For Referring Practitioners

REFERRAL PAD in Adobe PDF Format

• Physician's Prescription for Physical Therapy.
  
• Pelvic Physical Therapy and Lymphedema Services at Beth Shelly PT:
  
  • Pelvic floor dysfunction
    • Underactive pelvic floor muscle – weakness, incontinence, prolapse, male and female
      • Specific PFM strengthening with and without biofeedback (EMG, pressure)
      • Proper abdominal muscle contraction, lifting
      • Bladder, bowel training
      • Electrical stimulation
    • Overactive pelvic floor muscle – spasm & pain (levator ani, vaginismus, vulvodynia, dyspareunia)
      • Complete evaluation of primary & secondary musculoskeletal pelvic dysfunction
      • Treatment of joint dysfunction – lumbar, SI, pubic, coccyx, hip
      • Exercise for pelvic muscles to stretch and strengthen
      • Manual techniques to scars and tight tissues – pelvis, vagina, rectum – internal and external
      • Vaginal dilators
      • Pain reducing modalities – TENS, HP, CP, US
      • Education on self management
    • Incoordination – Obstructed defecation, urinary retention
      • Similar to supportive dysfunction
      • Biofeedback – EMG
      • Visceral dysfunction – Endometriosis, interstitial cystitis, abdominal adhesions
      • Pain reducing modalities
      • Exercise to increase functional activity level
        
  • Swelling management and lymphedema
    • Manual lymphatic drainage
    • Multilayer compression bandages
    • Pneumatic, gradient, sequential pump
    • Measurement and fitting of compression garments
    • Patient education on self care
    • Orthopedic, peripheral vascular, wounds and lymphedema
      
  • Obstetrical physical therapy
    • Prenatal and postpartum musculoskeletal pain (sciatica, low back, pubic symphysis, neck, wrist – carpal tunnel syndrome)
      • Therapeutic exercise to stretch tight muscles
      • Manual stretching of specific muscle spasms
      • Joint mobilization
      • Heat packs
      • Education on body mechanics, posture and self care
      • Support binders and straps
        
    • High risk OB
      • Pain treatment as above
      • Establish maintenance exercise program

 

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