Showing posts with label evidence-based. Show all posts
Showing posts with label evidence-based. Show all posts

Tuesday, June 16, 2015

Women's Health: Success Story

In this guest post one of our patients, Cassie, tells her story about how Beth and Eastern Iowa Physical Therapy helped resolve her issues with stress incontinence, which Beth wrote about in a previous post.

Shortly after my first child was born 14 years ago, I began to experience “leaking” on a regular basis. This leaking would happen during exercise and sometimes even when I would sneeze. I had heard from other women that the same thing happened to them and that it was just part of having a baby and being a mom. They would suggest doing Kegal exercise or wearing a panty liner. Nobody ever offered any real solution. I mentioned it to my doctor as well and was told basically the same thing. I assumed since it was so common, there really was no solution.

About 2 years ago I began going to CrossFit. Movements during CrossFit such as doubleunders (jumping rope) and weight lifting were loud and pesky reminders that I had now given birth to three children and the leaking was not going to disappear on its own.  Fortunately for me, because of CrossFit I crossed paths with Beth and we became quick friends. One day she mentioned that women actually thought that leaking during CrossFit was normal. I sheepishly spoke up, telling her that I, too, assumed there was no way around it. I attributed it to birthing three children and even possibly to my lower back/disc issues that I had battled for over a decade. 

Beth suggested I meet with her to discuss these issues further and go over some breathing exercises that might work. I can’t lie, I didn’t really think she was going to have some magical plan that would eliminate the leaking completely, but I am one who is willing to try almost anything so I decided to give it a shot. When I met with Beth she was completely professional and prepared with handouts and a short video queued up that we watched together. We talked about my natural posture as well as some breathing exercises she wanted me to try. I had a hard time believing my breathing could somehow be linked to my leaking issues, but I was wrong. I left her office that day with my handouts in hand, determined to keep an open mind to the possibility of finding a solution to my problem if I worked at it. 

After leaving her office that day in April, I was diligent about practicing my breathing exercises. It was something I could do anywhere, anytime. I practiced at work, while waiting for my kids at practices, when I was driving, while I was swimming and doing yoga. I used to be a “chest breather” and these exercises quickly helped me begin to breathe from my diaphragm. Within about 6 weeks I stopped thinking so much about the breathing exercises and I began to notice less and less leaking. It was incredible! I could not believe that I was seeing a difference. I continued to work on my breathing, especially during swimming and yoga. If nothing else, the exercises helped me in my swimming and in my yoga practice. I gave it a few more weeks before sharing with Beth what I was noticing. When I felt confident my success was directly related to the exercises Beth had taught me, I let Beth know what was happening and she was ecstatic.

Today I rarely have to think about my breathing. I believe the regular practice of the breathing exercises over time retrained how my body naturally inhaled. I still practice when it crosses my mind but when I do if feel much more natural than it did when I first started the exercises. I can’t believe the difference I have seen in a matter of a couple months. It truly is mind boggling to me. If you experience leaking at all, my first piece of advice would be not to ignore it. Yes, it might be common, but no it is not normal. Instead of treating the symptoms, go seek help from a licensed professional who is up to date on current women’s health research. The fact that Beth whole-heartedly believes in professional development and places such a strong emphasis on women’s health played a large part in my success with this problem.  Lastly, don’t take their advice lightly. If you commit to the simple work of practicing these exercises regularly every single day, you will see results almost immediately. I promise you if I see this drastic change in such a short period of time, you will too. Really, what do you have to lose?

Wednesday, March 11, 2015

Learning is Our Choice

“The capacity to learn is a gift; The ability to learn is a skill; The willingness to learn is a choice.” - Brian Herbert 
If you have been in our Wilton Clinic lately, you will notice that I am often gone or working with some of our other therapists. For the past 15 months, I have been enrolled in a fellowship program with Evidence in Motion (EIM). So many of you ask….what does this mean? First of all, EIM is an educational institution with the primary function of providing top-notch postgraduate education programs for physical therapists. Their program is a blend of online and hands-on training by faculty who are clinicians, professors, and researchers in the field of physical therapy.

A Fellow in physical therapy is considered an expert practitioner skilled in the evidence-based practice of orthopedic manual physical therapy. Fellowship graduates are also primed for leadership in teaching manual physical therapy and are active participants and contributors to clinical research. The program is 24-36 months long and requires weekend courses in addition to many hours spent with a Fellow Mentor, a physical therapist who is currently a Fellow. I am considered a FiT -- a Fellow in Training. This past year, I traveled to Des Moines University to gain hours and worked near Norman, Oklahoma.

Corey learns by experiencing
In addition to furthering my education, three of our physical therapists are enrolled in EIM’s Residency program. Corey Dieser, Wilton Clinic, and Rene Teel-Mulka, Blue Grass Clinic, have been in this program for 8 and 3 months, respectively. Joshua Crow, Wilton Clinic, will be enrolling soon. A residency program is also a combination of online courses, weekend intensive hands-on courses, and clinical practice hours. These therapists will also be receiving the highest caliber of training with the goal of becoming distinguished leaders in evidence-based orthopedic, sports, and manual physical therapy practice. Pretty impressive!

Therapy with a little help from my friends
As you can see, all of the therapists at EIPT are passionate about what we do. We continually strive to be better for you, our patients. Learning is our choice, and we are doing it well here at EIPT to help you live fully and move freely.