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Suggestion for that "falling out"feeling, frequent urination... Suggestion for that "falling out"feeling, frequent urination...

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Unread 04-14-2003, 09:29 AM
Suggestion for that "falling out"feeling, frequent urination...

Hi Ladies -
Just wanted to share my experiences (positive!) with that feeling like something is "falling out" and frequent urination and feeling like something is bulging inside - but you're not sure what, and sometimes internal spasms, that others have said might be bladder issues. After you've been to the Dr. and been thoroughly tested for UTI and bladder issues -- and they say you're healing fine,no infections, and they can't figure out what is the problem and either "it'll get better with time" or it's something you'll get used to", consider Physical Therapy!
There is a specialised form of PT available just for women, and dealing specifically with the results of childbirth, hysterectomies, abdominal surgeries and incontinence issues.
At my 6 week check-up, my Dr. couldn't understand what the problem was when I said that, after I started to do more and got tired I felt like something was "falling out", I had the urge to urinate frequently, felt like I had internal spasms, etc. I read an article in the paper about this form of PT and got my Dr. to write the referral ( which I think he did just to get rid of me!). It has helped tremendously!

The Therapist did an internal exam -without a speculum! - and could actually feel the muscles in spasm and how tender they were. She explained that when the Dr. does an exam, he uses the speculum which actually pushes everything back into place, and they can't even feel the internal muscles which run alongside the vagina. She explained that, for me, these muscles were in constant spasm and weakened as I got more fatigued - which resulted in the feeling that things were falling out and that they also irritated the bladder as they run along side it.The PT explained that often times, Dr.'s don't understand how or why these muscles go into spasms after surgeries (after all, everything they cut and sewed back together healed fine), but that I should think of it as a type of charley horse, that you have to massage and stretch to get calmed down.
Anyway, with a variety of exercises, biofeedback, some computer monitored internal stimulation and even internal massage ( not as bad as it sounds!), I really see major improvement in just 4 sessions. I feel like I'm "doing"something to improve my quality of life and get back to my old self. I know now that there are ways of avoiding becoming part of that statistic of a large portion of women who have hysterectomies develop incontinence.
The PT is covered by most insurances and has made a tremendous difference to me and I wanted to share this option with you. A lot of Dr.'s aren't even aware that it exists ( I'm only the 2nd patient my Dr. had referred to do this - and he isn't a youngster!) If you feel that you've exhausted your other possibilities and don't want to "learn to live with it" or "give it more time", this is something you might want to consider!
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Unread 04-14-2003, 11:45 AM
Suggestion for that "falling out"feeling, frequent urination...

Thanks for your post!!!!

This sounds so interesting. What specifically is this therapy called? I might bring this up to my doc as a possible alternative.

I have been having quite a bit of pelvic pain and pressure (falling out feeling) lately and would like to treat it without going back on BC pills, lupron or surgery.

Any more information that you have would be most welcome!!! If you have a link to a website that describes this therapy so that I can print it out and take it to my doc, that would be most helpful!
Unread 04-14-2003, 09:16 PM
Suggestion for that "falling out"feeling, frequent urination...

Me too dear, I would love to hear more on this, I have made an appt. with a Chiro that practices Active Release Techniques which I believe is associated with soft tissue therapy. I go on the 24th so I am excited to see what he has to say. I would love to hear to learn more about your particular therapist methods etc. Does she have a website? or information website as ((michelle)) requested?

I was really relieved to hear someone else describe this like that, I just told my DH yesterday that I feel like if I stand for another minute my insides are going to come out. Do you have back pains with yours too??

I hope you continue to find that this strengthens you and helps you off this road. Please keep us posted this is very exciting news!

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Unread 04-15-2003, 07:52 AM

Hi Everyone....

(((((Dreamin))))) described this form of PT very well. I'm currently in a program myself. Since I'm seeing the Uro today and the PT was on vacation last week, I've only had 1 session of the therapy. (The PT I had pre-adesiolysis was to ease my pain only)

It's pretty incredible stuff. It's much more than kegels. You need to see a PT who specializes in womens GYN issues. My fabulous GYN referred me - I'd never hear of this type of PT either. (((((Dreamin)))))) is's pretty amazing, even after only 1 session.

Unread 04-15-2003, 09:52 AM
Suggestion for that "falling out"feeling, frequent urination...

Glad this might be of help! As far as I'm aware, this doesn't have a specific name except it is indicated for pelvic pain/dysfunction,incontinence and after abdominal surgeries and childbirth. It involves "appropriate awareness, electrical stimulation, biofeedback, manual therapy and bladder retraining."
I don't know if the PT has a website - I'll ask at my appointment tomorrow. For further information, please feel free to PM me.
Perhaps she may have a referral site where you could find out if it's available in your area.
Good luck - at least there's hope!
Unread 04-15-2003, 07:32 PM
Suggestion for that "falling out"feeling, frequent urination...

This sounds very interesting. I am so tired of that odd feeling when I stand for long periods of time. I walk on my treadmill for 2 1/2 miles and then 2 1/2 miles on the bicycle. I can't walk for longer than that and only half that in the morning and half in the evening. I just do not seem to be able to tolerate the impact or jarring on my system. My bladder is sore when I get off the treadmill, and I've got to GO>>>>>>>

It's nice to hear that I am not enduring something that is unusual. I have an appt with my surgeon at the end of the month and will ask about the PT. Like others have indicated, he too says everything is healing well but I can tell you that by the end of the day, I am darn sore and standing or walking for extended periods of time is very uncomfortable.
On another topic, that Active Release subject. Please, please go very carefully. I had that and it nearly crippled me. I have at times something called costacondritis (sp?) inflamation at the end of the ribs where they meet the breast bone is how I had it explained. All I know for sure is, it is painful. Well, I at the suggestion of my Dr. went for an Active Release treatment. The pain and trouble that that one encounter caused was incredible.
It is not a gentle treatment so you may wish to ask alot of questions before you let anyone touch you. (Just an idea
I would hate for anyone to go through what I went through. Good Luck
Unread 04-16-2003, 05:13 AM
Suggestion for that "falling out"feeling, frequent urination...


Thanks for the heads up on the ART, you better bet I will be asking a lot of questions. I have had types of PT for a shoulder issue years ago and do realize that sometimes it is painful but I am not sure I can endure anything like that with this area. I was on disability with my shoulder for nearly a year so I did have the advantage of coming home and icing it down again and taking pain meds. Don't know if I will handle it while working??

I go this Saturday for consult so I will post a thread about some of the info I get.

Again, (dreamin) thanks for the post, except for you sisters I don't think anyone else understands that description of that feeling

s to all,

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