Amy Talks at Mount Sinai, Part 2

Interview with Amy Stein by Riva Preil

A continuation of our last post, in which Amy discusses her recent talk about pelvic pain and health at Mount Sinai. Here is a sampling of some questions practitioners asked. There’s helpful information here for practitioners and sufferers alike.

Can Kegel exercises help treat incontinence as well as post surgical incontinence?
I was happy to inform them that research has shown that Kegel exercises are very effective in treating postpartum and postsurgical incontinence, as well as any incontinence!

When are Kegels NOT indicated?
I responded that they are not indicated with any pain syndromes or overactive/high tone muscle conditions. For example, urinary urgency and/or frequency is often related to tight pelvic floor muscles.  Incomplete emptying of bowel movements and constipation are also often associated with overactive pelvic floor muscle tone.  In both of these instances, Kegel exercises are contraindicated.

Overall, the talk was a huge success and I received a lot of positive feedback from the physicians.

Amy Talks at Mount Sinai Medical Center! Part 1

By Riva Preil

Recently, Beyond Basics Physical Therapy’s very own Amy Stein presented a talk to over sixty obstetrician/gynecologists, urologist/gynecologists, nurses, and physician assistants at the Mount Sinai Medical Center Grand Rounds, in the Icahn building.  The talk was approximately forty minutes followed by ten minutes of questions and answers.  The goal of the talk was to educate the health care providers on pelvic floor physical therapy and how we can help their patient population.  Please enjoy the following recap with Amy as she reflects upon the experience.

According to Amy, one of the most exciting parts of the experience was having the opportunity to answer the health care providers’ questions.  Several of the questions included:

¨      “Can you help reduce a diastasis recti with physical therapy exercises?”
My comment was yes, with specific exercises and guidance from a well trained pre-natal/post partum PT.
The follow up was- “does it help to reduce some of the pain symptoms associated with pregnancy?” And the answer was yes! And you can even start some exercises during pregnancy under the guidance of a specialized PT who will help monitor the exercises.

¨      “Does insurance pay for this?” and the answer is yes, as long as it is medically necessary and in line with medical diagnoses (refer to slide below) discussed in the grand rounds. The amount that we, or the patient gets reimbursed depends on the patients insurance plan.