Hudson - Litchfield News 14 - November 12, 2010
Area News Group AREA10
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healthy body, mind, and spirit. Is it Normal Aging …
submitted by Rebecca Underwood, PT, Salem Sports and Rehab Twelve million Americans are affected by urinary incontinence; one in four women will have incontinence at some point in their lives at a cost of $23 billion healthcare dollars per year. Two out of three people with incontinence can be cured! Most people find the topic of incontinence, or “leaking,” an embarrassing subject to talk with their doctor about, but the fact is many people, especially women, suffer from this problem and they do not need to.
Symptoms include but are not limited to leaking when you:
• sneeze, cough or laugh • get up from a seated position or lift something heavy • have the urge to urinate and cannot get to the bathroom in time • are sleeping • hear water running or on cold days
Do you:
• get up more than twice a night to urinate?
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Achieving The Joint Commission’s Gold Seal of Approval demonstrates the organization’s dedication to providing the very best care for our patients and the community.
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• go to the bathroom so frequently that you know where all the bathrooms are wherever you go? There are many types of incontinence, some of which are temporary and some of which are more permanent and often times aggravated by the changes of hormones in women. It is important to receive an appropriate diagnosis; a visit to your primary care physician, urologist, or gynecologist – wherever you are most comfortable – is recommended. Incontinence falls into four categories: • Stress Incontinence • Urge Incontinence • Mixed Incontinence • Overflow Incontinence Stress incontinence is the loss of urine during sneezing, coughing, exercising, laughing,
or is it a Treatable Medical Condition? healthy body, mind, and spirit.
or any similar activities. The cause is generally a case of weak muscles.
Urge incontinence is the sudden sensation to urinate and the inability to control the urgency.
Mixed incontinence is a combination of stress and urge incontinence. Overflow incontinence is a constant or frequent small amount of leakage of urine from a bladder that does not empty. The causes of incontinence are many, but once they are treated, the incontinence usually goes away. Temporary causes include urinary tract infection, constipation, certain medication, increased caffeine intake, alcohol, artificial sweeteners, or carbonated beverages. Other causes include weakness of the muscles holding the bladder in place, weakness of the bladder and/or the sphincter muscles, over-or under-active bladder muscles, decrease in certain hormones, especially estrogen; and certain neurological disorders. Because many times the cause of incontinence is weakness of the muscles or over- or under-active bladder, the solution may simply be pelvic floor exercises and/or a bladder-training program. The pelvic floor muscle is a type of hammock that supports the
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bladder, rectum, and uterus. When it is not exercised, the muscle weakens and is not effective in holding urine back in the bladder. Sometimes, the muscle has too much tone and is unable to relax, and retraining of the muscle regains its strength and ability to relax.
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In many cases, a good pelvic floor muscle-training program is all that is needed. At Salem Sports and Rehab, we utilize pelvic floor muscle biofeedback therapy along with computerized equipment that provides visual and auditory cues as to what the pelvic floor muscles are doing at various stages of therapy. The muscles give off electric signals that the computer monitor displays. The Pelvic Floor muscle training sessions are private sessions,
generally once a week, and in most cases covered by your insurance. Sports and Rehab offers pelvic floor muscle training in both the Salem and Derry offices. Why live with the embarrassment of leaks and pads/panty liners or Depends? Rebecca Underwood, PT, is a graduate of the University of
Lowell and has worked in the Salem area since 1989. She has owned and worked in outpatient orthopedic settings for 20-plus years.
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