Pelvic+Floor+Physical+Therapy

** Contra Costa County Rehab Therapy Services **
 * PELVIC FLOOR REHABILIATION PROGRAM **
 * __What Do Pelvic Floor Physical Therapists Do?__**
 * Assessment**:
 * Direct assessment of pelvic floor musculature for strength/endurance/tone/trigger points. Digital vaginal/rectal exams performed as indicated with patient consent.
 * Orthopedic and neurological assessment of lumbar/pelvis/hip joints.
 * Treatment:**
 * Bladder/Bowel diary, Bladder/Bowel habit retraining, neuromuscular re-education, manual therapy – soft tissue/joint mobilization, therapeutic exercise, home exercise program
 * Education: constipation prevention, dietary adjustments re: fiber/fluid intake
 * Biofeedback w/internal (vaginal or rectal) or external sensors
 * Modalities as indicated: E-Stim w/internal or external sensors, ultrasound, heat/cold, TENS
 * Balloon manometry - for bowel/rectal disorders such as fecal incontinence and/or chronic constipation


 * __Patients Appropriate for Referral – Female and Male__**
 * Bladder: incontinence, urgency, dysuria, interstitial cystitis
 * Bowel: incontinence, IBS, constipation
 * Organ Prolapse: Stage I or II - best results
 * Pelvic/SI joint pain, coccydynia, pudendal neuralgia, dyspareunia, vaginismus, vulvodynia, pre/post-partum complications including pubic symphysis disruption, diastasis recti
 * Pre and post Uro-Gynecological Surgeries, prostate surgeries

__Patients NOT Appropriate for Referral__**
 * __How to Refer:__** Choose “REF451-PT/OT PELVIC FLOOR/PRENATAL INT REF”
 * Please include diagnoses on referral and use comments for patient problem info
 * Please educate patients on what they can expect from therapy i.e. limited vaginal exam**
 * Active Infection
 * Lymphedema
 * Osteoporosis as a primary diagnosis
 * Cognitive impairments – unable to follow commands
 * Unmanaged psychological disorders
 * __Pre-Natal Group Program -__** Currently at WCHC and MTZ. At PHC prenatal groups a therapist is visiting prenatal groups.
 * 2 session group with individual musculoskeletal screen- focusing on pelvic and basic core exercise, correct body mechanics and safe movement strategies during pregnancy, laboring positions, breathing/relaxation, home exercise with video . Ongoing therapy available if needed
 * Refer with above noted referral and state ‘prenatal exercise group’

Martinez (MTZ): Monday/Friday (925) 370-5750 Kenna Brinkman, MPT & Mariah Rivera, DPT Pittsburg (PHC): Tuesday/Thursday (925) 431-2730 or 370-5200 x 4744 Kenna Brinkman, MPT San Pablo (WCHC): Wednesday/Friday mornings (510) 231-9525 Mahjobeh Rezazadeh, MPT
 * __Clinic Hours/Contacts:__ Please call us anytime if you have questions re: your patients or our program**

Rehabilitation Therapy Prenatal Education and Exercise