{"id":156,"date":"2016-08-29T18:47:49","date_gmt":"2016-08-29T18:47:49","guid":{"rendered":"http:\/\/hygeiahhc.com\/?page_id=156"},"modified":"2020-08-06T18:17:23","modified_gmt":"2020-08-06T18:17:23","slug":"urinary-incontinence","status":"publish","type":"page","link":"https:\/\/whcva.com\/?page_id=156","title":{"rendered":"Urinary Incontinence"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Title&#8221; module_id=&#8221;careers&#8221; _builder_version=&#8221;4.5.1&#8243; use_background_color_gradient=&#8221;on&#8221; background_color_gradient_start=&#8221;#2A5589&#8243; background_color_gradient_end=&#8221;rgba(42,85,137,0.61)&#8221; background_color_gradient_type=&#8221;radial&#8221; background_color_gradient_direction_radial=&#8221;top left&#8221; background_color_gradient_overlays_image=&#8221;on&#8221; background_enable_image=&#8221;off&#8221; background_position=&#8221;top_center&#8221; custom_padding=&#8221;22px||0px||false|false&#8221; bottom_divider_style=&#8221;asymmetric4&#8243; bottom_divider_color=&#8221;#ffffff&#8221; bottom_divider_height=&#8221;66px&#8221; bottom_divider_flip=&#8221;horizontal&#8221; bottom_divider_arrangement=&#8221;above_content&#8221; global_module=&#8221;621&#8243; collapsed=&#8221;off&#8221;][et_pb_row column_structure=&#8221;3_4,1_4&#8243; _builder_version=&#8221;4.4.9&#8243; custom_padding=&#8221;27px|||||&#8221;][et_pb_column type=&#8221;3_4&#8243; _builder_version=&#8221;4.4.9&#8243;][et_pb_post_title meta=&#8221;off&#8221; featured_image=&#8221;off&#8221; _builder_version=&#8221;4.5.1&#8243; title_font=&#8221;Merienda One|700|||||||&#8221; title_text_color=&#8221;#ffffff&#8221; title_font_size=&#8221;32px&#8221; title_letter_spacing=&#8221;2px&#8221; title_text_shadow_style=&#8221;preset3&#8243;][\/et_pb_post_title][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.4.9&#8243;][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; specialty=&#8221;on&#8221; _builder_version=&#8221;4.5.1&#8243; _module_preset=&#8221;default&#8221; min_height=&#8221;707px&#8221; custom_padding=&#8221;0px|||||&#8221;][et_pb_column type=&#8221;3_4&#8243; specialty_columns=&#8221;3&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_row_inner _builder_version=&#8221;4.5.1&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||0px|||&#8221;][et_pb_column_inner saved_specialty_column_type=&#8221;3_4&#8243; _builder_version=&#8221;4.5.1&#8243; _module_preset=&#8221;default&#8221;][et_pb_text disabled_on=&#8221;off|off|off&#8221; admin_label=&#8221;Content&#8221; _builder_version=&#8221;4.5.1&#8243; text_font_size=&#8221;16px&#8221; header_2_font=&#8221;Merienda One||||||||&#8221; header_2_text_color=&#8221;rgba(0,0,0,0.88)&#8221; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;]<\/p>\n<h2>Pelvic Floor Rehabilitation Therapy<\/h2>\n<p>Up to 40% of community dwelling persons over 60 years old are incontinent with increased risk seen in patients suffering from obesity, diabetes, Parkinsons and stroke. Additionally, incontinence can occur after pelvic floor or prostate surgery.<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner column_structure=&#8221;1_2,1_2&#8243; _builder_version=&#8221;4.5.1&#8243; _module_preset=&#8221;default&#8221;][et_pb_column_inner type=&#8221;1_2&#8243; saved_specialty_column_type=&#8221;3_4&#8243; _builder_version=&#8221;4.5.1&#8243; _module_preset=&#8221;default&#8221;][et_pb_text _builder_version=&#8221;4.5.1&#8243; _module_preset=&#8221;default&#8221; header_4_text_color=&#8221;#ffffff&#8221; background_color=&#8221;#95aac4&#8243; background_layout=&#8221;dark&#8221; custom_padding=&#8221;20px|20px|20px|20px|true|false&#8221; text_text_shadow_style=&#8221;preset3&#8243; header_4_text_shadow_style=&#8221;preset3&#8243; border_radii=&#8221;on|25px|25px|25px|25px&#8221; border_width_all=&#8221;1px&#8221; border_color_all=&#8221;#95aac4&#8243;]<\/p>\n<h4>The toll of Incontinence<\/h4>\n<ul>\n<li>Correlated with increased depression and anxiety, decreased quality of life, and social isolation.<\/li>\n<li>Average dollar cost to the patient in absorbent garments, extra laundry and medical copays is $900 per year.<\/li>\n<li>Doubles the risk of nursing home admissions<\/li>\n<li>Night-time Urinary Incontinence triples the risk of potentially life altering falls.<\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column_inner][et_pb_column_inner type=&#8221;1_2&#8243; saved_specialty_column_type=&#8221;3_4&#8243; _builder_version=&#8221;4.5.1&#8243; _module_preset=&#8221;default&#8221;][et_pb_text _builder_version=&#8221;4.5.1&#8243; _module_preset=&#8221;default&#8221; header_4_text_color=&#8221;#ffffff&#8221; background_color=&#8221;#95aac4&#8243; background_layout=&#8221;dark&#8221; custom_padding=&#8221;20px|20px|20px|20px|true|false&#8221; text_text_shadow_style=&#8221;preset3&#8243; header_4_text_shadow_style=&#8221;preset3&#8243; border_radii=&#8221;on|25px|25px|25px|25px&#8221; border_width_all=&#8221;1px&#8221; border_color_all=&#8221;#95aac4&#8243;]<\/p>\n<h4>Reasons to seek care<\/h4>\n<ul>\n<li>Evidence based Medicine<\/li>\n<li>Fully covered by Medicare<\/li>\n<li>Provided in the comfort of your own home<\/li>\n<li>None of the side effects associated with Medications<\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner _builder_version=&#8221;4.5.1&#8243; _module_preset=&#8221;default&#8221;][et_pb_column_inner saved_specialty_column_type=&#8221;3_4&#8243; _builder_version=&#8221;4.5.1&#8243; _module_preset=&#8221;default&#8221;][et_pb_blurb icon_placement=&#8221;left&#8221; content_max_width=&#8221;75%&#8221; _builder_version=&#8221;4.5.3&#8243; _module_preset=&#8221;default&#8221; header_line_height=&#8221;2em&#8221; background_color=&#8221;#e0e0db&#8221; use_background_color_gradient=&#8221;on&#8221; background_color_gradient_start=&#8221;#e0e0db&#8221; background_color_gradient_end=&#8221;rgba(12,0,0,0.28)&#8221; custom_margin=&#8221;-35px||||false|false&#8221; custom_padding=&#8221;26px||20px|0px|false|false&#8221; border_radii=&#8221;off|55px|5px|5px|55px&#8221; border_color_all=&#8221;rgba(12,113,195,0.53)&#8221; box_shadow_style=&#8221;preset6&#8243; box_shadow_blur=&#8221;5px&#8221;]<\/p>\n<h4>All WHC Homecare Physical Therapy staff have received a certificate of Achievement in Pelvic Physical therapy Level 1 provided through the Section on Women\u2019s Health of the American Physical Therapy Association (APTA).<\/h4>\n<p>[\/et_pb_blurb][\/et_pb_column_inner][\/et_pb_row_inner][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_search disabled_on=&#8221;on|on|off&#8221; _builder_version=&#8221;4.5.1&#8243;][\/et_pb_search][et_pb_menu menu_id=&#8221;3&#8243; active_link_color=&#8221;#0c71c3&#8243; disabled_on=&#8221;on|on|off&#8221; admin_label=&#8221;Specialty Certified Programs &#8221; _builder_version=&#8221;4.5.1&#8243; menu_text_color=&#8221;rgba(0,0,0,0.95)&#8221; background_color=&#8221;rgba(12,113,195,0.08)&#8221; custom_padding=&#8221;10px|10px|10px|10px|true|true&#8221; custom_css_before=&#8221;content:&#8217;Specialty Certified Programs&#8217;; vertical-align:top; line-height:2.2em; font-weight:700; text-decoration:underline;;&#8221; custom_css_main_element=&#8221;a:hover:color:gold;&#8221; border_radii=&#8221;off|5px|5px|55px|5px&#8221; border_width_all=&#8221;1px&#8221; border_color_all=&#8221;rgba(12,113,195,0.57)&#8221; box_shadow_style=&#8221;preset3&#8243; global_module=&#8221;541&#8243;][\/et_pb_menu][\/et_pb_column][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.5.1&#8243; use_background_color_gradient=&#8221;on&#8221; background_color_gradient_start=&#8221;#95aac4&#8243; background_color_gradient_end=&#8221;rgba(149,170,196,0)&#8221;][et_pb_row column_structure=&#8221;2_3,1_3&#8243; _builder_version=&#8221;4.5.1&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;2_3&#8243; _builder_version=&#8221;4.5.1&#8243; background_enable_color=&#8221;off&#8221; custom_padding=&#8221;0px|0px|0px|0px|true|true&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_blurb title=&#8221;Our Program&#8221; _builder_version=&#8221;4.5.1&#8243; _module_preset=&#8221;default&#8221; header_text_color=&#8221;#95aac4&#8243; background_color=&#8221;#2a5589&#8243; background_layout=&#8221;dark&#8221; custom_padding=&#8221;25px|25px|25px|25px|true|true&#8221; header_text_shadow_style=&#8221;preset3&#8243;]<\/p>\n<ul>\n<li>Individualized, structured pelvic floor muscle exercises.<\/li>\n<li>Customized, detailed home exercise and education programs with instructions and pictures.<\/li>\n<li>Using EMG Biofeedback and neuromuscular electrical stimulation, state of the art technology.<\/li>\n<li>Bladder and bowel training protocols<\/li>\n<li>Dietary education<\/li>\n<\/ul>\n<p>[\/et_pb_blurb][et_pb_blurb title=&#8221;Evidence for Pelvic Floor Muscle Training&#8221; _builder_version=&#8221;4.5.3&#8243; _module_preset=&#8221;default&#8221; header_text_color=&#8221;#444444&#8243; background_color=&#8221;#e0e0db&#8221; custom_padding=&#8221;25px|25px|25px|25px|true|true&#8221; hover_enabled=&#8221;0&#8243;]<\/p>\n<p>A systematic review of the literature, in the January 2004 edition of the Journal of Family Practice, revealed pelvic floor strengthening and bladder training reduced urinary accidents by 81%.<\/p>\n<p>Pelvic Floor Muscle Training has been recommended as a first line therapy for Incontinence by the International Consultation on Continence and the Cochrane Systematic Review. Also, the U.S. Department of Health and Human Services has specified Pelvic Floor Muscle Training as an \u201cA\u201d grade treatment for incontinence.<\/p>\n<p>Grade A is defined as, \u201cThe recommended statement is supported by scientific evidence from properly designed and implemented controlled trials providing statistical results that consistently support the guideline statement.<\/p>\n<p>[\/et_pb_blurb][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.5.1&#8243; background_enable_color=&#8221;off&#8221; custom_padding=&#8221;0px|0px|0px|0px|true|true&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_image src=&#8221;https:\/\/whcva.com\/wp-content\/uploads\/2016\/08\/ui-before.png&#8221; title_text=&#8221;ui-before&#8221; _builder_version=&#8221;4.5.1&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;||6px|||&#8221;][\/et_pb_image][et_pb_text _builder_version=&#8221;4.5.1&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;|600|||||||&#8221; text_text_color=&#8221;#2a5589&#8243; text_font_size=&#8221;11px&#8221; text_line_height=&#8221;1.2em&#8221; text_orientation=&#8221;center&#8221; background_layout=&#8221;dark&#8221; min_height=&#8221;5px&#8221;]<\/p>\n<p style=\"text-align: center;\"><em>Weak pelvic floor musculature does not support the bladder and is too lax to close the Urethra causing urinary leakage<\/em><\/p>\n<p>[\/et_pb_text][et_pb_divider color=&#8221;#2a5589&#8243; _builder_version=&#8221;4.5.1&#8243; _module_preset=&#8221;default&#8221;][\/et_pb_divider][et_pb_image src=&#8221;https:\/\/whcva.com\/wp-content\/uploads\/2016\/08\/ui-after.png&#8221; title_text=&#8221;ui-after&#8221; _builder_version=&#8221;4.5.1&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;||5px|||&#8221;][\/et_pb_image][et_pb_text _builder_version=&#8221;4.5.1&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;|600|||||||&#8221; text_text_color=&#8221;#2a5589&#8243; text_font_size=&#8221;11px&#8221; text_line_height=&#8221;1.2em&#8221; text_orientation=&#8221;center&#8221; background_layout=&#8221;dark&#8221;]<\/p>\n<p style=\"text-align: center;\"><em>Strengthened muscles support the bladder and close the urethra minimizing urinary leakage<\/em><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.5.1&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#2A5589&#8243; min_height=&#8221;46px&#8221; custom_margin=&#8221;||-12px||false|false&#8221; custom_padding=&#8221;36px||||false|false&#8221; top_divider_style=&#8221;asymmetric4&#8243; top_divider_color=&#8221;#ffffff&#8221; top_divider_flip=&#8221;horizontal&#8221; global_module=&#8221;684&#8243; saved_tabs=&#8221;all&#8221;][et_pb_row column_structure=&#8221;3_4,1_4&#8243; _builder_version=&#8221;4.5.1&#8243; _module_preset=&#8221;default&#8221; min_height=&#8221;80px&#8221; custom_margin=&#8221;||-50px||false|false&#8221; custom_padding=&#8221;75px|0px|0px|0px|false|false&#8221;][et_pb_column type=&#8221;3_4&#8243; 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Additionally, incontinence can occur after pelvic floor or prostate surgery. &nbsp;The toll of Incontinence Correlated with increased depression and anxiety, decreased quality of life, and [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":11,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"<h3>Pelvic Floor Rehabilitation Therapy<\/h3><p>Up to 40% of community dwelling persons over 60 years old are incontinent with increased risk seen in patients suffering from obesity, diabetes, Parkinsons and stroke. Additionally, incontinence can occur after pelvic floor or prostate surgery.<\/p><h4>The toll of Incontinence<\/h4><ul><li>Correlated with increased depression and anxiety, decreased quality of life, and social isolation.<\/li><li>Average dollar cost to the patient in absorbent garments, extra laundry and medical copays is $900 per year.<\/li><li>Doubles the risk of nursing home admissions<\/li><li>Night-time Urinary Incontinence triples the risk of potentially life altering falls.<\/li><\/ul><h4>Reasons to seek care<\/h4><ul><li>Evidence based Medicine<\/li><li>Fully covered by Medicare<\/li><li>Provided in the comfort of your own home<\/li><li>None of the side effects associated with Medications<\/li><\/ul><h4>Our Program<\/h4><ul><li>Individualized, structured pelvic floor muscle exercises.<\/li><li>Customized, detailed home exercise and education programs with instructions and pictures.<\/li><li>Using EMG Biofeedback and neuromuscular electrical stimulation, state of the art technology.<\/li><li>Bladder and bowel training protocols<\/li><li>Dietary education<\/li><\/ul><p>All WHC Homecare Physical Therapy staff have received a certificate of Achievement in Pelvic Physical therapy Level 1 provided through the Section on Women\u2019s Health of the American Physical Therapy Association (APTA).<\/p><h4>Evidence for Pelvic Floor Muscle Training<\/h4><p>A systematic review of the literature, in the January 2004 edition of the Journal of Family Practice, revealed pelvic floor strengthening and bladder training reduced urinary accidents by 81%. Pelvic Floor Muscle Training has been recommended as a first line therapy for Incontinence by the International Consultation on Continence and the Cochrane Systematic Review. Also, the U.S. Department of Health and Human Services has specified Pelvic Floor Muscle Training as an \u201cA\u201d grade treatment for incontinence. Grade A is defined as, \u201cThe recommended statement is supported by scientific evidence from properly designed and implemented controlled trials providing statistical results that consistently support the guideline statement.<\/p><p style=\"text-align: center;\"><em><img class=\"aligncenter size-full wp-image-161\" src=\"http:\/\/hygeiahhc.com\/wp-content\/uploads\/2016\/08\/ui-before.png\" alt=\"ui-before\" width=\"374\" height=\"278\" \/>Weak pelvic floor musculature does not support the bladder and is too lax to close the Urethra causing urinary leakage<\/em><\/p><p style=\"text-align: center;\"><em><img class=\"aligncenter size-full wp-image-162\" src=\"http:\/\/hygeiahhc.com\/wp-content\/uploads\/2016\/08\/ui-after.png\" alt=\"ui-after\" width=\"374\" height=\"278\" \/>Strengthened muscles support the bladder and close the urethra\u00a0minimizing urinary leakage.<\/em><\/p>","_et_gb_content_width":"","footnotes":""},"class_list":["post-156","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/whcva.com\/index.php?rest_route=\/wp\/v2\/pages\/156","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/whcva.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/whcva.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/whcva.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/whcva.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=156"}],"version-history":[{"count":26,"href":"https:\/\/whcva.com\/index.php?rest_route=\/wp\/v2\/pages\/156\/revisions"}],"predecessor-version":[{"id":1132,"href":"https:\/\/whcva.com\/index.php?rest_route=\/wp\/v2\/pages\/156\/revisions\/1132"}],"up":[{"embeddable":true,"href":"https:\/\/whcva.com\/index.php?rest_route=\/wp\/v2\/pages\/11"}],"wp:attachment":[{"href":"https:\/\/whcva.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=156"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}