Women's Health/Incontinence Retraining
(Pelvic Health Physiotherapy)
Most control problems in the body happen because muscles are too weak or because nerve signals aren’t working well. Physiotherapists are used to assessing and treating these types of problems in various areas of the body. With post-graduate training, Physiotherapists adapt the same skills to treat specific problems in the pelvic floor area.
Specialized Physiotherapy is becoming more established in the literature as a first-line of defense against Incontinence and Pelvic Pain. Pelvic Floor Dysfunction can be caused by:
* HYPOTONICITY (Weak pelvic floor muscles): contributing to stress incontinence, urge incontinence and pelvic organ prolapse. Incontinence is NOT a normal part of aging.
* HYPERTONICITY (Tight pelvic floor muscles): contributing to Urinary and Fecal Urgency, Urge Incontinence, Chronic Pelvic Pain, Dyspareunia, Vaginismus, Vulvodynia, Pudendal Neuralgia, Interstitial Cystitis and Chronic Prostatits.
When these muscles have too much tension (hypertonic) they will often cause pelvic pain or urgency and frequency of the bladder and bowels. When they are low-tone (hypotonic) they will contribute to stress incontinence and organ prolapse. You can also have a combination of muscles that are too tense and too relaxed.
Pelvic floor dysfunction is diagnosed by specially trained doctors and physiotherapists by using internal and external “hands-on” or manual techniques to evaluate the function of the pelvic floor muscles. They will also assess your ability to contract and relax these muscles. Your bones and muscles of your lower back, hips and sacro-iliac joints will need to be assessed as well since these joints can stress your pelvic floor muscles.
You will always be seen in a private treatment room by the same physiotherapist who is used to treating these personal issues. The initial assessment and examination will take one hour. During that time you will have plenty of time to ask questions and leave with a good understanding of your condition and treatment plan.
The treatment itself will be based on the findings at the initial assessment, and may include education about your condition; lifestyle changes such as diet, exercise, stress management; pelvic floor muscle re-education (Kegel exercises); biofeedback; electrical muscle stimulation; manual techniques to reduce pain; stretching, strengthening or relaxation of muscles; bladder and bowel re-training and postural re-education. We are pleased to have Anita Connors and Katerina Miller performing these services.
Orthopedic Surgical Consults
We are fortunate to be able to work with Dr. Tim El-Tahan to expedite orthopedic assessments of patients for the need of surgery, as well as for injection therapy as required.
Dr. El-Tahan performs his surgeries out of the Aberdeen Hospital in New Glascow.
Common procedures performed by Dr. El-Tahan include:
ACL Reconstruction, Shoulder Stabilization, Meniscal Surgery, Sub Acromial Decompression, Chondral Surgery, Rotator Cuff Repair, Patella Stabilization, AC joint pathology, Total Knee Arthroplasty, Total Hip Arthroplasty
Should you wish to see Dr. El-Tahan, your family physician must send a referral to his office at the Aberdeen Hospital. His office staff will arrange to book your appointment.
Exercise is an important part of physiotherapy. Your physiotherapist will work with you to identify your individual needs and tailor your exercises appropriately. These exercises may involve: stretching, strengthening, range of motion, postural exercises, proprioception/balance activities.
Paediatric physiotherapists employ clinical expertise in the early detection of health problems, treatment, education and management of congenital, developmental, neuromuscular, skeletal, cardiorespiratory or acquired disorders/diseases. Paediatric physiotherapists work with children of all ages, from infants through young adulthood to promote participation and functional independence. Paediatric physiotherapists have a unique role in that they not only work with the child, but also their families in the context of their daily home, school and recreational environment. -Canadian Physiotherapy Association Pediatric Division.
At Platinum, our Paediatric therapists offer one on one assessment and treatment plans targeted at specific physical functional and participation goals of the child and their family related to gross motor function. Treatments may target range of motion restrictions, strength deficits, balance, motor planning, and/or deconditioning following injury or surgery, in a fun and interactive manner.
Conditions treated at our clinic include:
- Plagiocephaly and torticollis in infants (flattening of the skull, head tilting and/or tight muscles of the neck),
- Idiopathic Toe Walking (in typically developing children),
- Gross Motor Function Developmental Assessment of infants and pre-schoolers and treatment suggestions for noted delays,
- Education for new parents regarding positioning, developmental play and tummy time,
- Orthopaedic conditions including post fracture, post operative, post injury or related to splinting/bracing (ie: hip dysplasia, achilles tendon lengthening etc.)
- Physical conditions related to neurological conditions such as Cerebral Palsy, Down Syndrome, Spina Bifida
Please note that because we are a private physiotherapy clinic and do not have access to a larger interdisciplinary team or diagnostic equipment, we make every effort to communicate with your family doctor if further referral or intervention is recommended. We may not be able to accommodate children with complex needs that extend beyond the capacity of our facility. Also, although we may make recommendations for equipment, bracing or seating, we do not have the ability to source or modify specialty equipment. In certain circumstances, home visits or specialty reports for caregivers may be arranged for an additional fee.
As an adjunct to manual therapy, exercise and education, your physiotherapist may choose to use therapeutic modalities to assist with reduction of pain and/or inflammation. These modalities may include: Interferential Current (IFC), Ultrasound, Acupuncture, Electrical Muscle Stimulation, TENS, Cold therapy, Moist Heat
Manual and Manipulative Physiotherapy
Several of our physiotherapists are Fellows of the Canadian Academy of Manipulative Physiotherapy (FCAMPT). This means that they have undergone extensive post-graduate course work, mentorship, as well as completed written, case history and practical exams in order to gain this internationally recognized certification. CAMPT-qualified physiotherapists are devoted to understanding how and why movement improves function. We seek to maximize our effectiveness by pursuing advanced clinical expertise and specialized training in manual therapies.
For more information on Manipulative Physiotherapy visit the CAMPT website or watch the video below.
Our neurological physiotherapy program consists of exercise based treatment for neurological insults and disease including, but not limited to, Parkinsons Disease, MS, Stroke, Spinal Cord Injury, Acquired Brain Injury, Cancer, Multi-Trauma, and Amputations.
The availability of a dedicated neuro-rehabilitation private practice service helps patients transition following acute care discharge into an out-patient rehabilitation program thus reducing disruption and potential delay of recovery and helping to reduce wait time
In addition to the clinical environment, our private neuro-rehabilitation service is available in multiple potential settings when appropriate. Based on individual functional goals identified by patients and their families, we provide in-clinic physical therapy, home visits, gym program set up and in-gym recommendations. We may also provide community physiotherapy services to compliment those available from the hospitals.
Please see the list below for some of the services we provide. We will correspond with the referring physician or acute care therapist to ensure we are providing appropriate care.
Services include, but are not limited to:
· In-clinic appointments available at Platinum Physiotherapy, Upper Tantallon and Beaverbank Physiotherapy, Lower Sackville
· Home visits (Halifax, Dartmouth, Sackville, Tantallon, Fall River areas) if appropriate
· Baseline testing for strength, mobility, balance, sensation, proprioception, etc
· Balance assessments, gait and gait aid training, functional ADL assessments
· Outdoor ambulation profiles
· Individualized Functional Goal setting
· Exercise and cardiovascular program prescription and monitoring based on identified goals
· Community Health Services - teaching care givers to do PROM, stretching & transfers; performing mobility assessments, teaching/monitoring gait, education about home safety and basic set up/assessment of need for of assistive devices (ie. Grab bars), teaching proper use of gait aids or braces, etc.
· Helping patients with community gym programs (set them up with a program they can carry on with independently at a local gym near them)
· Regular communication with other members of the healthcare team.
Private neurological services are covered by most private insurance companies and can often be direct billed, call us for more information.
Platinum Physiotherapy is proud to announce they are offering LSVT Big's Parkinson's Based Treatment program to patients as both a home visit or in clinic. The innovative four-week treatment program allows Platinum’s LSVT Big certified clinician, Sarah Gaudry PT, to provide physical therapy services to Parkinson's patients looking to improve motor function. The LSVT Big program is an intensive, amplitude focused standardized treatment protocol that consists of four sessions per week for four weeks. The protocol is modified depending on patient's function and can be performed standing, sitting, or lying down. The program, which was developed and researched over the last 25 years with funding from the National Institutes of Health, has been shown to improve balance, increase trunk rotation, improve fine motor control and activities of daily living (i.e. bed mobility and dressing), and promote faster walking with bigger steps.
Our goal at Platinum Physiotherapy is to help patients gain independence with daily tasks as well as improve the quality of life of people with Parkinson’s. There is always room for improvement with the disease. Whether it be an increase in function, strength, or independence. Those things all translate into meaningful gains in the life of people suffering with Parkinson’s disease.
Sarah has been working closely with Parkinson’s patients and those with other neurological conditions. This certification allows her to offer a standardized protocol that has been extensively researched and supported by the National Institutes of Health to improve motor function in those patients.
The appointments are one on one, hour long sessions, 4 days a week for 4 weeks. Sessions will be held in our large, bright and beautiful clinic or we can offer home visits if you are unable to travel to us.
Though a referral is not typically required to see a Physiotherapist in Nova Scotia, the LSVT Big program does require a referral
from the patient's physician. For more information on enrolling in the program, please contact us at (902) 820-2777
For more information on the LSVT Big program, including patient testimony videos, visit http://www.LSVTGlobal.com.
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Platinum Physiotherapy and Rehabilitation Group
102-5216 Saint Margarets Bay Rd. Upper Tantallon, NS B3Z 0P3
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