WHAT IS THE PELVIC FLOOR, HOW IS IT ADDRESSED IN PHYSICAL THERAPY, AND WHY YOU SHOULD CARE?

Given what we now know of the role of the pelvic floor muscle network, it would make sense that dysfunction could vary widely in presentation and that the avenues for treatment equally as numerous. Direct dysfunction of these muscles can contribute to loss of bowel/bladder control, constipation, urinary and bowel urgency/frequency, pelvic pain, diminished sexual appreciation or pain with intercourse, pelvic organ prolapse, and lumbo-pelvic-hip control issues.

LET’S GET TECHNICAL: DRIVER TESTING, WHAT IS IT, AND HOW CAN IT HELP ME?

Habitual postures can also lead to muscle imbalances. A person may be sitting at their desk all day slouching forwards, which can lead to tight hip flexors and lengthened/weak glute muscles. Tight hip flexors can lead to a lack of hip extension range of motion, thus driving an issue at the back. Because the body likes to find ways around restrictions, this person might compensate with excessive mobility at the low back joints to make up for that lack of hip mobility. Over time, changes in these tissues structures can ultimately become a source of pain.

TAKE CONTROL OF YOUR HEALTH: PHYSICAL THERAPY AND PARKINSON’S DISEASE

There are numerous Parkinson’s research groups that are dedicated to improving the lives of individuals with PD. Regardless of which Parkinson’s research group that you follow, be it the LSVT BIG group, the POWER group, etc., much of the research on Parkinson’s Disease points to the same conclusion: a target-specific exercise program may be essential in delaying the progression and deterioration of function that may develop with PD. Early intervention is one of the key components to promoting a long and healthy lifestyle.

PHYSICAL THERAPY’S ROLE IN PREPARATION FOR LABOR

The genesis for this blog occurred after I attended a birthing preparation course taught by Ashley Brichter at Birth Smarter. This organization has virtual and in person childbirth education classes for expectant parents and professionals. Despite being 5 years removed from having children myself, I found the educational review helpful for my professional practice. It reminded me that understanding the anatomy of a vaginal childbirth can gift the expectant parent with tools to improve the birthing experience.

IN CONVERSATION: BREATH & THE MIND BODY CONNECTION

We at Thrive are so fortune to collaborate with many types of rehabilitation, exercise, and movement specialists in the New York City area.  Pilates has long been one of our staff’s preferred exercise tools, and we dearly love and appreciate the expertise of the staff at Mongoose Bodyworks, a Pilates studio that is neighbor to our clinic here in Soho. Over the years we have found our mutual clients achieve more success in movement, return to activity, and engagement in life when we collaborate, and the conversation below is an edited version of a dialogue between Mongoose Bodyworks owner Halle Clarke and Thrive PT staffer Elizabeth D’Annunzio Shah.   Halle: Hi!  When we decided to have a conversation, we talked about many areas of professional overlap.  There’s lots of crossover between what you and I do! Elizabeth: That’s right.  Ultimately, both PTs and Pilates instructors spend a fair amount of time doing movement analysis.  We’re both trying to enable multi-dimensional, pain free movement. Halle: In the spirit of that crossover, I have some questions for you that I thought might relate to both of our client populations.   Specifically, let’s talk about breathing.  How do you think about breathing as it […]

Thrive! is Hosting and Participating in Threes Physiyoga Method for Physical Therapists

If you’ve been following along with our Instagram, you may have noticed that Thrive has had a few in-services with the amazingly smart and talented Giulia Pline. Giulia introduced our entire staff to the Threes Physioyoga Method, which merges physical therapy principles with yoga. What more could we ask for? We were so impressed that we wanted to know more, so we decided to host, and have our staff participate, in their Intro Course for Physical Therapists which will take place right here at Thrive on February 23rd and 24th. We can’t wait to bring all of this new knowledge to our patients! About Threes Physiyoga Method for Physical Therapists This introductory weekend consists of foundational knowledge regarding the teaching of yoga as a mind-body-spirit wellness modality and how this modality can be integrated into traditional physical therapy for the benefit of the patient and the clinician. Yoga is a multi-limbed practice that unites movement with breath. Having an understanding of the influence and benefits of this practice on the body is a powerful, efficient tool for physiotherapists. Physiotherapists will be introduced to the Threes Physiyoga Method of assessing suboptimal and dysfunctional movement. They will understand the mechanics of breath, […]

Diastasis Recti Treatment: Emphasizing an Individualized Approach

There is no such thing as a one size fits all approach to diastasis recti (DRA) management. Just as no two persons are the same, no two DRAs are either. The separation of the linea alba often times reflects dysfunction, but what generates and perpetuates said dysfunction is different in all people. While this may seem obvious, many people come to me seeking a quick fix, or looking for the internet resource, book, or exercise DVD that will solve all their problems. While there are some wonderful resources out there, ultimately creating an individualized approach to DRA management based on the patient’s unique physical attributes, activity requirements, and goals is the best way to enable healing.

Beyond the Nightguard: How Physical Therapy Can Help TMJ Pain

The alarm clock rings waking you from sleep, you remove your nightguard, yawn, and instead of greeting the new day with excitement, you cringe and grab your jaw. Frustrated with the ongoing pain and soreness in your jaw, you wonder, “Why isn’t my nightguard working?” Suffering from Temporomandibular disorder (TMD) or Temporomandibular Joint dysfunction (TMJ) can be frustrating. But what most people don’t realize is that it takes more than a mouth guard to address the underlying source of the dysfunction. That’s where physical therapy can help. The Temporomandibular joint – the joint where your jaw and ear meet – can often be the site of pain and discomfort. Think of walking with one shoe on and one shoe off, eventually your back or hip will start to feel stress and irritated from the poor alignment of your joints. The same thing can happen with your bite when your teeth and jaw are not properly aligned. Typically, a mouth guard or bite guard, recommended by a dentist or orthodontist, is used to adjust the bite and jaw to a position that helps relieve some of the pain and discomfort associated with TMJ dysfunction. While a bite guard may provide some […]

Let’s Get Technical: Ankle Sprains

At some point in your life you may have rolled and sprained your ankle. It’s the most common athletic injury in the U.S. with an estimated 30,000 sprains occurring each year. Whether your sprain is due to tripping in a pothole (my specialty), cutting and pivoting to hit a tennis ball, running, or falling in high heels, it’s essential to completely rehabilitate your ankle to avoid a progression to chronic ankle instability (CAI).

Musings From A Once Pregnant PT: Gearing Up For Delivery

This is Elizabeth Shah, staffer at Thrive, reporting from my home. I am on maternity leave after having recently welcomed our second child, and find myself reflecting on what I’ve learned through this pregnancy and delivery process. If you’re expecting a post on how to parent, stop reading. This is post about how my physical therapy background informed my pregnancy. I’m talking about the physical experience: what helped me to feel well during the process, and how might I apply these ideas to my patients. […]