Cycle for Survival: We need your support!

By Fiona McMahon, DPT

Cancer has directly or indirectly touched almost all of us. It has the ability to take from us: our health, our independence, our loved ones, and even our own lives. Cancer can strike throughout the lifespan and inflicts pain on both those suffering from the disease and those who love them. We at Beyond Basics want to support the research to defeat cancer. That’s why the crew at Beyond Basics is lacing up our cycling shoes to raise some serious money for Cycle for Survival.

What is Cycle for Survival? It’s an opportunity to do some good and give back. Cycle for Survival is a phenomenal fundraising organization that raises money to support research to fight rare (and usually underfunded) cancers. Participants raise money by obtaining donations and then going ALL OUT in the cycling studio.

Half of people who are battling cancer are battling a rare form of the disease for which much less is known about how to effectively treat it.  Cycle for Survival has raised 81.3 million dollars to date and 100% of that money has directly contributed to clinical trials and research studies for rare cancers.

We need YOUR help!  Please donate to our cause by visiting http://bit.ly/1lI5XjD

CFS 2016

Alliance for Pelvic Pain: Connecting the Dots of Your Experience

By Fiona McMahon, DPT

Come join us on May 20-22, 2016 for aAPP image patient retreat!  Beyond Basics Physical Therapy is partnering with a host of other top experts in the field of Pelvic Pain to hold a weekend long retreat at Honor’s Haven Resort & Spa in Ellenville, NY.  This weekend-long retreat is intended for patients (both men and women) who are managing persistent pelvic, genital, back and sexual pain. The retreat will feature educational seminars, workshops, and one-on-one treatment with various healthcare professionals in the field of pelvic pain. Participants will also have the ability to enjoy the many amenities of the resort itself, such as the fitness center, spa facilities, and outdoor/indoor sports facilities.

For patients who need financing for their healthcare journey, consider gofundme.com or request a corporation to sponsor your participation in this wonderful opportunity.

For more information, please check out our flyer or www.allianceforpelvicpain.org and read some of our patient testimonials below. Register early! Spots will fill fast!

“The Alliance for Pelvic Pain retreat was a life-changing experience. It was wonderful to meet so many other women w/ similar symptoms. I felt incredibly supported & understood.”
– 2013 Retreat Participant

“The event was beyond my expectations. I am in my upper twenties and connected to people in all age ranges. I received guidance from older people who also told me how much they respected me for having this challenge at such a young age.” – 2013 Retreat Participant

“I left the conference feeling much more of that sense of integration, and with a sense of connectedness to everyone else there. I have much more I could say about this, but I just wanted to say how deeply meaningful the whole experience was for me and how grateful I am for you to have provided it.” – 2013 Retreat Participant

2016 flierDisclaimer:  The Alliance For Pelvic Pain requires a certain amount of participants to run the event.

Gaining a Sense of Hope and Empowerment

By Nancy Fish, LCSW, MPH (co-author, with Deborah Coady,M.D. of Healing Painful  Sex)

When thinking about registering for the Alliance for Pelvic Pain Patient Retreat, I imagine you are asking yourself, “Why would a person suffering from pelvic pain, with more medical appointments than is humanly possible to handle, add another item on an already overwhelming “to do” list?” It would be completely understandable if that is your initial reaction.

So why is this retreat a must in your path to physical and emotional healing? There are so many reasons why this retreat can be a life-altering event but I’ll just name a few compelling ones. As a psychotherapist who specializes in pelvic pain (I am also a pelvic pain patient) the primary challenges I hear from most of my clients are:

“I feel so alone.”

“This is too embarrassing to talk about with ANYONE.”

”I feel so hopeless and that there is nothing that can help me.”

“I feel like I will never have sex again.”

“Who will want me?”

“No doctor understands this and no doctor can help me.”

If you are reading this blog, I’m sure you can identify with a few if not all of these statements.  If only ONE of these statements is something you relate to, then the AFPP retreat is an event you cannot afford to miss. It will provide you with invaluable tools to address all of your concerns. You will have access to some of the world’s most renowned medical, physical therapy, and mental health professionals specializing in the integrative treatment of pelvic pain who will be able to answer any of your questions or concerns.  There will be opportunities to register for significantly discounted one on one sessions with expert physical therapists, an Acupuncturist, a yoga instructor, and services from the EarthMind Wellness Center at Honor’s Haven. You will also be with other individuals who share the same concerns and challenges and you will not have to explain issues like “why you can’t sit” or “why this pain makes you feel you are going crazy.” For the first time in a long time you will not have to justify behaviors or decisions that you are confronted with on a daily basis – you can just be you.

One of the greatest tools you will gain from this retreat is empowerment.  Pelvic pain can be so disempowering and our goal is give you the ability to empower yourself so you begin or continue on the path of self-healing through a combination of medical and integrative health techniques. I never ask any of my clients to use a technique that I don’t use myself.  And I have found that medical interventions are often essential but not enough.  Overcoming pelvic pain takes an “East meets the West” approach using a daily practice of mindfulness, meditation, and other integrative techniques.

Participants leave the retreat with a new support system, a sense of self-empowerment, and a host of self-healing practices (such as a physical therapy home program) that will be invaluable on your journey to recovery – and most important, A RENEWED SENSE OF HOPE.

 

(Spaces are limited so please book your reservation as soon as possible.  Also, for funding opportunities, all participants should go to Gofundme.com.)

 

The Hard Truth on Erectile Dysfunction

By Fiona McMahon, DPT

flowerThe penis is kind of like a canary in a coal mine for the male body. A penis that isn’t quite working the way it used to is something that should not be ignored.  Erectile dysfunction (ED) can have devastating effects on the psyche of the man experiencing it. ED can be an important indicator that some other component of your health, whether it be your heart, your weight, your mental health, physical activity, or muscles may need a little extra attention.  In this blog we will discuss some of the common contributors to ED as well as steps you can take to prevent and or treat it.

What’s Normal?

Erectile dysfunction is the term given to a condition in which a man is unable to maintain an erection to complete sexual intercourse. Erectile dysfunction affects many men.  It is considered the most common chronic condition affecting men. The lifetime prevalence (your chance of experiencing ED at least once in your life) is about 50% (Kaya 2015).

It is a sad but true fact that as you age, your risk for ED increases. This is because the penis relies on a mixture or hormonal, musculature, vasculature, and neural inputs for full function. As we age these systems can be impacted by diseases of old-age, medications used to manage these diseases, as well as general inactivity.

Men who are under 40 also may experience erectile dysfunction. The old dogma was that men who were experiencing erectile dysfunction under the age of 40 did so entirely because of mental health conditions like anxiety. This is no longer the belief. We know that certain other health conditions like  pelvic floor dysfunction, diabetes, high blood pressure, and obesity can wreak havoc on a man’s sexual function

Although your chances of experiencing ED increase with age, it is certainly not inevitable and we are fortunate to live in an era of effective diagnostics as to the cause of your ED as well as treatment and prevention.


How is a Normal Erection Achieved?

The physiology of the penis is fascinating. It’s like a symphony of different systems that come together to produce one result. In order to achieve an erection your muscular, vascular, neurological, and hormonal systems must all be functioning properly. We can divide erection into two phases; a vascular phase and a muscular phase. The vascular phase relies on the heart and blood vessels to bring blood to the penis and allow it to become stiff. The muscular phase relies on the muscles of the pelvic floor (the bicycle seat area of your body). These muscles work by contracting to increase the pressure of the blood within the penis. Hormones and the nervous system also help to regulate drive, sensation, and the response of your muscles and arteries to sexual stimulation. As we will see, there are many different things that can disrupt these processes and cause difficulty with erection.

Causes of Erectile Dysfunction:

Metabolic Syndrome:

Metabolic syndrome is an increasingly common syndrome in the United States that is currently affecting 35% percent of all adults and is hitting our elders particularly hard, with an estimated 50% of all adults over age 60 meeting the clinical definitions of metabolic syndrome.

Metabolic syndrome is defined as having 3 or more of the following conditions: waist circumference of 102 centimeters or more ( about 47 inches) for men, and 88 cm ( about 35.5 inches) for women, serum triglycerides of 150 mg/dl or greater, high density lipoprotein (HDL, the good cholesterol) of less than 40 mg/dl in men and 50 mg/dl in women, blood pressure of over 130/85 mm/hg or needing to take blood pressure medications, fasting blood glucose of 100mg/dl or greater, or if you are currently taking diabetes medications.

The link to ED and metabolic syndrome and other disorders associated with it (diabetes, obesity, and heart disease) is well established. In a 2015 article, Kaya and colleagues found that men with erectile dysfunction are 3 times more likely to also have metabolic syndrome. The group also found that 79% of men with ED have a BMI of over 25 (overweight) and that men with a BMI of 30 (obese) have a 3 times increased incidence of ED.

You are probably well aware that the above conditions are definitely not good for your health and can put you at risk for heart attack, stroke, and diabetes, but how does metabolic syndrome affect your penis? Metabolic syndrome can have a profound effect on your hormones, sex drive and blood flow, which are important components of maintaining a healthy erection.

Metabolic syndrome is associated with an increase in adipose (fatty tissue) around the waist.  Fatty tissue has a strong interaction with the hormones estrogen and testosterone. Testosterone is the hormone of desire and is needed for proper sexual function in both males and females. Obesity can lower the amount of serum testosterone someone has, which can actually increase the amount of fat you store. As the balance between estrogen and testosterone shifts within your body, it becomes harder to lose weight and with increasing fatty tissue your testosterone continues to lower over time making the situation worse.

Metabolic syndrome also affects the delicate and complex arterial system that goes to the penis. Just like plaque in your arteries can cause heart disease and heart attacks, it can also clog up the vasculature in your penis making it difficult or impossible to achieve an erection.  This makes the loss of erectile function a serious issue, besides the obvious effect on your sex life, because it is an important indicator of how well your cardiovascular system is working and may indicate a potentially serious buildup of plaque in other vital arteries. The loss of potency certainly warrants further investigation by your primary care provider.

Drug and Alcohol Use

Sometimes drugs and alcohol are used as an aphrodisiac to help dampen inhibitions and fuel the passion between a couple. However, there have been many studies that show that long-term and sometimes short-term use of drugs and alcohol can have a negative effect on a man’s ability to achieve and erection.

Alcohol has long been considered a social lubricant. It factors into our sexual imagery with images of couples sipping a sexy glass of champagne before getting down to business on TV and in movies. But too much alcohol can easily ruin your ability to enjoy an intimate night with your partner.

There are many different ways alcohol can affect erection and sexual potency. In the short term, alcohol is a central nervous system depressant. What that means is that it can slow down the systems that are vital to your erection like respiration, circulation, and nerve sensitivity.

As anyone who has woken up from a night of heavy drinking can tell you, alcohol can be very dehydrating. Dehydration affects your ability to achieve an erection by lowering your blood volume, therefore allowing less blood to get to the penis (a requirement for a rigid erection). Dehydration also increases the amount of angiotensin circulating in the blood. Increased angiotensin is associated with erectile dysfunction.

Long term alcohol use can also wreak havoc on your erectile and sexual function. In a 2007 study by Arackal and Benegal, 100 subjects between 20-50 who had been to a rehabilitation facility for alcohol withdrawal were surveyed for their level of sexual function. The average length of alcohol use for the patient’s surveyed was about 8.59 years. Out of the 100 men surveyed 72% reported sexual dysfunction including low desire, premature ejaculation, and erectile dysfunction. Chronic and heavy alcohol consumption can damage the cardiovascular system, limiting the blood flow available to the penis. Other drugs like opiates, amphetamines, and designer drugs have been found to negatively affect the quality of erections in long term users versus their age matched counterparts who are not using drugs. It is advisable to abstain from drug and excessive alcohol use for many reasons but also for health of your sexual systems.

Emotional

It has long been the dogma in male sexual health that difficulty in erection in young men is solely attributable to psychogenic or emotional causes. As you have seen in the previous sections there are many different factors that can impair your sexual functioning.

Erections can occur in response to touch, but they can also occur in response to visual stimulus or fantasy. The mind is a powerful sexual organ and disorders that disrupt its function can also disrupt your ability to achieve an erection.

During erection, your brain sends signals to the penis via neurotransmitters (chemical messengers). These messengers cause the release of cyclic guanosine phosphate (cGMP) at the penis to allow the capillaries in the penis to dilate and the penis to engorge. The brain must send continuous messages via these neurotransmitters to keep the supply of cGMP steady throughout intercourse or during sexual play to ensure that your erection is maintained throughout.

Emotional issues affecting erection can range from guilt, anxiety, grief and stress. Anxiety about achieving an erection can make impotence worse, thus creating a vicious cycle. Being able to achieve an erection with masturbation or in the morning (“morning wood”) but not during intercourse, is an important clue that there may be an emotional component to your erectile dysfunction.

Musculature

What do muscles have to do with my penis? A lot. The muscles of the pelvic floor play a vital role in the sexual function of both genders, and as we will explore, there is a considerable amount of muscular coordination required for erection and orgasm.

The pelvic floor is the region of muscles that reside in the bicycle seat or crotch area. The muscles of the pelvic floor have a lot of work to do for your body. The pelvic floor is divided into 3 layers. The deepest layer provides the supportive function of the pelvis. It supports your pelvic organs like the bladder, rectum, and prostate. It also provides support to the bones of the pelvis. The middle layer provides the sphincteric function of the bladder and is responsible for closing down the openings that allow urine and feces to leave the body and provides us with continence. The last layer is responsible for the sexual functioning of the body. These muscles are amazing. They have to relax enough to let blood into the penis to allow for erection, but then contract to allow the blood pressure in the penis to remain high enough for penetration.

Just like any other muscles in the body the muscles of the pelvic floor can be subject to dysfunction. Injury can occur suddenly from the result of a hard fall on the bottom, sports injury, or operation and it can also occur gradually over a long period of time from chronic stress and muscle holding, poor sitting posture, repetitive stress, or infectious process.

When something goes wrong with the pelvic floor we call it pelvic floor dysfunction. Other symptoms of pelvic floor dysfunction can include pain, urinary issues, and defecation (pooping) issues. Luckily, like other muscles of the body, the pelvic floor can be rehabbed and made to function properly with the help of physical therapy.
Treatment:

Society places a lot of weight on a male’s ability to perform sexually and it can be easy to feel a lot of shame and distress when that ability is compromised. As we have explored there are a multitude of physiological and psychological reasons that can affect your penis that have nothing to do with your manhood, your love of your partner, or your sexual skill.

Changes in your erection are potentially serious and may indicate a larger disease process at work. If you find you are unable to maintain an erection, you should make an appointment with your doctor to determine the appropriate treatment.

Once you are cleared by your doctor, physical therapy can help to ensure your muscles are in working order to achieve an erection. Physical therapy can also address other aches and pains that may be preventing you from being active enough to maintain a healthy body.

Prevention:

Now is the time to make healthy lifestyle changes, regardless of whether you are currently experiencing erectile dysfunction or not.  Studies looking at the effects of lifestyle changes and the benefit of erectile function find that the earlier in life one makes healthy changes the more effective those changes are at warding off erectile dysfunction.

If you smoke, stop. It is common knowledge that smoking pushes you closer to the grave, but it also affects the blood flow to your penis. It’s no small task to quit smoking. At the bottom of this page you will find links to resources to help you quit smoking. Some of the long-term  benefits of quitting include: reduced lung cancer risk, reduced risk of heart disease and stroke. You can even see results right away. Within 20 minutes of quitting, your heart rate and blood pressure drops, and as early as 2 weeks circulation improves helping to restore proper blood flow to your penis.

Aside from smoking, adopting healthier habits overall, can improve your sexual as well as overall function. Getting regular exercise helps to improve many of the conditions associated with metabolic syndrome. Exercise also gets the heart pumping ensuring adequate blood flow to the penis. The CDC suggest that people aged 18 and over get at least 2 hours and 30 minutes of moderate-intensity aerobic activity (brisk walking) and muscle strengthening of all major muscle groups during the week.

Diet is another important component of proper erectile function. A general rule of thumb is to eat a diet that would generally be considered good for your heart.  Reducing your alcohol, fat, sugar, and salt intake while increasing your intake of whole grains, vegetables and lean meat is a good place to start. Consulting with a registered dietitian can help to give you more specific advice for your personal goals.

Physical Therapy

Physical therapy can help to improve the function of the muscles that are responsible for erection, ejaculation and orgasm. As we described earlier, the pelvic floor muscles play in integral role in male sexual function, from erection to ejaculation. When men come into physical therapy after complaining of erectile dysfunction, a pelvic floor physical therapist will examine the muscles of and surrounding the pelvic floor to see if they are too tight or weak to generate enough force to maintain adequate blood pressure in the penis, examine bony malalignments which may be impairing the full function of the muscles and nerves of the pelvic floor, as well as many other things that may be impacting the full function of the pelvic floor.

Pelvic floor physical therapists treat their patients, employing a multitude of techniques individually selected for each patient. Treatments may utilize soft tissue techniques to reduce tightness of the pelvic floor and surrounding fascia to improve muscle function and blood flow. A therapist may guide his or her patient through a series of exercises to strengthen weak muscles. Other techniques include postural correction, biofeedback and much more.

The effects of physical therapy on erectile dysfunction have been illustrated in many studies. In a 2014 study, Lavoisier and colleagues examined the effects of a program of pelvic floor physical therapy on erectile function of 108 men suffering from erectile dysfunction. The men in this study had no neurological conditions that could affect their erectile function. In this study, the participants were given 20 sessions of physical therapy which included muscle strengthening and electrical stimulation of the muscles of the pelvic floor. At the end of the study, Lavoisier and colleagues found that that physical therapy was effective in strengthening the muscles of the pelvic floor, specifically the ischiocavernosus, which is a major component of being able to achieve erections.

In another study by Dorey and colleagues in 2005, men were given either pelvic floor physical therapy exercises or lifestyle changes to treat their erectile dysfunction. The men in the study who were given pelvic floor physical therapy did significantly better than men who performed lifestyle changes alone.

Medicine

Most of us are aware of Viagra and Cialis; Viagra, most memorably being brought to our collective cultural awareness by former presidential candidate, Bob Dole. These drugs have quite the interesting history. Viagra as an erectile dysfunction drug was actually discovered by accident. Viagra (sildenafil) was originally designed for treatment of heart conditions. It was found that treatment with Viagra improved the erection of those taking it. Conversely it was not effective for its original purpose, the relief of angina (chest pain). It works by relaxing the blood vessels of the penis to allow for blood flow and erection. Viagra does not cause people to have erections, it allows people to respond to sexual stimulation with an erection. It is not an aphrodisiac and taking it recreationally does not change sexual performance of people without erectile dysfunction. Cialis (tadalafil) works in much the same way as Viagra by increasing the blood flow to the penis via dilation of the penile blood supply. Even with the use of Viagra or Cialis, it is important to discuss with your doctor, what the underlying cause of your erectile dysfunction is, and what other steps you can take to improve your overall health and prevent further impacts on your quality of life.

Other Options:

There are other options to treat ED in more advanced cases. There are pumps that can be used to allow blood to be drawn into the penis to maintain erection. Pumps should be prescribed by your doctor to ensure effectiveness and safety.

Implants are another available option, but require surgery. There are two main types: rigid and inflatable. Inflatable implants allow for erection by transferring saline into two semi rigid rods on either side of the penis. This allows for the ability to have a flaccid penis when desired. Rigid implants consist of rods that you adjust to have an erection. The penis will remain firm but you can bend it to conceal it as desired.

Conclusion:

Erectile dysfunction is a devastating condition that can have a profound effect on your quality of life. The health of your erection is an important indicator of your overall health. Maintaining an active and healthy lifestyle goes a long way towards staving off erectile problems in the future. If you find yourself troubled by erectile dysfunction, see your doctor. There are many treatments options, including physical therapy that can help you return to living your life fully.

 

Resources:

Smoking Cessation:

American Cancer Society’s Guide to quitting smoking:

http://www.cancer.org/healthy/stayawayfromtobacco/guidetoquittingsmoking/index

 

NYC Quits:

NYC Quits provides free coaching and a starter pack of quit-smoking medications

http://www.nyc.gov/html/doh/html/living/nycquits.shtml

Call 311 or 1-866-NY-Quits

 

 

Sources:

 

American Cancer Society. Guide to Quitting Smoking. Accessed December 31, 2015

Arackal B, Benegal A. Prevalence of sexual dysfunction in male subjects with alcohol dependence. Indian J Psychiatry. 2007; 49(2):109-112

Aguilar M, Bhuket T, Torres S. Prevalence of metabolic syndrome in the United States 2003-2012. 2015;13(9)

Bang-Ping, Jiann. Sexual Dysfunction in Men Who Abuse Illicit drugs: A preliminary report. J. Sex. Med. 2009. Apr; 6(4):1070-80. Epub 2007 Dec 18

Brown University Health Promotion. Alcohol and Sex. http://brown.edu/Student_Services/Health_Services/Health_Education/alcohol,_tobacco,_&_other_drugs/alcohol/alcohol_&_sex.php.  Accessed December 23 2015

Centers for Disease Control and Prevention. Quitting smoking. http://www.cdc.gov/tobacco/data_statistics/fact_sheets/cessation/quitting/index.htm#benefits. Accessed December 31 2015

Derby C, Mohr B, Goldstein I, et al. Modifiable risk factors and erectile dysfunction: can lifestyle modify risk. Urology. 2000; 56(2): 302-06

Dorey G, Speakman MJ, Feneley RC, et al. Pelvic floor exercises for erectile dysfunction. BIJU Int. 2005 Sep;96(4):595-7

Gareri P, Castagna A, Francomano D. Erectile dysfunction in the elderly: an old widespread issue with novel treatment perspectives. Int J Endcorinol. 2014 (2014)

Grover S, Mattoo S, Pendharkar S, et al. Sexual dysfunction in patients with alcohol and opiod dependence. Indian J Psycho Med. 2014; 36(4): 355-365

Kaya E, Sikka S, and Gur S. A comprehensive review of metabolic syndrome affecting erectile dysfunction. J Sex Med. 2015;12:856-875

Lavoisier P, Roy P, Dantony E, et al. Pelvic-floor muscle rehabilitation in erectile dysfunction and premature ejaculation. Phys Ther. 2014;94:12: 1731-43

Mayo Clinic: Diseases and Conditions: Erectile Dysfunction. Mayo Clinic Staff. http://www.mayoclinic.org/diseases-conditions/erectile-dysfunction/basics/causes/con-20034244. Accessed December 5,2015

Rajiah K, Veettil S, Kumar S et al. Psychological impotence:psychological erectile dysfunction and erectile dysfunction causes, diagnostic methods and management options. Scientific Research and Essays Vol. 2012; 7(4): 446-52

Photo source: http://globalcomment.com/wp-content/uploads/2008/09/istock_000005072697xsmall.jpg

 

The Top 5 Pelvic Messenger Shows of 2015

As we begin 2016, we’re reflecting on some of our favorite shows with The Pelvic Messenger last year. Read on below to learn more about these wonderful radio shows discussing pelvic health and give them a listen! Here they are, in no particular order:

Dr. Paul Nyirjesy: Management of Persistent Vaginitis
“With vaginitis remaining a common condition that leads women to seek care, it is not surprising that some women develop chronic vulvovaginal problems that are difficult to diagnose and treat.  With a differential diagnosis that encompasses vulvar disorders and infectious and noninfectious causes of vaginitis, accurate diagnosis is the cornerstone of choosing effective therapy.”

Dr. Alexandra Milspaw: Healing Chronic Pain, Trauma, & Stress with Neurotherapy
Alex Milspaw, PhD, LPC is a licensed professional counselor in private practice specializing in the treatment of trauma and chronic pelvic and sexual pain disorders. Dr. Milspaw is passionate about her work in utilizing neurotherapies to help her clients experience the healing changes in their lives as quickly as possible.

Jill Fuersich and Jordan Davidson of Endo Warriors: Endometriosis Support Group
Endo Warriors is a face to face and online support organization founded by Jill Fuersich, Jordan Davidson, and Nicole Malachi who were all diagnosed via laparoscopic surgery in 2007, 2004, and 2007, respectively. After failing to find a support group in the New York area, Jill, Nicole, and Jordan combined forces to create a safe haven for women to tell their stories, vent, and receive support from other women going through similar circumstances.

Dr. Darren Brenner: the Diagnosis and Treatment of Bowel Disorders
Dr. Brenner shared with the Pelvic Messenger audience a portion of his presentation and research on the Diagnosis and Treatment of GI Disorders, which was presented at the IPPS Annual Conference in Chicago.

Dr. Charles Butrick: Painful Bladder Syndrome/ IC – What it is and how to treat it
Dr. Charles Butrick is a practicing Urogynecologist in Overland Park, Kansas who has a practice dedicated to interstitial cystitis, the management of urinary and fecal incontinence, pelvic floor reconstruction and pelvic pain disorders. This show discusses what Painful Bladder Syndrome is, its symptoms and how to diagnosis and treat this condition.

 

Postcard from the Beyond Basics Holiday Party

Ho! Ho! Ho! Last weekend the Beyond Basics crew put on their best duds and dancing shoes to celebrate the holiday season at Tiny’s NYC. Tiny’s is a rustic looking little bar/restaurant that has large plank pine wood floors and handsome wood beam rafters decorated with white Christmas lights and evergreen garlands. It definitely felt calm and cozy on the inside, despite the cold December night outside.  

We also held our first ever “Beyondies.” The Beyondies are awards based loosely off of the Dundies from the show The Office. Superlatives were sent out to the staff and collectively, we voted on the woman from our practice most likely to be hiding candy in her desk, the woman most likely to become a crazy cat lady, and many more. Below are pictures from our Holiday Party as well as some of the results from our first ever annual Beyondies Awards.

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Fiona presenting Alexa with “The Most Likely to Never Kayak Again Award”

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Jaquie receiving the “Clinic Mom” award

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Anne Taylor winning the award for “Most Likely to Become a Crazy Cat Lady”

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Corey wins the award for “Most Gluten-Free”

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Ryanne gets the award for being the most likely to start a dance off

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Melissa receives the award for Clinic Clown

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Amy wins the award for Most Competitive

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Stephanie wins the award for most “Martha Stewart”

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Victoria wins the awards for “Best Brown Bag Luncher”

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Yarisa winning the award for most Disney Princess

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The whole crew (minus Rose and Yarisa) at the Beyond Basics Holiday Party

Postcard From: Boston

By Fiona McMahon, DPT

Last weekend, a small group of physical therapists from Beyond Basics Physical Therapy travelled north to Boston to review the latest and greatest in colorectal and male pelvic health.

Corey Silbert, Victoria LaManna, Stephanie Stamas, and Fiona McMahon, physical therapists and experts in pelvic floor dysfunction, traveled to Norwood, Massachusetts, just outside of Boston, to Herman and Wallace’s Pelvic Floor 2B Course. The course highlighted techniques such as the evaluation and treatment of fecal incontinence, treatment of coccyx (tail bone) dysfunction, treatment of constipation, male pelvic pain, pudendal nerve syndromes, and how physical therapy can help treat conditions like ulcerative colitis, crohns, irritable bowel syndrome, prostatitis, post prostatectomy incontinence, and many other conditions

The physical therapists at Beyond Basics Physical Therapy pride themselves on striving to bring the most current and up to date clinical techniques into their clinical practice. We have extensive experience in the treatment of disorders of the pelvic floor.

We encourage you to schedule an appointment if you feel you could benefit from our services.

Check out some of the pictures from our trip!

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Above: Corey Silbert and Holly Herman (co-founder of the Herman & Wallace Institute)

Below (left to right): Corey Silbert, Stephanie Stamas, Victoria LaManna, and Fiona McMahon

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