Kirk Center for Healthy Living
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Incontinence
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Urinary Urgency and Frequency
Nocturia
Pelvic Organ Prolapse
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Pelvic Health Table

Nocturia: Men & Women
1. What are some of the common symptoms?
2. What are some of the common causes?
3. What can I expect my first day of therapy?
4. What can I expect my ongoing therapy to be like?
5. How long can I expect my therapy to last before I begin to see improvement?
6. How long can I expect my therapy to last before I am healed/cured/fixed?
7. What are the credentials of my uro-gynecological physical therapist?


1. What are some of the common symptoms?

Nocturia is frequent urination while you are trying to sleep. This is a very serious problem even if you claim to go right back to sleep. Research shows that when you get up in the middle of the night you actually lose one hour of sleep, because it takes that long for your body to reach the restorative deep sleep level again. Your body needs sleep to restore and repair itself.


2. What are some of the common causes?

Nocturia can be caused by various things. You may be waking up due to body pain and decide to go to the bathroom, even though you donít have the urge to go, because you donít your bladder to wake you up later. You could be awakened by a baby crying, a dog barking or any noise and again decide to use the bathroom since you are awake. If this happens frequently, you will train your bladder to go to bed at night and your bladderís lining does not like these and it will not want to hold it all night. Certain medications may act like a diuretic. Swelling of the legs will increase nighttime urination since when you are lying down, the body does not have to work so hard against gravity to get the fluid out of the legs.


3. What can I expect my first day of therapy?

It helps to write down all of the questions that you have about your condition and therapy. If we do not answer your questions during our evaluation process, you will be prompted by your list to ask your questions at the end of your first session.
Once in the treatment room, your therapists will ask you numerous questions pertaining to your condition. Then they will analyze your posture, balance, back and hip motion, pelvic alignment and scar integrity. They will explain the anatomy of the pelvis using an anatomical model. Then your therapist will give your privacy and ask you to get undressed from the waist down. A sheet will be provided for you to cover yourself, as you lie back on the treatment table. Your therapist will exam the perineum (the area covered by your underwear), and possibly perform a vaginal and/or rectal exam. This is only done with your consent, but can provide very important information used by your therapist to create your Plan of Care. Your therapist will use non-latex gloves and lubrication during this part of the exam, which will make the exam more comfortable. Once this part of the exam is finished, your therapist will give you privacy to dress. Your therapist will then explain their findings and what your Plan of Care should be, as well as answer any questions that you still have.
Please arrive 30 minutes early for your first day of therapy. There will be paperwork for you to fill out and we do not want to eat into your hour of evaluation time with your therapist. Also please bring a list of medications, a list of your past surgeries and list of your conditions. If you downloaded the forms and filled them out in advance of your appointment, you can arrive 15 minutes early, as there are still a few forms to handle in the office. Please bring a photo ID and your insurance card.


4. What can I expect my ongoing therapy to be like?

We will have you fill out a 3-day bladder diary for us, so we can see if there are any bladder irritants in your diet and if there is any noticeable pattern. We will provide education about how the bladder works and on bladder irritants. Therapy will find exercises or certain positions that will aid in getting the excess fluid out of your legs before bedtime. We will teach you urge control techniques so when you are awakened by something you wonít have to rush to the bathroom. If medications are the issue then we will discuss this with your doctor and see if we can have your take that specific medication earlier in the day. Manual therapy techniques will be utilized if necessary to relieve any restrictions around your bladder.


5. How long can I expect my therapy to last before I begin to see improvement?

Since every patient is unique, itís hard to answer this question. We have seen some patients acknowledge improvement in just two visits, while others, although rare, may need months of therapy before seeing improvements. Usually some improvement is seen within 4-6 visits. Your participation in your own healthcare can also have a big impact. This means that you have to take some responsibility for your own health and do what your therapist asks you to do outside your treatment sessions. You are your therapist are a team. Improvement rates also depend on the severity of your condition and how long you have been suffering from it. The longer youíve had your problem, and the more severe it is, will increase the time needed for treatment before you see improvements.


6. How long can I expect my therapy to last before I am healed/cured/fixed?

Again, each patient is unique, so this time frame can vary greatly. Research shows that it takes at least three months of treatment to create a permanent change in the body. We most often request a frequency of once a week for 12 total visits. That is why our office staff will ask you to schedule all 12 of your sessions before starting therapy. If you need more than 12 sessions, your therapist will discuss this with you after you have completed 12 visits and you will decide together whether continuing with therapy would benefit you or not. If so, your therapist will reevaluate you and send a progress note to your physician requesting an extension.


7. What are the credentials of my uro-gynecological physical therapist?

At Kirk Center for Healthy Living we are very selective in our hiring process. We take great care in selecting the most skilled therapists we can find. We also require that they attend multiple post-graduate continuing education courses every year, predominantly with the Herman & Wallace Pelvic Rehabilitation Institute and the Barral Institute, in addition to receiving one hour of one-on-one training with the owner of Kirk Center, Brandi Kirk, PT, BCB-PMB.
All licensed physical therapists have had to apply and be selected to attend Physical Therapy school. It is a very competitive process and only those will the highest grades and best potential are selected. Physical therapists have invested a minimum of 5 years into their undergraduate and graduate training at universities. Once they graduate, they have to sit for a State Board Exam and pass to receive their license to practice. In order to keep their license active, they must dedicate a certain number of hours to continuing education each year.
Uro-gynecological physical therapists have done everything listed above, but have also become a specialist in the field of pelvic health. As a specialist, all continuing education is focused on the conditions that we treat at Kirk Center. Some physical therapists have multiple letters after their names, indicating a license and/or certification in an area of study. Uro-gynecological physical therapists have been trained in internal vaginal and rectal evaluation and treatment techniques and by our state license we are legally allowed and qualified to perform these procedures.
   
16618 W 159th Street, Suite 402, Lockport, IL 60441  |  5851 W 95th Street, Suite 300, Oak Lawn, IL 60453
Phone: (815) 838-0529 * Fax: (815) 838-0652
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