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

In my last post, “Why You Should Be Doing Kegels NOW”, I went over the various diagnoses that tend to benefit most from doing pelvic floor muscle exercises. However, there are MANY issues and diagnoses related to the pelvic floor that are NOT appropriate to prescribe pelvic floor muscle exercises for. In fact, with certain diagnoses, doing Kegels can actually be harmful and counterproductive to your symptoms. When treating patients, physical therapists should always keep in mind that there are proper and improper times to strengthen a muscle. Generally speaking, you should only strengthen a muscle that is weak and overly lengthened. If a muscle in a high state of rest (guarded, hypertonic, in spasm or with limited flexibility), the LAST thing you should do is continually contract it. This will only further shorten/tighten an already short/tight muscle and likely make your problem worse, or at the very least, prevent if from getting better. In the case of the pelvic floor, this could exacerbate symptoms such as painful intercourse, urinary urgency and/or frequency, and more.

Here are the primary diagnoses that I generally recommend avoiding Kegel exercises (and even core strengthening) with, at least in the early stages of treatment:

1)   Vaginismus
2)   Vulvodynia/Vulvar Vestibulitis/Vestibulodynia/Provoked Vestibulodynia
3)   Overactive Pelvic Floor
4)   Genito-Pelvic Pain/Penetration Disorder (GPPD)
5)   Introidal Dyspareunia
6)   Interstitial Cystitis
7)   Urinary Urgency & Frequency

The above diagnoses are frequently in need of muscle relaxation and stretching to get the muscle to a normal state of rest. To continually contract the muscles in the area will only feed into the pain cycle (or make the muscle more short/tight). As physical therapists, our job is to break the cycle of pain. The best way to approach these diagnoses is through advanced muscle techniques, which should include a complimentary home program. Eventually, strengthening will be needed and balancing out any asymmetries that were identified on your initial visit. If painful intercourse is a part of your diagnosis, the program outlined in Sex Without Pain: A Self-Treatment Guide to the Sex Life You Deserve offers a comprehensive program to overcoming this type of pain.

What will happen at my first physical therapy visit?

After a thorough history, we will begin the physical exam which will include a postural assessment and a check of associated muscles flexibility and strength. After possible contributing factors have been addressed on a larger scale, the smaller pelvic floor muscles will be evaluated. There is no speculum involved and instead will be an assessment of pelvic floor muscle function, including contraction, relaxation and palpation for tender areas. Once these areas are identified, treatment will begin, and most patients leave their first visit with a home exercise program that will directly influence their symptoms to reduce their pain.

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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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