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Your doctor may advise you to receive physical therapy for urinary problems and pelvic floor dysfunction (PFD). The truth is, physical therapy is an excellent tool in your recovery from pelvic pain, chronic muscle tightness,  and a spectrum of urinary tract issues from urinary tract infections to interstitial cystitis. If you’re having “trouble in your pelvis,” there can be a constellation of stressors at play. Some patients know what triggered their symptoms: childbirth, a car accident, prostate biopsy, riding too many miles on a bicycle seat designed by a sadist… For those patients, treatment is more straightforward. Without proper support in this crucial area, the internal organs can drop down (prolapse) from their normal position.
We offer the following recommendations as an easy-to-follow check list to help you improve your bladder health.
User Agreement:  None of the information contained within this Web site has been evaluated or approved by the Food and Drug Administration.
This application of physical therapy in your pelvis is essentially the same as PT for other parts of the body (back, neck, or shoulder).
Sometimes these stressors begin with an injury to your low back, sacrum, or hips that leads to a muscular imbalance known as pelvic floor dysfunction. Because bodies are masters at compensation, they try to make up for a loss of mobility in one area with hypermobility in another, which can  further complicate the problem by introducing bladder dysfunction and pelvic pain into the mix. These muscles at the base of the pelvis are vital to your health in so many ways: elimination, sexuality, movement, posture, balance, and so on.
This change in the position of your organs adds to the weakness of the urinary and rectal sphincters, which leads to problems that often require surgery to correct. Boswell, MSPT, has been practicing PT since 1985 and specializing in pelvic floor disorders since 1998. Tom Bunn is friendly, knowledgeable, makes you feel comfortable, and gives a clear understanding of what appears to be the problem.


His expertise and his healing modalities have given me, at 74, the maximum opportunity to remain healthy and active.
That’s the unspoken question each one of our new patients asks before they pick up the phone and call for their first appointment.
As with all recommendations on this site, without seeing you in person, we cannot know your individual concerns, nor can we address specific conditions. This Web site and its content are not intended to diagnose, treat, cure or prevent any disease.
However, since very few PTs are trained in this specialized area of treatment, you may not have known PT was even an option. For example, a surgery you had 15 years ago plus the weight you’ve put on since then can lead to mechanical changes in the joints of the lower spine and pelvis. And she understands a great many things that most other doctors unfortunately seem to have little to no knowledge of.
I initially saw Tom eight years ago for a condition that traditional medicine was unable to diagnose. There are several top-notch urology clinics in the greater Denver Metro area, so why choose us? Always consult your health care professional before taking any action based on the information presented on this Web site — especially if you are pregnant, nursing, taking medication, or have a medical condition. What seems like two completely unrelated issues can actually stem from the same source, which is why it’s so important to heal the original injury and untangle the interlocking web of misaligned muscles in your pelvis. It acts by enhancing smooth muscle relaxation using nitric oxide, a chemical that is normally released in response to sexual stimulation.
This smooth muscle relaxation allows increased blood flow into certain areas of the penis, which leads to an erection. Sildenafil Citrate is applied for the treatment of erectile dysfunction (impotence) in men and pulmonary arterial hypertension.


Try not to eat grapefruit or drink grapefruit juice while you are being treated with Sildenafil Citrate .
Precautions Before you start taking Sildenafil Citrate , tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies.
Contraindications Viagra is contraindicated in patients who take another medicine to treat impotence or using a nitrate drug for chest pain or heart problems. This medicine should not be taken by women and children as well as in patients with a known hypersensitivity to any component of the tablet. Possible side effect The most common side effects are headache, flushing, heartburn, stomach upset, nasal stuffiness, lightheadedness, dizziness or diarrhea.
A serious allergic reaction to this drug is very rare, but seek immediate medical help if it occurs.
Overdose If you think you have used too much of this medicine seek emergency medical attention right away.
The symptoms of overdose usually include chest pain, nausea, irregular heartbeat, and feeling light-headed or fainting.
Storage Store your medicines at room temperature between 68-77 degrees F (20-25 degrees C) away from light and moisture.
Disclaimer We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions.
Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case.



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