Monthly Archives: November 2013

Does Your Bladder Have the Thanksgiving Day Blues?

thanks 1

This time of year is known for delicious food, fabulous drinks, and quality time with family and friends. But with the yummy treats can come adverse effects. Some patients who struggle with urgency, frequency, and leaking of urine may notice worsening bladder habits. This may be due to the change in diet and fluid intake. So this holiday season, here are a few tips to help improve your bladder health:

  • Drink plenty of water!
  • Remember that there are certain drinks and food items that may irritate the bladder. These include alcoholic beverages (triple whammy- diuretic, irritant, and muscle relaxer), caffeine, carbonated beverages, artificial sweeteners (Splenda, Equal, etc.), tea, spicy foods, and some citrus fruits.
  • Avoid constipation by utilizing proper toilet positioning (, staying hydrated, and eating ample fiber.
  • Try to avoid those “just in case” voids. It’s easy to get into the bad habit of going pee before you leave the house or whenever you see a vacant commode, but this is just reinforcing poor bladder behavior and decreases the storage capacity of bladder.

Hope these tips are helpful and feel free to leave a comment with some other bladder or bowel health tips!

Written by: Jenna Sires PT, DPT

Happy Thanksgiving from Proaxis Pelvic PT!

From all of us here at Proaxis, we want to wish you and your family a very happy Thanksgiving! Life can get hectic over this time of year, and it is so important to stop and take a moment to appreciate all of the blessings we all have in life. As Pelvic PTs, we are so very thankful to YOU–our patients (and colleagues!)– for the support you give us, for the inspiration you provide us, and especially for sharing a small part of your lives with us. We want you to know that YOU are the reason we come to work each day! You motivate, encourage, and challenge us to be better clinicians and better people. Thank you for letting us play a small role in your recovery process! 

We wish you all the best over this holiday season! 

Jessica, Jenna, Kim, Sabina, Karen & Marti

App of The Week

Healthy Diet and Grocery Store Scanner

scan food

ShopWell helps you eat healthier food and achieve your nutrition goals. Use ShopWell to help manage your weight and conditions like diabetes, high blood pressure, and Celiac disease. Use the ShopWell barcode scanner at home or in the grocery store to scan foods and find out if they are a good match for your diet. The app will suggest foods that are a better fit for your health.

Welcome to Marti Layden, PT, DPT– our newest Pelvic PT!

We would like to welcome Marti Layden, PT, DPT to our Pelvic PT team!


Marti just completed Pelvic Floor Level 1 through Herman & Wallace Pelvic Rehabilitation Institute, and did absolutely STELLAR! Jessica and Jenna were teaching assistants for the course with the amazing Tracy Sher and Kathe Wallace. It was a fantastic weekend, and we are so thrilled to have Marti begin practicing in Spartanburg come February.

So, what does one learn at a Pelvic Floor Level 1 course? Here are some of the course objectives that Marti was able to meet:

1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques with observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List precautions, contraindications, universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions applicable to the physical therapist
7. Identify the various types of urinary incontinence and behavioral treatment options applicable to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications and instrumentation parameters of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

Here are some photos from the weekend! Be looking out for some great things from Marti in the future!


App of The Week

We all could use this…

Office Health

office health

* Humorous cartoon flash cards, with simple to follow professional health & fitness advice.
* Automatic daily reminders to help you stay on track with your office health goals.
* Office Health covers *ALL* key areas of health & fitness in the workplace, including:
1. Ease lower back pain
2. Straighten hunched back
3. Ease general back ache
4. Ease sore knees
5. Ease tired feet
6. Relieve stress
7. Lunch time escapes
8. Unwind after work
9. Improve bad circulation
10. Re-energise yourself
11. Avoid the office bug
12. Office aerobics to improve fitness

Therapist Spotlight- Jenna


Why did you decide to specialize in Pelvic PT?

  • I think I get asked this question every day! Well, I have always been intrigued by human anatomy and the complexity of the pelvis really sparked my interest. But it wasn’t until my last clinical rotation, here at Proaxis therapy, where I was able to shadow Jessica and learn a little more about what she does. I was immediately hooked! The patients were amazing, their stories were so powerful, and the more I learned, the more I wanted to know! Pelvic PT is truly a perfect fit!

What is one of your most memorable patient experiences?

  • It is very difficult to narrow my amazing experiences down to one, but recently a patient of mine who had been suffering with vaginismus for ~ 7 years found out she was pregnant! When she told me we both broke down into tears. She never dreamed that she would be able to get pregnant, let alone have pain free intercourse.  I plan on continuing to see her one time weekly through her pregnancy to prepare her for this amazing journey.

Is there anything that surprises you?

  • I am always surprised at how long my patients have been suffering. They either did not realize there was help for their problem or they have been poorly managed by a variety of specialists. I would advise that you be your own advocate. If you are suffering from bowel, bladder, or sexual dysfunction, or have been in pain for too long… SEEK HELP. It’s out there!

What do you see, or what would you like to see, in regards to pelvic PT?

  • In a perfect world I see an amazing collaboration of pelvic specialists. This would be a place, or places, where urologists, gynecologists, GI doctors, psyche, nutrition, and PT would be under one roof. I have this amazing vision of someone being able to come in for a urology appointment and leave with a better understanding and treatment of pelvic floor dysfunction from a holistic approach.

If you could provide someone with just one piece of advice in regards to pelvic health, what would it be?

  • Do not be ok with dysfunction and know that you ARE NOT alone!
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