Passages PT offers advanced technologies for patients to learn about the sources of their symptoms and help them heal faster!
Patients become encouraged when they are able to see a display of their pelvic floor contractions and note how the muscles feel when they release them. EMG is similar to watching a heart monitor, except the surface patches are externally at the perineal region at the base of the pelvis. We usually recommend having at least one biofeedback session within a month of your initial visit.
Most people are surprised that we don’t instruct vintage “Kegels” and encourage high power efforts at the start. We follow rehabilitation principles that are consistent with treatment for other parts of our body. This is also helpful for teaching how to release for “Reverse Kegels”. We begin gently and build endurance with coordinating with breath and good alignment. Later we add moderate and stronger contractions, instead of just straining for high power efforts at the start.
Letting go of the pelvic floor muscles can help with pain, difficulty emptying the bladder or bowel, or when muscle clenching influences pain with sex. We often start in a reclined position, but change to sitting and even add active arm and leg movements. We can monitor response to treatments. Some patients choose to order specific hand-held portable trainers, that are able to to watch their muscles working at home.
Rehabilitation Ultrasound Imaging:
Passages PT offers Rehabilitation Ultrasound Imaging, RUI for non-invasive muscle training. You can see your muscles in action, looking from outside of the abdominal regions. It is similar to diagnostic ultrasound, but is set to show muscles, fascia and even the bladder. Patients love seeing the layers of the abdominals at work, to learn how to activate for helping stabilize the spine, pelvis and hips. It is also amazing to watch the lower pelvic muscles lift and release the bladder, especially with a cough, sneeze or leg lift!
This can help you learn to find your deepest core muscles to support the spine and pelvic organs. For those with abdominal muscle separation, it can be useful to watch effects as you try different movements or exercises.