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The pelvic floor closes off the pelvis at the bottom; due to its position, the pelvic floor is closely linked to the muscles of the legs and the trunk muscles. In my therapy concept, the analysis of the functional disorder is in the foreground. A precise social and medical anamnesis precedes the physiotherapeutic assessment. Recurring forced postures cause or deepen pelvic floor dysfunction, which I can identify and treat.
You have the opportunity, for example, with pelvic problems, pregnancy problems, pelvic floor pain, the so-called giggle incontinence in teenagers, hypertonic pelvic floor as a competitive athlete: inside, preoperatively or postoperatively before urogynecological, proctological or urological operations with me a medical prescription for medicinal products or to introduce yourself directly to me as a sectoral alternative practitioner for physiotherapy as a self-payer.

Your understanding of the anatomy, perception, pelvic floor function, pain and the functional relationships between trunk, extremities and pelvic floor are trained with the aim of freedom from symptoms. Together we will create a therapy plan after I have shown you the possible therapy options.

Beckenboden-schmerz patient:in

Detailed anamnesis according to ICF criteria, manual examination for muscular pain or trigger points, manual therapeutic examination, selection of electrotherapy, creation of a therapy plan

I also offer the Wise Anderson concept for pelvic floor pain.

Stress incontinence:

Assessment, congestion assessment of the pelvic floor muscles, perception, coordination or strength is trained according to the muscle findings. This is done using electrotherapy and biofeedback. Here, too, you will receive the right home device for you if indicated. Over time, you will learn additional exercises that you can do at home.

Trigger point treatment

Muscles have the ability to compensate for many functional disorders. If muscular or functional deficits exist for too long, so-called trigger points arise, often noticeable as punctual tension. A distinction is made among other things between active and passive trigger points. Active trigger points not only show local pressure sensitivity, but also pain points in the regions assigned to them. These relationships need to be identified and treated.

Pelvic floor muscles as a webinar

It has been possible to book various webinars since February 15th.

Duration 20-30 min, costs per webinar € 12

You then have the opportunity to watch the webinar alone for 2 weeks.

Subjects:

Pelvic floor anatomy and organs in the female pelvis
Pelvic floor antomy and organs in the man's pelvis
chronic pelvic floor pain: physiotherapeutic therapeutic approach

Acticore 1 rent service

Training Zuhause, Leihservice 60 €, siehe Online-Angebote

Pelvic floor therapy with MAPLe:

Precise diagnosis and therapy with the MAPLe probe, since August 2016 I have been working as the first German practice with the probe developed in Leiden, the Netherlands, and have treated over 150 patients with this system and published my experiences at national and international congresses. Information under www.novuqare.com. Below you can see a precise result with the resting potential, fast and persistent tension, the aim is to harmonize the pelvic floor tone and to train the muscles accordingly in terms of strength, coordination and endurance, this is also possible with pinpoint accuracy. It is a private benefit that is covered by private health insurance and the allowance. The probe is personal and costs € 120 once. A therapy unit lasts 40 - 60 minutes and includes diagnostics and therapy.

ISG pain during pregnancy:

Due to the static changes during pregnancy, known symptoms can manifest themselves, the stability of the abdominal wall is often lacking and the ileo-sacral joint becomes unstable. Pain arises, through targeted posture training, aids such as a lap belt and special exercises, these complaints can be reduced or eliminated.

rectal Diastase

The diastasis recti is a lack of muscular and connective tissue occlusion of the anterior trunk. Targeted functional abdominal muscle training is indicated here in combination with behavioral training, and is often associated with WS complaints and segmental instability.

Likewise, look for trigger points in the rectus abdomines muscle and treat them. The exercises can be controlled with the help of the rehabilitative ultrasound at your request.

Visceral trigger point therapy and fascia mobilization

Visceral trigger point therapy and fascia mobilization with the Physio Boost or trigger mobilization device. Both devices have different frequency settings in order to painlessly release fascia adhesions or trigger points. Perfect preparation of the connective tissue or muscular structures before performing perception exercises or targeted strengthening

Galileo vibration plate:

The three-dimensionally moving Galileo vibration slit causes muscle contractions throughout the body. By choosing the exercise position, certain muscle groups are preferred. The starting position can be sitting, standing or crouching. Especially after a long period of inactivity or in the recovery phase after giving birth, this targeted training is very efficient body stabilization and muscle training.

Biofeedback:

Biofeedback is the ability to control the correct local tension of the pelvic floor muscles. In daily training or perception training, it is important to know whether the tension is being carried out correctly. In my practice, the feedback is usually given at the beginning with ultrasound, vaginal or rectal palpation or with a probe. In the meantime, there are many aids on offer as motivation for home training. Often financed by health insurance companies. They often work via APPs. The prerequisite for this form of training is always the knowledge of the correct tension and sufficient strength, which must be trained appropriately in everyday life in endurance and coordination.

Urge incontinence

Assessment, explanation of the clinical picture, micturition and defecation with behavior modifications, creation of a micturition protocol, explanation of anatomy and start of electrotherapy with application for a home device suitable for you.

Symphysis pain / Symphyseal instability:

This often occurs during or after pregnancy. The instability causes complaints with certain movements and often when changing positions. Here too, in addition to a symphysis belt, targeted training of the pelvic floor and surrounding pelvic muscles should be carried out.

Physiotherapy for all stages of pregnancy

This period includes the preparation for the birth, the support during the pregnancy and the regression with a subsequent training phase. But also ergonomic advice when lifting and carrying, advice on putting on the sling or shoulder strap, posture, breastfeeding positions, relief postures during pregnancy, childbirth and with a child or children.

Elektrotherapie, Biofeedbacktraining, Unterstützung bei der Pessaranwendung.