Researchers at Brigham and Women’s hospital surveyed
4,064 women and found 40% self reported UI.
Of those women only 25% had received the official diagnosis of UI according
to the medical records. In other words
75% of women with symptoms of UI do not receive the official diagnosis – did
not tell MD, told MD and did not receive the dx???? After several calculation factors associated
with receiving the dx were noted. Does
not seem to be too much surprise, those with higher bother, impact on behavior
and urgency type UI are more likely to receive the dx. Also those who seek more care overall, older
women, and women with one or more deliveries.
The take home message for me is the people who do not receive the dx –
presumably younger women with more mild symptoms, especially those who have not
had a child. The key is to develop strategies
on how to reach these women. Please post
your ideas. How do you reach women who
might otherwise not seek care for UI?
Monday, July 30, 2012
Saturday, July 21, 2012
Pain resources
Good video by Mosley on pain - 45 min free
http://www.youtube.com/watch?v=-3NmTE-fJSo
Good resourse for chronic pain
http://www.lifeisnow.ca/
http://www.youtube.com/watch?v=-3NmTE-fJSo
Good resourse for chronic pain
http://www.lifeisnow.ca/
Friday, July 20, 2012
Short-term hormone replacement therapy
Short-term
hormone replacement therapy (HRT) is acceptable and relatively safe for
healthy, symptomatic, recently postmenopausal women, according to a new consensus statement endorsed by 15 leading medical
organizations involved in women's health.
Specific
recommendations in the consensus statement include the following;
- The decision to use HRT must be
individualized based on specific patient factors and anticipated risks and
benefits. These include quality-of-life priorities, age, time since
menopause, and risk for blood clots, heart disease, stroke, and breast
cancer.
- For healthy, relatively young
women (younger than 59 years or within 10 years of menopause) with
moderate to severe menopausal symptoms, systemic HRT is an acceptable
option and is the most effective treatment.
- Low-dose vaginal estrogen is
the preferred treatment for women who have only vaginal dryness or
discomfort with intercourse.
- To prevent uterine cancer in
women who still have a uterus, HRT should include progesterone or a
similar progestogen, as well as estrogen. Women who have undergone
hysterectomy can be given only estrogen.
- Estrogen-only and
estrogen-progestogen HRT are associated with increased risk for stroke and
of venous thromboembolism (deep venous thrombosis and pulmonary embolus),
as are hormone-based contraceptives. However, the risk is rare in women
aged 50 to 59 years.
- Use of continuous estrogen with
progestogen therapy for at least 5 years, and possibly even for shorter
duration, is associated with an increased risk for breast cancer. When HRT
is discontinued, this risk decreases.
Friday, July 13, 2012
Pelvic Physiotherapy Distance Journal club July 11, 2012.
Listening / downloading recordings
- Meetings will be recorded so they can be shared with others who were not able to attend
- https://www.freeconferencecall.com
- Top right corner – “log in”
- Access code – 436790
- Dial-in number –
- Subscriber PIN – 883352
- Choose the date you want to access – you can playback or download in several formats. If you want to save it to your computer you click “wav” and choose “save” – name the file and choose the location to save it.
The Relationship between urinary bladder control and gait in women
Pelvic
Physiotherapy Distance Journal Club July 11, 2012
Beth
Shelly PT, DPT, WCS, BCB PMD
What
question did the study ask?
Is there a difference in temporal gait parameters during
a strong desire to void?Addressing anxiety in vivo in physiotherapy treatment of women with severe vaginismus: a clinical approach.
Progress
in cases of sever anxiety
At
each step the patient is asked to rate their anxiety on a scale of 0 (none) to
5 (sever). Then she is asked what needs to happen to get her anxiety to a 0 or
1 (possibly reverting to an earlier stage or using “lower anxiety” tools such
as breathing). She can always go back to
a stage where she feels safe. Progress
when anxiety is 0 to 1.· Step one – lying on the table with cloths on covered with a sheet
· Step two – as above with legs bent and knees apart
· Step three – as above without sheet
· Step four – as above with shorts on first with sheet and then without sheet
· Step five – as above with underwear only, with and without sheet
· Step six – as above without underwear, with and without sheet
Friday, July 6, 2012
July 11, 2012 Pelvic Physiotherapy Distance Journal Club
- Email Beth if you are having trouble accessing the call - beth@bethshelly.com
- Please keep background noise to a minimum (see below for more details)
Addressing
anxiety in vivo in physiotherapy treatment of women with severe vaginismus: a
clinical approach. Rosenbaum T, J of Sex and Marital Ther 2011;37:89-93.
The
Relationship between urinary bladder control and gait in women. Booth J, Paul
L, Rafferty D, MacInnes C. Neurourology and Urodynamics 2012, Article first published online: 12 JUN 2012 | DOI:
10.1002/nau.22272
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