Regain the Confidence. Reduce the Pain.
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225 Clearfield Ave
Virginia Beach, VA 23462
At Urology of Virginia, we have established an innovative therapeutic environment, ultra-modern facilities and urological therapies proven highly effective in relieving bladder control problems including urinary leakage, frequency, and increased nighttime frequency. We also offer successful treatment plans for pelvic pain, sexual discomfort, testicular pain and other conditions. Here, physical therapy specialists in pelvic floor therapies partner with our physicians to provide customized programs and treatment plans.
Patients are often referred to Urology of Virginia with complex bladder dysfunction or pelvic pain issues. We have successfully treated these patients with targeted approaches that may include muscle re-education, massage, electrical stimulation, exercise, patient education, heat modalities and PTNS (percutaneous tibial nerve stimulation).
Conditions Treated with Physical Therapy
The pelvic floor can also be implicated in bowel problems including chronic constipation, fecal incontinence and dysfunctional defecation. We are able to treat these conditions as well.
Voiding dysfunction is a condition in which the bladder is not able to empty properly. There is potential for this condition to affect urination and having bowel movements. One cause is poor coordination between the bladder and/or rectum with the external sphincter (pelvic floor muscles).
Problems with the coordination of various muscles in the pelvis can also cause chronic urinary tract infections, painful urination, frequent urination, and urgent urination, a sudden, compelling urge to urinate.
If the cause is found to be from the neuro-musculo-skeletal system, physical therapy is often the most successful course of treatment.
Pelvic pain in men and women can come from many sources. One major source of pain involves the muscles and nerves of the pelvic floor. These structures can produce pain, just as a muscle in the neck can cause pain and headaches. This often-unrecognized source of discomfort includes symptoms such as pain in the vagina, testicles, penis, anal region, bladder and abdomen. Muscular and nerve imbalance can create bladder and bowel dysfunction – including an irritating sensation of having to empty your bladder more frequently, difficulty starting urination, constipation, pain while sitting for prolonged periods, and pain with sexual activity.
Once your doctor has determined that an infection or a disease is not the cause of your symptoms, physical therapy can help to diminish and often eliminate pain.
Weakness in the pelvic floor muscles can contribute to poor support for the bladder, rectum and uterus. This can cause problems with urination as well as discomfort and pressure sensations in the pelvis. Strengthening these muscles with targeted exercises can help.
Urinary Frequency and Urgency
Our therapists can help you to reduce the irritating and often life-altering symptoms of needing to use the bathroom too frequently, day or night, as well as feeling you just can’t “make it”. We will assess how your muscle control may be involved and utilize non-medication treatments including a successful new approach called PTNS (percutaneous tibial nerve stimulation).
There are different types of incontinence, many of which can be cured or managed. Because incontinence is a symptom and not a disease, the method of treatment depends on diagnostic results. Treatment most often involves a combination of medication, behavioral modification, and pelvic muscle re-education.
Many people are familiar with the word “kegel,” used to describe a contraction, or exercise, of the muscles of the pelvic floor. These muscles are very important to good bladder function – including bladder control. Physical therapy uses a variety of effective exercise techniques to help male and female patients of all ages regain control.
We teach our patients the correct way to perform pelvic muscle exercises – “kegels” – providing specific instructions for a home program. We assess any problems with muscle function that may be contributing to bladder control problems. Male patients who have had prostatectomies may also benefit from specific exercises to reduce urinary leakage.
Common Physical Therapies:
- Manual therapy for pelvic floor and surrounding tissue
- Musculoskeletal exam for posture, breathing, flexibility, and strength
- Electrical stimulation to desensitize nerves or to contract and relax pelvic floor muscles
- Biofeedback to help you learn to relax and strengthen muscles
- Home exercise and therapy
- Strengthening and flexibility exercises
- Heat modalities for pain control, including ultrasound and moist heat
- Patient education
- Percutaneous Tibial Nerve Stimulation (PTNS)
Our therapists are highly trained and understand the sensitive nature of these types of medical problems. Our treatments are in private rooms. One of our goals is to make our practice comfortable and to provide gentle, effective treatment.