Category Archives: Staff

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Postnatal pilates – Do you have difficulty controlling urine when you cough, sneeze, laugh or exercise?

The pelvic floor muscles have many different functions and dysfunction within them can present itself in many different ways. During a vaginal delivery the pelvic floor muscles have to stretch to three times their normal length, so it’s no surprise that they may need a little bit of help regaining their function post-natally.

Bladder

  • Do you have difficulty controlling urine when you cough, sneeze, laugh or exercise?
  • Do you have a feeling of urgency to go to the loo, which you sometimes can’t control?
  • Are you unable to fully empty the bladder and often have to go back?

Prolapse

  • Have you noticed any heaviness or aching around the vagina?
  • Have you felt any bulging in the vagina or felt that something might ‘come out’?

Bowel

  • Do you have difficulty controlling wind?
  • Do you struggle to completely empty your bowel?
  • Do you have a sense of urgency to empty the bowel?

Sexual

  • Do you experience discomfort or pain during intercourse?

Pelvis dysfunction

  • Do you have pain in any of the following areas: pelvis; lower back; hip; groin; abdominals?

If you are 8 weeks postnatal or over and the answer to any of the following questions is yes, then we strongly advise that you make an appointment to talk to one of our Women’s health physiotherapists.
The symptoms below are not normal because you have had a baby. It has been shown through research that practicing Pilates exercises has many benefits. However, Pilates exercises on their own will not strengthen the pelvic floor muscles: to be effective exercises must be taught and guided by a women’s health physiotherapist.
Thanks to our physiotherapist Stephanie Crossland for putting this information together

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Dr. Jan Dommerholt visits Milltown Physiotherapy sharing advances in dry needling

We were delighted to host renowned myofascial and chronic pain expert physiotherapist Dr. Jan Dommerholt for a course on dry needling in back and pelvic pain on Wednesday the 30th of November.

Dr. Dommerholt is a Dutch trained physio and a recognised expert in the physiotherapy diagnosis and treatment of persons with myofascial pain syndrome, chronic pain syndromes, and whiplash associated disorders. He has published several books, over 60 articles, and nearly 40 chapters in medical and physical therapy textbooks on myofascial pain, chronic pain conditions, fibromyalgia, complex regional pain syndrome, and whiplash.

If you’d like to know more about this therapy please have a look at our dry needling section http://milltownphysiotherapy.com/therapies/dry-needling/

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Urinary incontinence: why aren’t women talking about it?


“With one in three women affected after childbirth, it’s surprising to find that female incontinence is rarely spoken about”

A great piece in Monday’s Irish Times documenting patient experiences and also offering some advice from our Specialist Women’s Health physiotherapist and practice partner Maeve Whelan.

http://www.irishtimes.com/life-and-style/health-family/urinary-incontinence-why-aren-t-women-talking-about-it-1.2835293

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World Physiotherapy Day This Week


Physical therapists help add life to years

Physical therapists can help older people to be independent, improving quality of life and reducing health care costs. This is the message from thousands of physical therapists across the world as they prepare to take part in World Physical Therapy Day on 8th September 2016.

Every year, World Physical Therapy Day allows individual physical therapists and WCPT member organisations to celebrate their contribution to global health. This year’s event builds on the success of 2015, when thousands of physical therapists used the #worldptday hashtag on Twitter to unite events across the world.
This World Physical Therapy Day uses the theme “Add life to years” and the hashtag #addlifetoyears, following the World Health Organisation’s World Report on Ageing and Health which says that “maintenance of functional ability has the highest importance” for older people.

The World Confederation for Physical Therapy played a significant role in the consultations for the new WHO ageing and health strategy. “World Physical Therapy Day is the first opportunity since the adoption of the report for physical therapists to show how important the profession is in ensuring healthy and active older people,” says WCPT President Emma Stokes.
“The evidence of the clinical and cost-effectiveness of physical therapy for older adults is incontrovertible. World Physical Therapy Day, with its focus on adding life to years, gives physical therapists a great platform to communicate this message to older people, the wider community and health care policy and decision-makers.”

By 2050 the global population will include two billion people aged 60 or over, and 400 million aged 80 or over. Physical therapists have a key role in helping people with long-term conditions achieve their goals, fulfil their potential and participate fully in society.
“Every day frontline physical therapists are transforming lives through the application of their clinical skills and experience. This is particularly so when working with older people whose health needs increase as they age”, says WCPT Chief Executive Officer Jonathon Kruger.
“Enabling older people to maintain their independence and continue to participate in society is a key skill of physical therapists around the world. In the coming years these skills will be more in demand and the global profession is willing and able to meet that challenge.”

For more information, contact your national physical therapy organisation (see www.wcpt.org/members), see the resources at www.wcpt.org/wptday-toolkit or email Mia Lockner at mlockner@wcpt.org

Background information

    About physical therapy
    Physical therapists (known in many countries as physiotherapists) are experts in developing and maintaining people’s ability to move and function throughout their lives. With an advanced understanding of how the body moves and what keeps it from moving well, they promote wellness, mobility and independence. They treat and prevent many problems caused by pain, illness, disability and disease, sport and work related injuries, ageing and inactivity.

    Physical therapists are educated over several years, giving them a full knowledge of the body’s systems and the skills to treat a wide range of problems. This education is usually university-based, at a level that allows physical therapists to practise independently. Continuing education ensures that they keep up to date with the latest advances in research and practice. Many physical therapists are engaged in research themselves.

    More detailed information about what physical therapists do can be found on WCPT’s website: www.wcpt.org/policy/ps-descriptionPT.

    Campaign resources
    WCPT has pulled together a collection of additional resources on ageing including research supporting the role of physical therapy in promoting quality of life in older people and information for the public: http://www.wcpt.org/wptday-resources.

    About World Physical Therapy Day
    World Physical Therapy Day falls on 8th September every year, and is an opportunity for physical therapists from all over the world to raise awareness about their crucial role in keeping people well, mobile and independent. The day was established by WCPT in 1996, and marks the date on which WCPT was founded in 1951. More details and toolkit at: www.wcpt.org/wptday.

    About the World Confederation for Physical Therapy
    WCPT is the profession’s global body representing over 350,000 physical therapists/physiotherapists from member organisations in 114 countries. More information: www.wcpt.org.

Tara Murtagh

Welcome to the clinic – Tara

We are delighted to welcome Tara Murtagh to the clinic due to increasing demand. Tara has a wealth of experience, and also expert post graduate training in Pelvic Floor rehab and continence.

Tara is passionate about treating prenatal and post natal musculoskeletal conditions, pelvic floor and continence rehab, clinical Pilates, dry needling as well as exercise prescription and rehabilitation.
Welcome on board Tara!

Milltown Physiotherapy on the Radio

Our specialist Women’s Health physiotherapist Maeve Whelan was asked on the radio to give her expert advice during World Continence Week to discuss overactive bladder (OAB). A surprisingly common condition effecting 15% of the population.
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A lot of great advice from Maeve here and worth a listen for both clinicians and patients alike.

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World Continence Week and Overactive Bladder (OAB)

One in three women experience urinary leakage.

Just under 60% of women who never had a baby have had some sort of pelvic floor symptoms – this may be bladder or bowel control, pelvic organ prolapse or sexual pain.

15% of Irish people experience overactive bladder (OAB) symptoms.

Half of Irish people don’t understand OAB.

90% avoid visiting their doctor for help when the condition first occurs.

Irish research shows that 22% of Irish people claim they would either do nothing or are unsure of what to do if they experience OAB symptoms – and almost 1 in 3 report embarrassment as the key barrier to seeking help for OAB.

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To mark World Continence Week 2016 Irish experts shared tips on improving bladder control encouraging the public to take action and improve their bladder control.

Specialist Chartered Physiotherapist In Womens’s Health & Continence Maeve Whelan went to Jumpzone and with a group talked about the pros and cons of pelvic floor exercising on a trampoline!

 

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Trampolining is not for the feint hearted! The problem is that those who have real problems wouldn’t dare. The majority of women would think that they could n’t get up on a trampoline for even a minute, let alone stay there long enough to strenghten the pelvic floor.

 

WHAT HAPPENS WHEN IT GOES WRONG?

Every time you land on the trampoline, your pelvic floor has to contract to keep everything in place. Yes – if you have problems with bladder leakage, it might increase your symptoms. . The bounce generates a lot of intra-abdominal pressure, and if your muscles are too weak – you’ll leak.

 

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Think of a ship in dry dock: the organs (bladder, uterus and bowel) keep going down and the support (the muscles or in this analogy the water) is not there to counteract that force. The neck of the bladder opens.

 

However – you are up there with the highly trained:

  • 80% of elite trampolinists have pelvic floor leakage
  • 28% of all athletes have pelvic floor leakage

 

WHAT DO I DO ?

Learn how to do a  CORRECT PELVIC FLOOR CONTRACTION:

  • Squeeze engaging from the back as well and up to the front across the vagina and towards bladder
  • Lift up and in as if trying to stop passing wind and stop passing urine
  • Don’t lift your chest & don’t squeeze buttocks
  • Start by holding for 5 and drop completely
  • Then progress to hold for longer and introduce breathing at the same time
  • Do 10 reps x 3 times per day
  • Do some in lying some in sitting and some in standing

 

Engage your core muscles

 

  • Zip up lower tummy as if away from knicker elastic or tummy button to spine
  • DON’T brace the tummy – that means you shouldn’t feel a popping out of the muscles under the ribs
  • DON’T lift your chest
  • Engage the pelvic floor muscles
  • Practice with the pelvic floor 10 reps x 3 times per day

 

Posture

 

  • Lift the chest – make sure you are not rounded at the middle back
  • Use the buttocks to stand– don’t sag down at the pelvis
  • Don’t brace the upper tummy

 

HOLD while bouncing – Some gentle rebounding – your feet don’t even have to leave the surface at first and build up impact all the time working on contracting the pelvic floor at impact.

 

Be careful – don’t over brace the core or the pelvic floor – you might leak more.

 

BUT Conscious, active “zipping” of the core is only required when you are increasing your activity levels – bouncing, lifting, running, pushing, bending, weight training etc.

 

DON’T FALL IN TO THE TRAP

 

  • Oh well I have had a baby – that’s the way it is now
  • I thought it was the menopause – it’s the hormones
  • Oh well I am too old – its too late for me

70-80% of women will do well with bladder retraining and pelvic floor exercises – have a look at http://www.oab.ie .

 

FINALLY – TRY EVB SPORT SHORTS FOR EXTRA SUPPORT http://evbsport.com  !

 

 

 

Louise

Welcome to the clinic – Helen and Louise

Milltown is delighted to announce due to increased patient demand two new physiotherapists for the clinic. Dr. Helen French joins us part time as she combines her role as a Senior Lecturer in the Royal College of Surgeons with some clinical work. We are delighted to be able to tap into some incredible experience and knowledge of cutting edge research.

We are also very happy that Louise Blackburn has agreed to join our team here in Milltown Physiotherapy. Louise (pictured) has extensive experience working in private practice in New Zealand. She has a masters in acupuncture, and specialises in orthopaedics, sport and spinal injuries.

We also say goodbye to  Niamh Dillon, who now takes up a teaching post in St. Vincent’s. While her clinical work ends, she has agreed to stay to continue to teach her very popular pilates evening classes. Good luck with the new job Niamh!