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"Fibromyalgia is bad, but with (Marnie's) help it can be maintained to an extent- tolerable. What's not to like about someone who can help you?" Sharon. Fibromyalgia-Chronic Pain

"I would love for other women to know that this kind of care is available for their pain. Each visit worked towards reducing the pain until I was no longer having it. What a joy to know this didn't require surgery.  Anita. Pelvic Pain

"After a few weeks of therapy and training my pain levels began to greatly improve! ...Understanding the frustration and needs of her patients makes Marnie a number one PT in her field of expertise. I am forever thankful for her." Angela Pelvic Pain-IC

"It helped to talk to someone who really understood that the pain and soreness I had was real and there was a reason for it. For the first time I really understood what was causing it and there was something I could do about it." Karen. Pelvic Pain-IC

"When you think that the therapy is too simple or easy is when it is working the most. Shannon. Neck-Dizziness

"Go before you get really bad and then relief happens sooner." Tim.  Back Pain

"Until I began therapy with Marnie, I did not fully understand my condition(s) and what to do to improve it. She not only provided me with a caring environment for treatment, but provided me knowledge and information to be able to try to work on issues at home."  Dawn.  Pelvic Pain

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Wednesday
Jul012009

*Pregnancy- Abdominal separation common in pregnancy-increases risk of incontinence

A study in the International Urogynecology Journal found that more than 50% of women seeking urogynecological examination presented with a separation of the “six-pack” abdominal muscle (diastasis recti). This occurred most frequently after pregnancy or abdominal surgery. Patients more likely to have this separation were mothers of multiple children, older, Caucasian or Asian, menopausal, using hormone replacement therapy, had abdominal surgery, and had weaker pelvic floor muscles.

A large percentage of the women who had this separation also had stress urinary incontinence (leakage of urine with cough, laugh, sneeze), bowel incontinence, or pelvic organ prolapse.

This suggests the importance of treating the separation to prevent these problems. Physical Therapists specializing in women’s health can show patients how to correctly train this muscle to decrease the separation and likelihood of future problems.

Spitznagle TM, Leong FC, Van Dillen LR. Prevalence of diastasis recti abdominis in a urogynecological patient population. Int Urogynecol J Pelvic Floor Dysfunct 2007; 18:321-328.

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