How Pelvic Floor Dysfunction Goes Undiagnosed and Leaking Gets Mislabeled As Normal with Specialists Lara Quisumbing and Emily Titus
Season 3, Episode 19 | Podcast #55
This is Mike Quintans, your host of the on Q performance therapy podcast. Today we are joined by 2 Physical Therapists that are Pelvic Floor Specialists. Dr. Lara Hamad Quisumbing and Dr. Emily Titus. Today we will learn who is at risk for pelvic floor conditions and how it is diagnosed and treated.
Lara Hamad Quisumbing is a doctor of physical therapy and is currently the Clinic Director of Excel PT in Villanova. She graduated from Drexel University PT class of 2012. Been with Excel since graduating. Became ACD in 2018 then Clinic Director last year in 2021. In 2016 went through Evidence in Motion's certification program for Pelvic Health and treating that population ever since.
Emily Titus is a doctor of physical therapy and practices orthopedic and pelvic floor therapy with Ivy Rehab at the Physical Therapy and Wellness Institute in Lansdale, PA. She has been practicing physical therapy for 4 years in orthopedics but in the past year found her passion for pelvic health. Emily received her Bachelor’s of Science in Kinesiology from James Madison University and then obtained her Doctorate in Physical Therapy from Neumann University. She is currently in an Orthopedic Clinical Specialist residency program with Ivy Rehab and the Hospital for Special Surgery and sits for her OCS exam next March.
In this episode, we cover:
4:20 What is the pelvic floor?
5:00 What the certification process for treating pelvic floor dysfunction looks like.
6:45 Common ways someone develops a condition of the pelvic floor.
7:30 Why and how pregnancy puts strain on the pelvic floor
8:20 Who usually diagnoses pelvic floor dysfunction?
10:25 How concluding a potential pathology of pelvic floor dysfunction looks like for direct access patients.
11:30 Who is at risk for a pelvic floor condition.
13:00 Have you noticed an increased demand for treatment of pelvic floor pathology? Why?
16:00 How do you diagnose Pelvic Floor Pathologies and is there imaging involved?
16:30 What symptoms are common in pelvic floor pathologies
19:25 The connection between the pelvic floor and other core injuries.
20:10 Techniques commonly used to treat pelvic floor conditions.
24:00 What a kegel is.
24:25 When we usually use our pelvic floor muscles
28:00 How breathing impacts the pelvic floor and recovery.
30:00 How common pelvic floor conditions are in athletes and which sports are most impacted.
31:00 How treatment changes for athletes compared to the average patient with pelvic floor pathology.
33:00 What are special considerations for athletes postpartum and what a typical progression may look like.
38:23 What sports organizations can do to reduce the prevalence of pelvic floor conditions in their athletes.
42:00 How can we mitigate the risk of obtaining pelvic floor conditions?
44:30 If someone is concerned that they may have a pelvic floor condition, what should they do?
50:00 What communication and evaluation are like for patients who may have pelvic floor dysfunction due to sexual trauma.
5 Quick Q’s
51:15 The most challenging aspect of treating pelvic floor conditions.
51:50 1 way to increase awareness of pelvic floor conditions.
53:00 1 exercise everyone can do right now that will improve the strength of their pelvic floor.
53:36 What they enjoy the most about treating pelvic floor pathologies.
55:15 One fact about the pelvic floor that will shock the average person.
Contact Info:
@OrthoPFPTPA
Lara.quisumbing@ivyrehab.com
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