Category Archives: What We’ve Been Up To

RM Hosts DMV Pelvic Floor Study Group

    

Restore Motion hosted the DMV Pelvic Health Study Group Saturday, January 27th.  There were over 23 attendees from DC, Maryland, VA and WV!  Our guest presenter was Dr. Rachel Rubin a urologist who specializes in sexual health.  We were thankful for the chance to discuss scholarly articles and challenging patient care issues with Dr. Rubin.  

One sensitive topic discussed was the general outrage about the sexual abuse by USA Gymnastics Team physician, Larry Nassar . His actions put legitimate treatment of the pelvic floor in questionable light for the general public.  (See link to article below by a pelvic floor PT and doctor of Physical Therapy.)

This determined group of therapists and physician want to speak out for the necessity of pelvic health and sexual health education for all ages.  We also enjoyed catching up with and meeting our colleagues and friends.  Always good to put a name with a face!  

We plan hold more events that bring our network of colleagues closer together to help our patients.  It often takes a team of practitioners to heal pelvic dysfunction and sexual trauma. Physicians (urologists, gynecologists, colorectal, gastroenterologists), physical therapists, mental health therapists, nutritionists and sex therapists refer to each other to promote each patient’s healing and well being.    

Written by: Miriam Graham, PT, DPT, MBA   

Nassar’s Atrocities Stigmatize A Legitimate Medical Treatment article by Lori Mize, PT, DPT

    

International Pelvic Pain Conference 2017

Restore Motion physical therapists Carrie Cothran, Patrick Wenning,  and Reshma Rathod attended The International Pelvic Pain Society Conference held in Washington DC October 11-15th. When asked to summarize her “take home discovery” from the IPPS Conference, Carrie Cothran replied, “Pain can be viewed as a neuro-immune response.  Structures within the body that aren’t injured may still undergo an inflammatory reaction due to the tissue changes associated with pain. This in turn contributes to long-term protective responses that affect resting muscle tension and ability to do work. The protective responses that occur with pain make the body more vulnerable to injury.”

Patrick Wenning remarked, “At the conference, there was such enthusiasm for better understanding scientific knowledge of the pelvic floor. Most of the time, pelvic floor rehabilitation is new to people and to other PTs mainly because it is an area of the body that people don’t want to talk about. Discussion with fellow participants was frank and enlightening.  They made me feel that I had something to contribute and that I made the right decision to pursue this specialty. I still have a lot to learn as the science continues to uncover more useful information!”

Reshma Rathod added, “Opioids don’t work with Fibromyalgia or chronic pain since the endogenous opioid receptors are already occupied due to changes associated with chronic pain.  When opioids are given for acute pain, they interfere with mood, sleep patterns and contribute to headaches. Ironically, patients may want to continue on the opioid medication to address their depression, difficulty sleeping and headaches.  The body’s dependence opioid medications ‘stick’ with the person making it more difficult to discontinue and cause more problems in the long run.”

Reshma taught Muscle Energy Technique to Women’s Tennis Association Physical Therapists and Miriam taught Sex Therapy U at the Chicago School of Professional Psychology in D.C.

Reshma and Miriam dedicated time to help others in their professional development in January and February.  Reshma taught a nearly full day webinar to physical therapists of the Women’s Tennis Association (WTA) February 4th.  The topic was Muscle Energy Technique (MET), an osteopathic manipulation technique where the action of a muscle is used to improve joint range of motion and the ability of muscle to fire.  Reshma and Miriam started their study about and using MET in the 1990’s at Michigan State University School of Osteopathic Medicine CME.  Reshma is one of a hand full of primary health providers in the world for the WTA! 

Miriam also spent February 4th teaching for Sex Therapy U at the Chicago School of Professional Psychology in downtown Washington, DC.  The topic was Women, Sex and Therapy: Ongoing Sexual Pleasure and Couples Interventions for Healing – Treating Pelvic Floor Issues with PT and Sex Therapy.  She presented various issues that affect pelvic floor and sexual function and how physical therapy can help those dysfunctions.  The students got to practice breathing into the pelvic floor, and using racquet balls to roll out muscular trigger points in the legs and back and tips to help their patients understand pelvic floor function.  They also learned ways to help their clients experience and explore communication through touch. 

The staff of Restore Motion is planning to offer a pelvic floor and manual therapy continuing education course for Physical Therapy CEUs in the near future – “watch this space.”