Women's Health

Through the Marsh Brook Rehab Women's Health Program, our highly trained all-female staff of therapists are experts in assessing and treating incontinence, as well as pelvic pain, pelvic organ prolapse and pregnancy-related and post-partum disorders. Our relaxed environment is designed to help you feel as comfortable as possible—and enable you to make important life-long changes, often without the need for surgery.

After an initial evaluation, we create a specific treatment plan that may include an internal examination of the involved soft tissue and joint structures. Once the physical therapy program has been completed, we provide a long-term plan to help you continue doing exercises at home, as well as in-depth instruction in self-management techniques.

A combination of treatment methods are used, including:

  • Pelvic floor strengthening with internal therapeutic exercise and digital assessment/instruction
  • Use of biofeedback-EMG to assess and treat tone, as well as to help strengthen muscles; biofeedback also helps clients learn how to calm down overactive bladder muscles
  • Lumbopelvic stabilization for strengthening core muscles to help treat both incontinence and low back/pelvic pain
  • Correction of trunk/hip muscle imbalances (usually due to weakness)
  • Postural correction and body mechanics training
  • Thorough spine evaluations, which helps us diagnose where your pelvic pain is coming from
  • Soft tissue stretching and mobilization to help break down internal scar tissue that may be causing pelvic pain
  • Ongoing education to help retrain clients' dietary and urinary habits

“During a follow-up appointment, my patient spoke highly of Marsh Brook Rehab and the care your therapists provided. They were able to make the visits less awkward for her and she was very appreciative. I am thrilled with her progress and am grateful to have another resource in the community to be able to refer my patients with pelvic pain and dyspareunia.”

Dr. Colene Arnold, Garrison Women’s Health Center, Dover, NH

Incontinence—it is not something you have to live with.

Did you know that one of the most common problems women face, especially as we age, is incontinence? Rest assured! Just because it's common does not mean that it's normal. It is not something that you have to put up with as part of growing older. You do not need to feel embarrassed. You can take action, especially with our highly skilled physical therapists by your side. In fact, when our clients are consistent with their PT program, they can often avoid the need for corrective surgery.

There are two distinct types of incontinence, both of which our therapists are expert at assessing and treating:

• Stress Incontinence: The involuntary loss of urine “leakage” after an abrupt increase in abdominal pressure, for example, coughing , sneezing, laughing, jumping, running, exercise or any form of physical exertion. Stress incontinence is often due to weak pelvic floor and/or abdominal muscles that help support your bladder. This often occurs following vaginal delivery or pelvic surgery; both of which can damage the supportive structures of the pelvis. There may also be an associated prolapse (dropping of the bladder).

• Urge Incontinence: The involuntary loss of urine (leakage) associated with an abrupt and strong urge to void. This leakage can range in severity from mild to complete loss of bladder contents. It occurs when the bladder contracts abnormally. Bladder hyperreflexia (overactive bladder) may be of neurologic or non-neurologic causes such as inflammation, infection, estrogen deficiency or interstitial cystitis. Urge incontinence is a common problem as we age.

Just had a baby? Time to get back to shape.

If you've had a baby, you may be experiencing any one of pregnancy- or postpartum-related disorders, including low back pain, sacroiliac joint dysfunction and pubic symphysis pain and/or separation, all of which respond positively to physical therapy. Our therapists will thoroughly evaluate your specific condition, then educate you as necessary in joint protection, how to avoid aggravating factors, how to properly use supportive braces or corsets, as well as appropriate strengthening and/or stretching exercises. When you take time to focus on yourself, you'll be back in shape—and out of pain—in no time!

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