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Pelvic Relaxation

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81. Relaxed Vaginal Outlet (Treatment)

Vaginal Outlet Treatment & Management Updated: Jun 30, 2016 Author: Megan Brady Shannon, MD; Chief Editor: Kris Strohbehn, MD Share Email Print Feedback Close Sections Sections Relaxed Vaginal Outlet Treatment Medical Therapy Conservative management for patients who complain about an enlarged vaginal introitus includes pelvic floor physical therapy (PFPT). This is a non-invasive treatment method in which specially trained physical therapists perform internal and external therapy aimed at strengthening (...) and relaxing the pelvic floor muscles. PFPT is a structured and comprehensive program that sometimes includes biofeedback therapy, which is visual confirmation the patient is contracting her muscles appropriately. An individualized home exercise program is also prescribed by the patient’s therapist. Coordinating the pelvic floor muscles along with behavioral modification education can lead to improvement and even resolution of many pelvic floor disorders. [ , ] Pessary use is another conservative treatment

2014 eMedicine.com

82. Relaxed Vaginal Outlet (Overview)

, 2016 Author: Megan Brady Shannon, MD; Chief Editor: Kris Strohbehn, MD Share Email Print Feedback Close Sections Sections Relaxed Vaginal Outlet Overview Background A woman may complain to her provider that her vaginal opening feels or appears enlarged. This can be the result of pelvic organ prolapse or a damaged perineal body. This problem is not life-threatening, but a woman may complain of a bulge coming out her vagina, sexual dysfunction, or defecatory dysfunction. The urogynecologic term (...) for this is an enlarged “genital hiatus”, although other providers may use the terms “relaxed vaginal outlet” or “enlarged vaginal introitus.” None of these terms are an actual diagnosis, but rather a physical exam finding of which a patient may or may not be symptomatic. Multiparous patient with an approximately 3cm vaginal introitus. Next: Problem There is no formal diagnosis for an enlarged vaginal introitus, as patients usually present with a specific complaint that is resultant from her pelvic organ support

2014 eMedicine.com

83. Relaxed Vaginal Outlet (Follow-up)

Vaginal Outlet Treatment & Management Updated: Jun 30, 2016 Author: Megan Brady Shannon, MD; Chief Editor: Kris Strohbehn, MD Share Email Print Feedback Close Sections Sections Relaxed Vaginal Outlet Treatment Medical Therapy Conservative management for patients who complain about an enlarged vaginal introitus includes pelvic floor physical therapy (PFPT). This is a non-invasive treatment method in which specially trained physical therapists perform internal and external therapy aimed at strengthening (...) and relaxing the pelvic floor muscles. PFPT is a structured and comprehensive program that sometimes includes biofeedback therapy, which is visual confirmation the patient is contracting her muscles appropriately. An individualized home exercise program is also prescribed by the patient’s therapist. Coordinating the pelvic floor muscles along with behavioral modification education can lead to improvement and even resolution of many pelvic floor disorders. [ , ] Pessary use is another conservative treatment

2014 eMedicine.com

84. Effects of Alpha-1 Antagonist, Stress and Relaxation on Anorectal Functions

Constipation Drug: Alfuzosin Other: Placebo Phase 2 Detailed Description: Normally, bowel emptying requires relaxation of the anal sphincter (i.e., lowermost end of intestinal tract) and pelvic muscles. Some people cannot relax these muscles normally and experience constipation. Alfuzosin is a medication which is approved to treat bladder but not bowel problems. Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Actual Enrollment : 74 participants Allocation (...) Effects of Alpha-1 Antagonist, Stress and Relaxation on Anorectal Functions Effects of Alpha-1 Antagonist, Stress and Relaxation on Anorectal Functions - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more

2013 Clinical Trials

85. Ultrasound and EMG Guided Botox Injection for the Treatment of Non-Relaxing Puborectalis Syndrome

rectal emptying. The specific etiology of this syndrome is unknown. The true incidence of NRPS is unknown, but it is estimated that 4% of patients with defecatory disorders have NRPS. Previous therapies for non-relaxing PRS have included biofeedback, pelvic floor physical therapy, dietary changes, laxatives, enemas, and surgical division of the puborectalis muscle. Unfortunately, responses to these treatments have been variable at best. Direct injection of botulinum toxin (Botox (...) Ultrasound and EMG Guided Botox Injection for the Treatment of Non-Relaxing Puborectalis Syndrome Ultrasound and EMG Guided Botox Injection for the Treatment of Non-Relaxing Puborectalis Syndrome - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove

2013 Clinical Trials

86. The effect of prior lumbar surgeries on the flexion relaxation phenomenon and its responsiveness to rehabilitative treatment. (Abstract)

-relaxation (SEMG≤3.5 μV); gross lumbar, true lumbar, and pelvic flexion ROM; and a pain visual analog scale self-report during forward bending task. Identical measures were obtained at pretreatment and post-treatment.Patients entered an interdisciplinary functional restoration program, including a quantitatively directed, medically supervised exercise process and a multimodal psychosocial disability management component. The functional restoration program was accompanied by a SEMG-assisted stretching (...) The effect of prior lumbar surgeries on the flexion relaxation phenomenon and its responsiveness to rehabilitative treatment. Abnormal pretreatment flexion-relaxation in chronic disabling occupational lumbar spinal disorder patients has been shown to improve with functional restoration rehabilitation. Little is known about the effects of prior lumbar surgeries on flexion-relaxation and its responsiveness to treatment.To quantify the effect of prior lumbar surgeries on the flexion-relaxation

2013 The Spine Journal

87. The effect of pelvic floor muscle training alone or in combination with electrostimulation in the treatment of sexual dysfunction in women with multiple sclerosis. (Abstract)

were randomly allocated to one of three groups: pelvic floor muscle training (PFMT) with electromyographic (EMG) biofeedback and sham neuromuscular electrostimulation (NMES) (Group I), PFMT with EMG biofeedback and intravaginal NMES (Group II), and PFMT with EMG biofeedback and transcutaneous tibial nerve stimulation (TTNS) (Group III). Assessments, before and after the treatment, included: PFM function, PFM tone, flexibility of the vaginal opening and ability to relax the PFMs, and the Female (...) The effect of pelvic floor muscle training alone or in combination with electrostimulation in the treatment of sexual dysfunction in women with multiple sclerosis. Sexual dysfunction (SD) affects up to 80% of multiple sclerosis (MS) patients and pelvic floor muscles (PFMs) play an important role in the sexual function of these patients.The objective of this paper is to evaluate the impact of a rehabilitation program to treat lower urinary tract symptoms on SD of women with MS.Thirty MS women

2014 Multiple sclerosis (Houndmills, Basingstoke, England) Controlled trial quality: uncertain

88. Delayed diagnosis of an unsuspected pelvic fracture in a patient with tetraplegia Full Text available with Trip Pro

suggestive of an internal injury. Radiography showed pelvic fracture and conservative treatment was administered. The fractures healed in 3 months, the therapeutic bed rest regimen was relaxed without trigerring AD symptoms.AD symptoms can suggest complications below the SCI level. Awareness and recognition of these symptoms are of utmost importance. However, etiology may be misleading. The role of a community-based general physician is to recognize the right moment when the need of a specialized (...) Delayed diagnosis of an unsuspected pelvic fracture in a patient with tetraplegia Case report.In patients with a complete spinal cord injury (SCI) above T6 level, autonomic dysreflexia (AD) can be the only alerting sign of complications below the level of injury. A case report is presented of a patient with tetraplegia who progressively developed an AD syndrome after falling from a wheelchair. Initially, he was treated for symptomatic urinary tract infection and only later an unstable pelvic

2014 The journal of spinal cord medicine

89. A Randomized Controlled Trial of Electrical Stimulation to Treat Pelvic Floor Disorder

Other Name: Femiscan Multi-trainer Other: Pelvic Floor Training First, as you are sitting or lying down, try to contract the muscles you would use to stop urinating To contract the pelvic muscles, squeeze for 3 seconds and then relax for 3 seconds. Repeat this exercise to 20 minutes each session. Outcome Measures Go to Primary Outcome Measures : 1-Hour Pad test of urine leakage amount (gm) [ Time Frame: Total 18 times of treatment, for 3 months ] A pad test is a tool to used to measure urine leakage (...) A Randomized Controlled Trial of Electrical Stimulation to Treat Pelvic Floor Disorder A Randomized Controlled Trial of Electrical Stimulation to Treat Pelvic Floor Disorder - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies

2014 Clinical Trials

90. Advanced Pelvic Floor Training Program for Prostate Cancer Surgery

weeks 3-4; and 90/day during weeks 5-6, and 100+/day for weeks 7-26. The total number of repetitions will be divided equally between rhythmic (contract and relaxed over one second) and sustained contractions (contract and hold for up to 10 seconds). Experimental: Advanced Pelvic Floor Exercise (APFX) Participants in this group will receive detailed week-by-week description of the program. The program progresses participants through stages of training every two weeks, starting the introduction (...) Advanced Pelvic Floor Training Program for Prostate Cancer Surgery Advanced Pelvic Floor Training Program for Prostate Cancer Surgery - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Advanced Pelvic Floor

2014 Clinical Trials

91. Program to Overcome Pelvic Pain With Yoga

of screening, or any prior history of cancer or irradiation to these structures Initiation of or dose escalation of pharmacologic agents that may affect pelvic or genital pain in the past 1 month (e.g., antidepressants, anticonvulsants, anxiolytics)—women on stable dose for >1 month are eligible Use of formal psychological therapies specifically for pelvic or genital pain (e.g., systematic desensitization, sex therapy, cognitive therapy, relaxation therapy) within 1 month of screening Use of formal (...) Program to Overcome Pelvic Pain With Yoga Program to Overcome Pelvic Pain With Yoga - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Program to Overcome Pelvic Pain With Yoga (POPPY) The safety

2014 Clinical Trials

92. Assessment of Anatomic, Physiologic and Biomechanical Characteristics of the Anal Canal and Pelvic Floor. An Observational Pilot Study

Assessment of Anatomic, Physiologic and Biomechanical Characteristics of the Anal Canal and Pelvic Floor. An Observational Pilot Study Assessment of Anatomic, Physiologic and Biomechanical Characteristics of the Anal Canal and Pelvic Floor. An Observational Pilot Study - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning (...) You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Assessment of Anatomic, Physiologic and Biomechanical Characteristics of the Anal Canal and Pelvic Floor. An Observational Pilot Study The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier

2014 Clinical Trials

93. Electrical Stimulation and Vaginal Palpation in Pelvic Floor Muscles Awareness

Electrical Stimulation and Vaginal Palpation in Pelvic Floor Muscles Awareness Electrical Stimulation and Vaginal Palpation in Pelvic Floor Muscles Awareness - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more (...) . Electrical Stimulation and Vaginal Palpation in Pelvic Floor Muscles Awareness The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02062242 Recruitment Status : Unknown Verified February 2014 by Elaine Cristine Lemes Mateus de Vasconcelos, University of Sao Paulo. Recruitment status was: Recruiting First

2014 Clinical Trials

94. Chronic Pelvic Pain Syndrome and Prostatodynia (Overview)

of myofascial physical therapy for the treatment of urological chronic pelvic pain syndromes. J Urol . 2009 Aug. 182(2):570-80. . Wise D, Anderson RU. A Headache in The Pelvis: A New Understanding and Treatment . Occidental, CA: National Center for Pelvic Pain Research; 2003. . Anderson RU, Wise D, Sawyer T, Chan CA. Sexual dysfunction in men with chronic prostatitis/chronic pelvic pain syndrome: improvement after trigger point release and paradoxical relaxation training. J Urol . 2006 Oct. 176(4 Pt 1):1534 (...) Prostatitis: a myofascial syndrome?. Infect Urol . 1999. 12:82-92. Penna G, Fibbi B, Maggi M, Adorini L. Prostate autoimmunity: from experimental models to clinical counterparts. Expert Rev Clin Immunol . 2009 Sep. 5(5):577-86. . Davis SN, Maykut CA, Binik YM, Amsel R, Carrier S. Tenderness as measured by pressure pain thresholds extends beyond the pelvis in chronic pelvic pain syndrome in men. J Sex Med . 2011 Jan. 8(1):232-9. . Miller JL, Rothman I, Bavendam TG, Berger RE. Prostatodynia and interstitial

2014 eMedicine.com

95. Chronic Pelvic Pain (Treatment)

threshold ( P < 0.0001). [ ] The investigators applied TENS to the anterior surface of the nondominant arm; in the group that experienced chronic pelvic pain reduction following 6 months of multidisciplinary treatment, the effect size of the electrical pain threshold was 0.86, whereas in the group that did not experience a reduction in pelvic pain, the size increase was 0.53. [ ] Psychophysiological therapy Psychophysiological therapy includes reassurance, counseling, relaxation therapy, a stress (...) Biol . 2017 Apr. 211:48-55. . Everaert K, Devulder J, De Muynck M, et al. The pain cycle: implications for the diagnosis and treatment of pelvic pain syndromes. Int Urogynecol J Pelvic Floor Dysfunct . 2001. 12(1):9-14. . Media Gallery Transabdominal longitudinal view of the female pelvis. Transabdominal transverse view of the female pelvis: The bladder is rectangular. The ovaries are seen bilaterally in the adnexa. of 2 Tables Contributor Information and Disclosures Author Manish K Singh, MD

2014 eMedicine.com

96. Chronic Pelvic Pain Syndrome and Prostatodynia (Treatment)

and paradoxical relaxation training treatment of chronic pelvic pain in men. J Urol . 2005 Jul. 174(1):155-60. . FitzGerald MP, Anderson RU, Potts J, Payne CK, Peters KM, Clemens JQ. Randomized multicenter feasibility trial of myofascial physical therapy for the treatment of urological chronic pelvic pain syndromes. J Urol . 2009 Aug. 182(2):570-80. . Wise D, Anderson RU. A Headache in The Pelvis: A New Understanding and Treatment . Occidental, CA: National Center for Pelvic Pain Research; 2003. . Anderson RU (...) and external trigger-point release therapy. It has proven more effective than standard external massage therapy alone. Paradoxical relaxation is a methodology used to train autonomic self-regulation and pelvic muscle tension release. This psychotherapeutic treatment technique is used to help the patient decrease anxiety and nervous system arousal while counteracting the habit of tensing the pelvic muscles under stress. It is termed "paradoxical" because patients are directed to accept their pain

2014 eMedicine.com

97. Chronic Pelvic Pain Syndrome and Prostatodynia (Follow-up)

and paradoxical relaxation training treatment of chronic pelvic pain in men. J Urol . 2005 Jul. 174(1):155-60. . FitzGerald MP, Anderson RU, Potts J, Payne CK, Peters KM, Clemens JQ. Randomized multicenter feasibility trial of myofascial physical therapy for the treatment of urological chronic pelvic pain syndromes. J Urol . 2009 Aug. 182(2):570-80. . Wise D, Anderson RU. A Headache in The Pelvis: A New Understanding and Treatment . Occidental, CA: National Center for Pelvic Pain Research; 2003. . Anderson RU (...) and external trigger-point release therapy. It has proven more effective than standard external massage therapy alone. Paradoxical relaxation is a methodology used to train autonomic self-regulation and pelvic muscle tension release. This psychotherapeutic treatment technique is used to help the patient decrease anxiety and nervous system arousal while counteracting the habit of tensing the pelvic muscles under stress. It is termed "paradoxical" because patients are directed to accept their pain

2014 eMedicine.com

98. Chronic Pelvic Pain (Follow-up)

sleeping habits, and balanced meals. Try biofeedback and relaxation techniques. For patient education resources, see and , as well as , , , , and . Previous References Mathias SD, Kuppermann M, Liberman RF, et al. Chronic pelvic pain: prevalence, health-related quality of life, and economic correlates. Obstet Gynecol . 1996 Mar. 87(3):321-7. . Jamieson DJ, Steege JF. The prevalence of dysmenorrhea, dyspareunia, pelvic pain, and irritable bowel syndrome in primary care practices. Obstet Gynecol . 1996 (...) for the diagnosis and treatment of pelvic pain syndromes. Int Urogynecol J Pelvic Floor Dysfunct . 2001. 12(1):9-14. . Media Gallery Transabdominal longitudinal view of the female pelvis. Transabdominal transverse view of the female pelvis: The bladder is rectangular. The ovaries are seen bilaterally in the adnexa. of 2 Tables Contributor Information and Disclosures Author Manish K Singh, MD Assistant Professor, Department of Neurology, Teaching Faculty for Pain Management and Neurology Residency Program

2014 eMedicine.com

99. Chronic Pelvic Pain Syndrome and Prostatodynia (Diagnosis)

of myofascial physical therapy for the treatment of urological chronic pelvic pain syndromes. J Urol . 2009 Aug. 182(2):570-80. . Wise D, Anderson RU. A Headache in The Pelvis: A New Understanding and Treatment . Occidental, CA: National Center for Pelvic Pain Research; 2003. . Anderson RU, Wise D, Sawyer T, Chan CA. Sexual dysfunction in men with chronic prostatitis/chronic pelvic pain syndrome: improvement after trigger point release and paradoxical relaxation training. J Urol . 2006 Oct. 176(4 Pt 1):1534 (...) Prostatitis: a myofascial syndrome?. Infect Urol . 1999. 12:82-92. Penna G, Fibbi B, Maggi M, Adorini L. Prostate autoimmunity: from experimental models to clinical counterparts. Expert Rev Clin Immunol . 2009 Sep. 5(5):577-86. . Davis SN, Maykut CA, Binik YM, Amsel R, Carrier S. Tenderness as measured by pressure pain thresholds extends beyond the pelvis in chronic pelvic pain syndrome in men. J Sex Med . 2011 Jan. 8(1):232-9. . Miller JL, Rothman I, Bavendam TG, Berger RE. Prostatodynia and interstitial

2014 eMedicine.com

100. Unstable Pelvic Fractures (Treatment)

measurement is obtained, crystalloid is administered until type-specific blood of non-cross-matched universal donor (O-negative) is prepared. Displaced pelvic fractures can be stabilized temporarily by simple means during the initial evaluation and transportation. These methods rely on immobilization and partial reduction of displacement. A sheet can be tied around the pelvis, or the legs can be tied together in an internally rotated position to approximate an anterior pelvic diastasis. Military antishock (...) fixation also has been used in rotationally unstable pelvic fractures. [ , , ] Benefits of external fixation include immobilization of fractures limiting the clot disruption that may occur during patient movement and transfer. Studies have shown that reduction of an open-book pelvis leads to an increase in retroperitoneal pressure, which may aid in the tamponade of venous bleeding. The use of external fixation remains controversial. For example, Gruen et al reported that in 36 trauma patients who were

2014 eMedicine Surgery

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