Advance biofeedback modalities by:
Real time biofeedback ultrasound
Ultrasound helps the therapist and patient see if there is improvement with therapy. The therapist will gently place the ultrasound probe on the belly, above the pubic bone. Patients will be able to see the movement of their pelvic floor when performing the kegel exercise correctly. Many patients tend to bear down instead of closing and lifting the pelvic floor when doing a kegel. The ultrasound also helps us see if the bladder is emptying completely, if there’s a prolapse, or if there is a muscle spasm.
Pilates based reformer & Cadillac
Joseph Pilates is the creator of Pilates. Pilates is an exercise that engages your deep core, while performing both eccentric and concentric muscle contractions. Patients learn to correct their bad posture habits and gain body awareness, as well as flexibility and stability in their joints. Most exercise machines you’d use in the gym isolate a muscle contraction, when in reality you need full-range of motion, muscle flexibility and strength to efficiently perform a push or pull movement in the real world.
Manual lymphatic Drainage
Manual lymphatic drainage is a hands-on technique that helps optimize lymphatic fluid return to the lymph nodes. The job of the lymph nodes are to filter out the body’s waste products such as water, protein, white blood cells, and bacteria. When the lymph nodes are damaged due to surgery, radiation therapy, scar tissue, or from repeated injuries — there will be an accumulation of lymphatic fluid that thickens and results in edema, fibrosis (hardening of tissue) and pain. If left untreated, weeping, wounds and infections can occur. Lymphatic drainage helps improve your immune system. It helps the body absorb swelling after a surgery, and helps reroute lymph fluid after lymph node removal from cancer surgery. It can also help with bloating when you have IBS, Crohn’s disease, and premenstrual pain syndrome.
Surface electromyograph (sEMG)
The SEMG for the pelvic floor uses electrodes placed on the perineum to record the electrical output of the muscles when it contracts, and when it’s at rest. This helps the clinician assess the patients pelvic floor muscle endurance, rate of recruitment, muscle relaxation, and if the amplitude of the contraction improves with therapy when the muscle is weak.
Medivan lymphedema reduction kits
With the use of adjustable Velcro straps and foam pieces, patients are able to adjust the tighten the straps at home every 3 hours to optimize the graded compression, and achieve faster swelling reduction. Patients are able to remove the wraps to shower and can reapply them between lymphedema therapy sessions. With the use of the Medivan reduction kits, patients are more comfortable and compliant with lymphedema therapy.
CDT Complete Decongestive Therapy
- Manual lymphatic drainage
- Short stretch compression wraps
- Decongestive exercises
- Life style modification: diet, hydration, skincare
- Maintenance therapy: daily compression garment wear.
CDT is the mainstay treatment for lymphedema and venous insufficiency
Visceral manipulation
Patients can develop adhesion between organs and fascia. Adhesions may be from surgery, chronic poor posture, chronic inflammation causing decreased blood flow to said organ which can result in pain, cramping, constipation, and infertility. Visceral manipulation is a type of gentle massage done on the abdominal area. It helps maintain the normal mobility of all the internal organs such as the intestines, stomach, liver, bladder, uterus, and bowel.
