As the health care industry has turned its focus towards wellness and prevention, women have become more in tune with their bodies. Amy Brenna, MS, PT has specialized training to help women dealing with a variety of medical conditions. She uses every facet of her physical therapy training to evaluate and treat clients, promoting and enhancing health throughout their life span. All treatments are individually designed after thorough evaluation.
WOMENS HEALTH DIAGNOSIS
Amy Brenna, MS, PT treats Women’s Health diagnoses including the following at CMH-ECU:
• Pelvic Floor Tension/Pain
Pelvic floor tension or pain in the sling of muscles which support the bladder, uterus and rectum can be caused by muscle, joint and nerve problems. Individuals may have difficulty sitting, experience pain during intercourse or complain of pain in the hips or lower abdomen. Rehabilitation/treatment may include pelvic floor muscle relaxation training, manual therapy, or biofeedback.
Incontinence is the loss of bladder or bowel control resulting in involuntary loss of urine or stool. Weakness in the muscles that make up the “pelvic floor” can result in a loss of support for the bladder, uterus or rectum potentially resulting in incontinence. Incontinence of urine may be termed “stress" or "urgency” and may cause urinary frequency. Rehabilitation/treatment may include the clinical use of electrical stimulation, biofeedback or an individualized exercise program.
• Obstetrical Dysfunction
Orthopedic and High Risk
Pregnant women may suffer from pain or aching in the low back, shoulder blades, rib cage, groin area or wrists dues to changes in posture, weight or hormonal factors. Not only are these women more susceptible to injury during pregnancy, but related orthopedic problems may persist or begin following pregnancy. Maternity supports, manual therapy, strengthening or retraining techniques are typical treatments. For a woman in a high risk pregnancy, bed rest is often necessary. To help offset the effects caused by bed rest, a physical therapist is able to design an individualized program consisting of exercises, positioning recommendations as well as relaxation training. Post-delivery rehabilitation includes strengthening and endurance training.
• Scar Management
Following a surgical procedure or episiotomy, many women suffer from scar tissue pain. Most often such pain is due to hypersensitivity (increased sensation) of the newly healed tissue or due to movement restriction involving the skin and underlying tissue. A physical therapist can assist in decreasing the sensitivity and increasing the mobility of the scarred area through manual mobilization techniques.
Osteoporosis is a condition in which bones become thin or brittle, causing them to break more easily. Therapy programs include instruction in proper body mechanics, exercise, gait instruction, balance training, aquatic therapy, brace application and education on injury prevention. Modalities such as moist heat, ice, ultrasound or electrical stimulation may be utilized to assist with pain control.
GYNECOLOGICAL CARE, OBGYN AND WOMEN'S HEALTH
Steven Stenzel, MD, FACOG