I was recently turned on to the blog of Sara Sauder, a pelvic floor physical therapist in Austin, TX (Blog About Pelvic Pain). In her post, “God’s Honest Truth About Your Physical Therapist’s Education,” she talks about the passion and innate uniqueness of pelvic floor PTs, stating, “it’s just that we are wired to be drawn to things that most people aren’t. We love our jobs, we are really concerned about pelvic floor issues and we want to learn more.”
I agree whole-heartedly, and proof-positive is the following post submitted by my colleague at Marathon Physical Therapy and Sports Medicine, Jessica Keaney, MSPT. She’s another one of those passionate types….and that’s the God’s Honest Truth.
I love having candid conversations with my girlfriends, particularly when I can clear up some common misconceptions regarding perinatal health and apply my PT clinical knowledge in a personal way. Over lunch recently, a girlfriend admitted experiencing urine leakage while at a trampoline park with her daughters; “I need to have that surgery where they sling your bladder back into place” she confided and then admitted the urine leakage had been an on-going issue that seemed to be getting worse.
Whoa—let’s back up!! There are times when corrective surgery such as pelvic organ prolapse repair is warranted but I’m a big proponent of trying conservative methods first, such as physical therapy and behavioral modifications. Sometimes in life we’re looking for that “quick fix” but there are many times when conservative methods can eradicate urine leakage without surgery–establishing a plan is the first step toward returning to those trampoline parks with your kids!!
In my girlfriend’s case, I recommended she talk with her established OB/GYN or pursue a consult with a urogynecologist or pelvic floor physical therapist first to determine the underlying cause of her urine leakage. Diagnosing and understanding the actual cause of her urine leakage, implementing and following the recommended treatment, and then regrouping with her physician to discuss progress and other available treatment options is essential. In the event that surgery is actually necessary to address her urine leakage, she’s improved her overall pelvic health and changed some of the not-so-good behavioral habits that many of us fall into that will only optimize her surgical outcome if that is the ultimate end result treatment.
So the brain train of jumping into surgery may not always be the best way to jump back to those trampoline parks; pursuing a thorough medical evaluation and trying conservative measures first may prove to be a more effective way to jump back into pelvic health!