post-prostatectomy-incontinence Post-prostatectomy-incontinence is a common problem after radical prostatectomy. Patients report that this is the symptom which most disrupts their quality of life. Up to 75 percent of men experience a short period of mild incontinence. This is particularly after removal of the catheter that was placed during surgery. Most patients regain total urinary control after radical prostatectomy. However, this can take up to a year to achieve. Apparently, a small percentage (2% to 4%) experience permanent incontinence. Following radical prostatectomy, men who experience post-prostatectomy-incontinence may express concerns about visible wetness, urine odor, and the type of clothing that can be comfortably worn. Types of Urinary Incontinence The two types of post-protatectomy incontinence following prostate surgery are: • Stress incontinence – Stress incontinence is the involuntary loss of urine that can occur during physical activity, like lifting a heavy object, or when you laugh or sneeze. These . activities put…

Female & Male pelvic pain There are various conditions which are treatable under male and female pelvic pain. Vulvodynia Pain that affects the entire vulva Symptoms • Burning • Stabbing • Stinging • Itching • Sensitive to touch and pressure • Functional limitation (Sex/ tampon/clothes) Vestibulodynia The vestibule is where the vulva (area of the skin on the outside) meets with the vagina. It is an extremely sensitive part of your body. Symptoms: Hypersensitivity on light touch, such as during intercourse and on insertion of tampons.Some women have pain but are able to tolerate penetrative sex. They may have soreness and tenderness. This may include soreness with tight clothes and even light touch to the area. Dyspareunia, Vaginismus, Dysmenorrhea, Irritable Bowel Syndrome (IBS) and Endometriosis Vaginismus: Inability to penetrate due to spasm of the muscles Dyspareunia: Painful vaginal penetration in the absence of disease Dysmenorrhea: Irritable Bowel Syndrome (IBS): Abdominal…

  Urinary tract infections Urinary tract infections typically occur when bacteria enter the urinary tract through the urethra. Bacteria then begin to multiply in the bladder. The most common UTIs occur mainly in women and affect the bladder and urethra. • Infection of the bladder (cystitis). • Infection of the urethra (urethritis) Symptoms • A strong, persistent urge to urinate • A burning sensation when urinating • Passing frequent, small amounts of urine • Urine that appears cloudy • Urine that appears red, bright pink or cola-colored — a sign of blood in the urine • Strong-smelling urine • Pelvic pain, in women — especially in the center of the pelvis and around the area of the pubic bone Check out this video for more information: http://www.webmd.com/women/guide/your-guide-urinary-tract-infections#1 Lifestyle changes: Urinary tract infections can be painful. You can take steps to ease your discomfort until antibiotics treat the infection. Follow these…

Pelvic organ Prolapse Pelvic organ prolapse is a very annoying problem. Pelvic organs, such as the uterus, cervix, bladder or bowel, may protrude into the vagina because of weakness in the tissues that normally support them. It is a disorder described as a protrusion at or near the vaginal opening. This may or may not cause perineal pressure. This condition is aggravated by standing and relieved by lying down. Causes of Pelvic Organ Prolapse: Vaginal child birth Advancing age Increased body weight Hysterectomy Chronic straining Abnormalities of connective tissue Connective tissue repair causes some women to have disruption, stretching, or dysfunction of the connective-tissue attachments of the vagina, or both. This can result in prolapse. Symptoms of Pelvic Organ prolapse: The symptoms can vary, depending on the type of prolapse. Generally, people have several complaints. These include bladder, bowel, and pelvic symptoms. Symptoms can include Urinary retention. They can also…

Acupuncture – Physiotherapy Classical acupuncture originated ~2250 years ago. It has its history in Traditional Chinese Medicine. Modern “western” acupuncture originated in the 1970s, Western acupuncture was based on modern anatomical knowledge. Acupuncture – Physiotherapy involves the insertion of thin needles into the body at specific points. Because the needles are so thin (1/100th the width of a hypodermic needle), there is very little feeling when they are put in. Many people barely feel it when the needles go into the skin. Most acupuncture points are located on or next to nerves and muscles. Benefits of Acupuncture – Physiotherapy: The introduction of acupuncture needles can reduce pain and inflammation. Acupuncture – physiotherapy can help to restore normal function. Acupuncture can also help reduce stress, anxiety and depression, as well as promote energy and relaxation. Safety Concerns with Acupuncture – Physiotherapy Acupuncture is very safe when performed correctly. Before any acupuncture…

Urinary Incontinence Urinary incontinence is the involuntary leakage of urine. This condition is more common among women than men. An estimated 30 percent of females aged 30-60 are thought to suffer from it, compared to 1.5-5 percent of men. 3.3 million Canadians have Urinary Incontinence. – 1 in 4 women – 1 in 9 men Only 1 in 12 people tell a health care worker, WHY? – Embarrassed – They think it is a Private Issue – Some think it is an Inevitable part of aging….IT IS NOT! This issue has a lot of Social Consequences like decreased self esteem.It also causes impaired emotional status, depression and isolation. It impedes social and physical activity. It has a heavy economic burden on patients, families and society (Hunskaar, 1991, Temml, 2000). Risk Factors for Urinary Incontinence Gynecological or urinary surgery • Chronic Illness • Medication • Smoking • Chronic straining • Obesity…

Whiplash Mississauga Whiplash Mississauga is a frequent occurrence. It’s a general term that refers to a neck injury that happens when your body comes to a sudden stop. This type of injury occurs frequently with motor vehicle accidents. The force of the impact causes your neck to quickly bend forward then backward. These sudden movements cause your muscles, ligaments and nerves to overstretch. It results in pain. The severity of the pain depends on the nature of the impact, how old your are and whether there you had any previous neck injury. The most commonly reported symptoms of whiplash Mississauga injuries are pain, restricted range of motion and headaches. It is also possible to have pain and tingling into your arms which can be due to a nerve injury in the neck. In some cases, it is also possible to have dizziness and nausea. Whiplash Mississauga Assessment A Registered Physiotherapist…

This is a condition that causes the breakdown of bone tissue. This leads to a decrease in bone density. This bone loss leads to an increased risk of bone fragility and fractures. The bones of the hips, spine, wrist and shoulder are most likely to suffer such fractures. According to Osteoporosis Canada, the number of fractures from osteoporosis is more than heart attacks, strokes and breast cancer combined. The diagnosis is made using a bone scan test. The individual’s bone mineral density result is compared to that of an average young adult. A score is calculated. The score tells the individual how much their bone mineral density differs from the average young person. The World Health Organization uses the scores to categorize the condition. As the score decreases, the risk of fractures increases. Normal: > -1.0 Osteopenia: Between -1.0 and -2.5 Osteoporosis:

Falls Prevention Seniors are one of the most at risk groups of people for falls. This can be due to many different factors. Some of the most widely recognized are poor health, decreased strength, poor balance, poor vision and altered mental state. Any one of these factors can result in a fall. In most cases it’s a combination of several of these factors that puts seniors at most risk. A fall can lead to a whole range of different injuries. This includes sprains and strains. It also includes more serious injuries such as dislocations, or fractures. Falls can exacerbate pre-existing health conditions. This could lead to heart attacks or strokes from the trauma. Previous falls can also lead to substantial fear of falling. This can prevent people from venturing outside the home and being active. This in turn, can lead to a poor quality of life. Falls prevention is a…

knee injuries: Meniscal tears Knee Injuries: Meniscal Tears The meniscus is cartilage that fits between the large bone of your thigh and the smaller bones below your knee. It acts as a shock absorber for your knee. There is one on the middle side and one on the outside of each knee. Knee injuries: meniscal tears can happen during activities that cause direct contact or pressure from a forced twist or rotation. A sudden pivot or turn, deep squatting, or heavy lifting can lead to injury. The meniscus weakens with age, and tears are more common in people over the age of 30. Movements like squatting or stepping can lead to injury in someone with a weak meniscus. If you have osteoarthritis, you’re at higher risk of knee injuries: meniscal tears. Osteoarthritis is a common joint disorder involving pain and stiffness in your joints caused by…