Spokane Physical Therapist Blog
What is Incontinence? Involuntary leakage of urine or bowl contents.
What are the causes of Incontinence?
There are several causes for incontinence in men and woman:
· weight gain
· muscle weakness
· chronic cough
· irritation of the bladder, infections, bladder stones
· emotional stress
· enlarged prostate
· Parkinson’s, Dementia, Diabetes, Multiple Sclerosis
· Damage to the bladder nerves
· Menopause hormone changes
· Gynecologic surgeries
· Strenuous activity or exercise
· Caffeine and high acid fluid intake
· Poor bladder habits.
How is Incontinence treated? Since there are different types of Incontinence (Stress, Urge, Overflow and Functional). There are many ways to treat Incontinence and talking to your doctor will help you find the treatment that is best for you. Here at Acceleration Therapy Services we have trained therapist that will show you how to strengthen the pelvic floor muscles and retrain the bladder to void appropriately. We use an external electrical neuro-reeducation unit (PENS) that provides muscle stimulation along with therapeutic activities and personal training on proper voiding habits.
Urinary incontinence affects 28% of woman ages 30-29, 41% of those 40-49 and almost half of woman 50 and older, according to a University of Washington survey of more than 3000 women. At Acceleration Therapy Services we utilize a variety of research based external techniques to help woman take back control and return to the activities they love.
Lymphedema is a chronic health condition that occurs most commonly after surgery, radiation therapy, or chemotherapy for the treatment of cancer. Other causes of lymphedema include, infection, obesity, venous insufficiency, trauma, or a part of the recovery process from joint replacements and other surgeries.
One in five woman treated for breast cancer will have mild to severe lymphedema during their life. Know and watch for the early signs of lymphedema. They are as simple as:
· A feeling of heaviness
· Your ring or watch becomes too tight
When lymphatic tissues or lymph nodes have been damaged or removed for any reason, lymph fluid cannot drain normally from that area. The area can become swollen and heavy with lymph fluid. The outpatient lymphedema therapy program at Acceleration Therapy Services helps people who are experiencing abnormal swelling of a body part (including but not limited to neck, arm, leg, breast, abdomen) caused by an excessive build-up of lymph fluid.
What we do:
The lymphedema trained therapists at Acceleration Therapy Services are committed to providing personalized care utilizing a series of treatments and focusing on patient education to allow you to manage and maintain the results from your therapy sessions.
Kinds of therapy we offer:
· Manual Lymphatic Drainage: A gentle, hands-on technique to move lymph fluid from the swollen region into parts of the lymphatic system that are still functioning.
· Compression Bandaging: May be used to help prevent the re-accumulation of lymphatic fluid.
· Therapeutic Exercise: Designed to improve circulation and function of the lymph system.
· Compression Garment Fitting: a medical compression garment may be used to maintain decongestion benefits.
· Personalized Education in Self-Care: at home techniques including: self-bandaging, self-massage, exercise, and skin and nail care.
Our Lymphedema trained Therapists:
Stacey Davis PT, DPT
Margaret Gardner, PTA
Are you experiencing neck and shoulder pain more and more frequently? Are you having your sleep disrupted as well as difficulty doing some activities due to pain without any onset of injury? Then you are probably one of the many experiencing chronic neck and shoulder pain likely associated with your
posture, alignment and the type of activities you are doing over a period of possibly years. This chronic problem will not go away on its own. It requires intervention. Prevention is ideal which requires you talk to your doctor to rule out any serious soft tissue injuries that will require surgery. Most often people
commonly wait to see the doctor when they are experiencing continuous pain and then an event or time usually results in a soft tissue injury that will require surgery, time off of work and a whole change to what kinds of activities you can do. How did you get this way? As there are various factors, we know that
time, age, gravity and activities or lack thereof take their toll on our bodies. Our spine starts to lose its natural curve as our head and shoulders begin to fall forward. This results in decreased spinal mobility reducing proper neck and shoulder mobility, thus causing you to use improper body mechanics due to
poor posture and eventually creating soft tissue injuries in the shoulders. Most people do not address these ongoing issues that most of us on the planet will face at some point in our lives before it is too late and something surgical is required. How we can change this is through awareness. Learning to take care
of ourselves better by addressing chronic pain before it turns into more visits to the doctor, the surgeon and eventually the physical therapist. If we could reverse this issue we would visit our doctor then see our physical therapist to correct any issues before they turn into bigger ones.
Acceleration Physical Therapy in Spokane WA is in the process of increasing our reach to Deer Park WA with Acceleration Rehabilitation. Look for more information in the future, but we are hoping to have Speech Therapy, Hand Therapy, Lymphedema treatment, Outpatient Orthopedic Manual Therapy, and functional exercise. Thank you for your support!
It looks like the weather is going to be a bit chilly for the Turkey Trot this year. Who knows though, there might be a bit of a warming to the point that most of the snow melts off. This is one of my favorite events because it just seems to be this organic unorganized fun run in the truest sense. You can run 1 or 5 or 10 or I suppose as many miles as you like. There are folks who dress up in costumes and most people bring a few cans of food for the food bank. It all starts at 9AM at the duck pond, but don't plan on parking anywhere near the park because it will be totally jam packed. The last couple of years, the crowd was in the ballpark of 300-400 people. Hope to see you there!
Mountain biking is one of my favorite exercise options in the summer months. Spokane is blessed with numerous trails for all levels. Some friends and I rode Mt. Spokane today, and I would say that it has the best trails in the area. We started on Trail 110, just above the Bear Creek Lodge. The trail is quite steep, and made for a difficult climb with quite a bit of hike a bike. We ended up at what someone we met called the CCC camp and took the road to the summit. There was still snow on top, so we ended up taking the road down for a couple of switch backs until we hit the trail. There were quite a few logs across the trail, and quite a bit of mud on the fairly technical downhill. We tapped into road 100 around the level of the saddle between Kit Carson and Mt. Spokane for one of the best flowing downhill rides ever. There are some tight switchbacks and large roots, but for the mostpart it is a really fast and winding trail. We ended up taking a bit of a side trip to 115, which had some interesting jumps and some technical sections. All in all, this was quite literally one of the best rides ever, and I highly encourage you to check it out. Hat tip to Chad Bailey for being the tour guide, and yes, you were right to go left instead of right. I know, I owe you a Fat Tire.
It has been a little wet this spring, but I have been able to get back on the mountain and road bikes. During the marathon training, almost all of my exercise was running, so it has been nice to get back in the saddle. Adventure race season will be a little bit short for me this year, but I am gearing up for the NIC Challenge. This race is a five hour rogaine style adventure race with kayak/canoeing, mountain biking, and trekking. Basically, you are given a map with checkpoints of various point values labeled. Your mission as a solo or group is to find as many points as possible. A rogaine style event means that there is no set order that the points need to be found in, and thus no set course. Typically, you are required to start on one discipline and then move to the next two. After you transition, you are not allowed to go back to that discipline. Obviously, there is some major tactical and strategic benefits to finding the most points in the alotted timeframe. If you get back late, there are some really harsh penalties. I really like adventure racing more than triathlons because there is so much of a mental component and orienteering requirement. I am not the fastest guy in the pack for any discipline, but we manage to do fairly well by making good choices during the race. Chad and I did the MerGeo rogaine, which was just trekking, out in Sprague, WA. Because we were 15 minutes late, we dropped from 9th to 16th place. It was a good reminder that the last point you get is not going to be worth it if you are late. This is the first year that we are doing the NIC Challenge, but I understand that it is a great race for beginners who want a taste of adventure racing.
What a great day at the Windermere Marathon, from Post Falls to Spokane. The weather report was a bit daunting, with some rain and even thunder showers, none of which materialized. At the start of the race, it was about 50 degrees with a gusting tailwind. I felt like we were running down hill and being pushed at the same time. My first three miles were run at about 8:20 pace, which is quite a bit faster than expected, but I wasn't pushing at all, just letting gravity and the wind push me along. I did the first half in about 1:57, and got to the 20 mile mark at just over 3 hours. In my mind, it is all about miles 21-25. Your body is telling you to walk. I walked through the water stations, but ran the rest, albeit very slowly. I made an effort at the end to finish at 4 hours. Several of the people I ran into with GPS were saying that the course was actually 26.4 miles, which is a bit irritating, as the Windermere Marathon has a history of poor milage markings and other significant errors. All in all, everything went as planned, and I am very happy with how I felt. There is no doubt in my mind that I left it all out there, and could not have done anything differently. I suppose if I had lost 20 pounds during my training, I could have gone faster, but I do likes me some ribs. You can check out a couple of pictures at our facebook page.
It felt great to finish my longest run of the training program this weekend. I am very tired, and a little sore, but overall things are going well. So, now I am at the point where I need to work on some speed and replenish what the long runs have taken out of me and work towards my 4 hour goal. I felt that to attain this goal I would have to be able to run 20 miles in 3 hours, and I was able to do that today. I had to push my speed on the last 7 miles to a point where I would not have been able to sustain it for another 6.2.
It occured to me while I was running today that there really is a lot that goes into the logistics of marathon training. There is this little ritual of making sure that toe nails are clipped to wearing the right socks/underware/dry fit shirt to getting all of my water together to figuring out what I am going to eat prior to the run. Then, when I get home, being able to rally for a couple of toddlers who are eager for my attention and love. I am grateful for the support of my wife, who is part of the Marathon Mamas group. She has been very supportive of my goals, and I can't imagine training for a marathon without a supportive partner.
So, to anyone else out there who is preparing for a race, I hope that things are going well for you. While I can't say that this training has been without setbacks, I think that I am at a point where I can achieve the goal that I have set.
It has been a good week of training. Had a bit of a scratchy throat, which made for a painful and cold morning 8 on Wednesday. My long run was 16 miles on the Fish Lake Trail. My goal is to keep up a 9 minute mile pace up for three hours to get me to the 20 mile mark. Then, I will be able to take it a little easy on the last 6.2, which is obviously the more difficult part. The name of the game for the next two weeks needs to be focus and discipline. From nutrition to hydration to pace and route choice, my training runs are as important as ever. The next two weeks will be 18 and 20 miles respectively. There is a part of me that wants to do the 20 next week to get it over with, but then I come back to trusting the marathon plan. "The System is the Solution."- I saw that on an armored car one time. A side note of inspiration for me...
The Boston Marathon was run over the weekend, and the guy from Kenya who won ran it in a little over 2:03, which is about 4 min 14 sec per mile. That ,makes my brain hurt a lot. I can't do a 100 yard dash at that pace, let alone 26.2 miles.