Pelvic Floor & Core Muscle re-education
The “Core” is a dated concept. You are not an apple and there is not one muscle, such as your 2-6 pack that is going to be the answer to all of your symptoms. Your body is a synergistic group of muscles, nerves, joints, ligaments and tendons that all have certain jobs to help with stability and mobility. We help you move the way you want to and part of that treatment is to help you become aware of the systems in your body so when you exercise, train or move, your patterns of movement are optimized! So if that means we spend time helping you feel various muscles (always begins with breath and the pelvic floor) and then helping you exercise or move in a way that is more beneficial for your body, that is where we excel.
Nerve Desensitization Treatments
Pain for more than three months, sciatica, pudendal nerve pain, entrapment, sensitivity, autoimmune, IBS, fibromyalgia, endometriosis, migraines, POTS, chronic fatigue, adrenal, thyroid, sleep disorders and I could go on. One commonality we see in all of these diagnoses is that the nervous system is injured. The story and journey are always unique to the individual but the human brain and nervous system are designed to operate at a baseline without threat and that is not the case in every one of these diagnoses. You are more than your diagnosis which is why we offer so many different treatments, resources and strategies to address your nervous system. It is well worth a conversation. We see many people that tell us ____ didn’t work. The nervous system freaks out (pain, anxiety, inflammation) if it feels threatened. You have to find the least threatening treatments and slowly progress forward, otherwise the result will be the same. Reinforcing the belief, see it doesn’t work. We work hard to find what works for you and we are very patient. We won’t say it is in your head. We get it.
You have probably heard of a number of things that fall under this broad category: massage, soft tissue and joint mobilization, myofascial release, visceral massage, cranio-sacral work and many more. There is not one technique that is THE fix. Everyone responds a bit different to these techniques. Our goals as therapists also can vary depending on your body and your symptoms. If we feel that you are not moving well and a certain area, be it scar, joint, skin or muscle, seems like it is contributing to the lack of movement, we may offer such techniques to promote better movement, improve blood flow, facilitate healing and desensitize the nerves in this area.
We have years of experience and many different techniques that we have learned over the years that we can incorporate into treatment sessions.
Dry needling is a technique physical therapists use (where allowed by state law) for the treatment of pain and movement impairments. The technique uses a "dry"needle, one without medication or injection, inserted through the skin into areas of the muscle.
Dry needling is not acupuncture, a practice based on traditional Chinese medicine and performed by acupuncturists. Dry needling is a part of modern Western medicine principles. Oceanside PT is trained in theories based on neurological dry needling and intra-muscular dry needling.
Biofeedback & Electric Stimulation: Pelvic Floor
We are well versed in this treatment strategy and do find it very helpful in many cases but it is not our first and only treatment. If you had pelvic floor PT many years ago, or possibly if you went to an inexperienced provider, this was likely the primary treatment offered to you. If your past experience included only this limited treatment meant to alleviate your symptoms, it doesn’t surprise us that you are reading this looking for more help. Biofeedback and electrical stimulation are good options, but they are not the only ones we use. The pelvic floor is always more complicated and deserves a multi-tool approach.
Balloon Assisted Training For Bowel Dyssengergia
In this technique, a small, soft balloon is inserted into the rectum and is attached to a large syringe that will inject either water or air into the balloon, causing the balloon to enlarge within the rectum. This training technique allows the patient to provide feedback about the sensation of rectal filling including when the patient perceives urges to defecate. The patient can practice expelling the balloon, and in the event of a dyssynergic pattern of pelvic floor muscles, the balloon would not be expelled due to increased muscle tension and shortening of the anorectal area. In this manner, the patient is trained to bring awareness to the anorectal area, and to respond with healthy patterns of defecation.
Balance is essential as we age and is often affected with persistent conditions such as pain. We strive for a “balanced program” for you and that includes balance activities. Your system responds to challenge and you have to leave your comfort zone, safely, to improve.
Osteoporosis Exercise Management
If you have osteopenia or osteoporosis you have probably been told to weight train. This is a great recommendation, but if you are not activating the proper deeper muscles that attach to your bones, then you are likely missing out on the full benefits of this exercise. We can help optimize your current program with the goal of building more bone density and make sure you are incorporating the right exercises that will help avoid potential complications such as stress fractures.
Education for the Fitness Professional
We love teaching the teachers and are excited to offer skilled education through private sessions or workshops at your gym or studio. We provide our patients a treatment plan and a starting foundation, but our ultimate goal is helping them find a lifelong passion for movement, whether that be through yoga, pilates, walking or golfing (just to name a few). Collaborating with fitness professionals who really understand our approach and strive to bring that follow-through to our patients for the long term is exactly what we are looking for. We treat many instructors who they themselves are suffering, but who also just want to know more, especially about the pelvic floor. Contact Dr. Cristin Zaimes DPT, if you would like to organize an event or workshop at your studio.
We are excited to offer additional training to Yoga teachers and students who wish to optimize their practice by helping them understand proper postures that optimize the deeper muscles and pelvic floor in their practice. Emily Lerner PT, RYT is a pelvic and orthopedic therapist and certified Yoga Instructor. She loves working with patients and instructors with regards to their yoga practice.
The 4-D wheel is an innovative tool which allows patients to investigate the depths of their brain for optimal healing. Recent advances in pain resolution have proven that the complexity of the brain must be integrated into healing. Learn more about Sage Wheeler.