxyethylcellulose, a plant-based material shown to be hypoallergenic.

Use the code FEMINA at checkout to receive 20% off the entire Good Clean Love product line!

LaVie Mom Lactation Massager
LaVie Lactation Massager at Femina Physical Therapy

**This information is for educational purposes only and is not intended to replace the advice of your doctor.

About Fusion Wellness PT

Fusion Wellness & Physical Therapy are licensed physical therapists specialized in treatments for male, female, transgender and nonbinary pelvic health conditions, sexual health, chronic pain disorders, sexual dysfunction, prenatal and postpartum symptoms, bowel and bladder issues and general sports and orthopedic diagnoses. We also specialize in Pediatric pelvic health.
Certified Attain Specialist 

Sherman Oaks

13425 Ventura Blvd.
Suite 200
Sherman Oaks, CA 91423

Telephone:
(818) 877-6910

The Sherman Oaks office is adjacent to Studio City and serves the Bel Air, Brentwood, West LA, Mulholland, Beverly Hills, Encino, Calabasas and San Fernando Valley area.

Map to Fusion Wellness PT Sherman Oaks Location

Hours:

Monday 7:30-6:00
Tuesday 7:00-6:00
Wednesday 7:00-6:00
Thursday 8:00-6:00
Friday 7:00-6:00

Glendale/Montrose and Pasadena Areas

3702 Park Place
Montrose
California 91020

Telephone:
(818) 873-1403

The Montrose area of Glendale is located minutes from Pasadena, Burbank, Silver Lake, Atwater Village, Los Feliz, Echo Park, and Eagle Rock.

Map to Fusion Wellness PT Montrose Location

Hours:

Monday  7:00-6:00
Tuesday 7:00-4:00
Wednesday 7:00-6:00
Thursday 7:00-4:00
Friday CALL

Beverly Hills

9012 Burton Way
Beverly Hills, CA 90211

Telephone:
(310) 871-9554

The Beverly Hills office is convenient to Mid-Wilshire, West Hollywood, Hollywood, Beverlywood, Korea Town, Downtown LA, Culver City, Century City, Santa Monica and Malibu.

Map to Fusion Wellness PT Sherman Oaks Location

Hours:

Monday 12:00-5:00
Tuesday CALL
Wednesday CALL
Thursday 7:00-6:00
Friday CALL
Saturday CALL
Sunday CALL

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