Pelvic floor physiotherapists are physios who have had additional training to perform external and internal pelvic exams in order to treat a variety of pelvic floor disorders. Among those disorders include some that pertain to the dysfunction of the bowel – your behind. These anorectal disorders may include

  • Leaking of stool from the rectum (fecal incontinence)
  • Inability to control flatulence (being unable to hold back a fart)
  • Chronic constipation
  • OASIS (obstetric anal sphincter injuries) which include 3rd or 4th degree perineal tears sustained during labour and delivery, rectocele, rectal prolapse, and pain disorders of the anus
There is something we can do to help!

Fecal incontinence refers to the uncontrolled passage of fecal material (aka poop) in individuals who are 4 years old or older. There can be various reasons why fecal incontinence may be present. There may be damage to the internal or external anal sphincters during OASIS. Radiation therapy for certain pelvic cancers may have reduced the ability of the rectum to stretch contributing to incontinence, stool consistency may be too liquid making it difficult for the sphincters to stop the feces from exiting the anus (possibly due to partial bowel resection surgery due to various medical conditions. Food intolerances/poor diet may also cause stool consistency to be too loose. There may be some weakness in the external anal sphincter muscle or the puborectalis portion of the levator ani muscle (the main pelvic floor muscle group) contributing to leakage of stool.

Some leakage can be due to nerve disorders (example multiple sclerosis). Sometimes even chronic constipation can be a source of loose stools leading to fecal incontinence!

 

What does it mean to have a 3rd or 4th degree tear during labour and delivery?

A 3rd degree tear is a tear into the external anal sphincter and a 4th degree tear includes tearing into the internal anal sphincter. These two sphincters are what control the exit of the stool and gas out at the anus from the rectum. When there is a tear in the sphincters, the scar tissue that forms from the injury may cause problems. Common issues to these injuries include having pain during bowel movements and it can contribute to constipation. There can also be low tone of the IAS or EAS (internal or external sphincters) or weakness of the external anal sphincter that may cause fecal incontinence or difficulty with controlling an unwanted fart. Fecal urgency can also be a symptom following 3rd or 4th degree vaginal tears.

Even if there is no bowel dysfunction in the post partum period following labour and delivery with a 3rd or 4th degree tear, having a pelvic floor physiotherapist examine the pelvic floor and provide an individualized home exercise program to optimize the scar tissue mobility, pelvic floor mobility and strength, and provide education on optimization of defecation strategies. This can be very helpful as sometimes occult injuries (meaning those without obvious injury to the anal sphincters) are present. They could result in symptoms like fecal urgency and loss of control of farting or fecal incontinence later in life (post menopausal).

Proactive treatment can be beneficial in these cases!

Chronic constipation is often characterized by:

  • having a bowel movement less than 3 days/week
  • and/or a stool consistency on the Bristol Stool Chart of Type 1 or Type 2
  • history of very large bowel movements (plugging the toilet for instance)

A pelvic floor physiotherapist can be helpful in providing various strategies to assist with the evacuation of the bowels. Some basic recommendations may include:

  • general advice on fibre and fluid intake recommendations for optimal stool consistency
  • activity recommendations
  • manual therapy techniques to assist with motility of the stool through the rectum
  • education on various physical evacuation strategies
  • breathing techniques to assist with optimal bowel evacuation
  • minimization/elimination of straining

 

 

 

For those suffering from prolapse, a physiotherapist can help by teaching optimal defecation techniques to reduce strain to the area, thereby reducing strain to the tissues. There may also be too much tension in the pelvic floor muscles or there may be scar tissue present from obstetrical or other surgical injuries which can lead to pain in the pelvic floor or anus with or without having a poop.

Struggling? Book online with a physiotherapist today in Warman at Warman Physiotherapy & Wellness or Saskatoon, at Warman Physio Saskatoon. Don’t see a spot that works? Add yourself to the waitlist! You can even select if you have a therapist, location, and day/time preferences!

 

 

This post was created by Maja Stroh MPT and pelvic health physiotherapist at Warman Physiotherapy & Wellness

Half the population doesn’t give it much thought. The other half have various opinions. For people that have the option to stand to pee, here are some reasons to sit!

 

Potty Learning

When young children are first learning to use the toilet, it can be easier to teach them to stand to pee. Maybe they already stand to pee in their diaper. Maybe they don’t have the patience to wait to sit to pee. Whatever the case may be, sitting to pee has many benefits through the potty training phases.

Sitting to pee (at all ages) will decrease the amount of mess in the bathroom. Huge motivating factor if you ask me! This mess is reduced even if you are able to continuously hit the bullseye. Having the ability to sit to pee will also help young bodies learning the new skill to relax fully. Being able to relax all the pelvic floor muscles when you sit, gives kiddo the opportunity to have a poop too. Remember from a previous article – being constipated actually makes potty training harder!

 

Adults

Many adults struggle with functional constipation as well. We may still be pooping every day – but not completely emptying. This can lead to issues such as tightness, pain, or perineal discomfort that is tricky to pin down a cause to.

Sitting to pee often seems to take significantly more time, even for adults

Public Bathrooms

The most common question I get is – but what about public bathrooms? We all know the state those washrooms can be in… ick. So of course, in the event of a less than stellar bathroom situation, or being out in the wilderness, standing to pee is a great option! By all means use it!

Just remember – sitting to pee as a general default can often save you headaches later!

 

 

Haylie has been practicing pelvic health and focused in prenatal and post-partum care since graduating from the U of S MPT program in 2011. Officially adding to her practice pediatric pelvic floor therapy in 2017. She has been advocating for treatment for women, ensuring appropriate and effective care throughout pregnancy and post-partum, and helping all expecting and post-partum moms ultimately brought her to open her family-friendly clinic. She now primarily focuses on pediatric pelvic health, perinatal care, and persistent pain in her practice in Warman and Saskatoon locations.

It is another New Year. A time of change and reflection. Last year we wrote our New Year blog with the knowledge that the year was going to be VERY different. Forced changes were happening even as the holidays were gearing up. What we didn’t know is how much of a collective experience having control snatched away would be!

This year it feels that instead of jumping into new resolutions and generalizations of what the year has in store, we are all keeping a close eye on 2021. The new puppy that you aren’t sure won’t wreck those shoes or pee on the carpet. Whatever 2021 had had in store for you, we truly wish that 2021 brings the growth and expansion of happiness and health to all our clients and communities.

Eloquence and gushing are not something that many people find comfortable, including us, however this reflection begs some serious accolades. This past year has shown us that our team is rock solid. We have phenomenal staff. Not only were they able to pick up the slack for Haylie stepping back for her own treatment, but they were able to do this AND navigate a pandemic! Our team had nothing but the health and well-being of our clients and community at the forefront throughout the entire process.

It is for these reasons that we are grateful to 2020. It showed us:
  • We can do hard things (very VERY hard things)
  • Everyone has each others back
  • Continuing as a team and supporting our clients remained a top priority
  • Striking a work/life balance made a big difference in our ability to show up for our clients
  • The adaptability and mental flexibility to move from in-person to virtual services was phenomenal
  • Our values and mission has held strong and true through this whole endeavor

Changes are inevitable. Such massive changes as a collective society is less common. Beyond a shadow of a doubt that we are proud of our clients and community to make this pivot in our social and professional interactions. We have also discovered that some massive changes will not waiver the core values.

Warman Physio will continue to provide:
  1. Exceptional comprehensive and compassionate care
  2. A family friendly and welcoming environment where you are heard
  3. Services across a wide span of providers to best suit your needs

So even though we are all watching our backs waiting to see what 2021 has in store for us, we still plan on going out and exploring the ways we will grow this year.

 

P.S. Did you know we have some new services? Check them out and see how to book:

Virtual Services: Physiotherapy, Dietitian, Counselling

In-person: Fitness, Physiotherapy, Massage, Occupational Therapy, Dietitian, Counselling

Return of Haylie to Practice: Virtual exclusive

Talking toddler on the phone

Talking toddlers can have a wide variety of ability. Do you ever wonder if your toddler is on track with their speech and language development?

Speech-Language and Audiology Canada has outlined some things to look for with talking toddlers.

 

18 to 24 months:

Talking toddler learning animal names

  • Understand more words than he/she can say
  • Say two words together (e.g., More juice)
  • Ask simple questions (e.g., What’s that?)
  • Take turns in a conversation

24 to 36 months:

  • Use sentences of three or more words most of the time
  • Understand different concepts (e.g., in-on; up-down)
  • Follow two-part directions (e.g., take the book and put it on the table)
  • Answer simple questions (e.g., Where is the car?)
  • Participate in short conversations

Talking toddler playing with mom

If you’re concerned about your toddler’s speech and language development, we can help!

Assessment and treatment of speech and language delays and disorders are now offered at the clinic with Jill Morgan!

I am truly grateful for the amazing team we have at Warman Physio. Through all the COVID changes we have been able to work together and make the necessary changes (nearly) seamlessly. We are so thankful for our amazing clients that have been understanding and accommodating with all the new policies and procedures. Without the support of our community we wouldn’t be able to continue to function during these stressful times. However, we all know life doesn’t stop and issues don’t resolve because of viruses! Those that have been hoping for an SLP right here in Warman are in luck!

Welcome Jill Morgan SLP!

We are thrilled to be bringing Jill to the team at the clinic to work along side our therapists. She is kind, understanding and compassionate with her clients and passionate about what she does!

About Jill and Custom Speech Therapy:

Jill holds a Bachelor’s degree in Linguistics and a Master’s degree in Communication Disorders.  She is a registered practicing member with SASLPA, and holds memberships with SAC and ASHA.  She has been a practicing Speech Pathologist for over 10 years.

Jill has spent the majority of time serving children under age 6 with a variety of needs. From very mild speech and language delays to more significant developmental delays and complex medical needs. She also has experience working with older children and teens.

Originally from Saskatoon, Jill has an understanding of the unique challenges that exist in Saskatchewan with so much space and a small population.

“I find the variety in this work fascinating and rewarding. I believe strongly in the important role of caregivers. Supporting parents and caregivers to use the strategies taught in therapy increases the benefit of each appointment.” – Jill Morgan, SLP

What is an SLP?

A Speech Language Pathologist (SLP) helps enhance speech, language, interaction and feeding skills.

Expect to hear more about SLP and when it is appropriate to seek her services at the clinic!

To book an appointment contact Jill directly HERE