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What to expect

    

What to do prior to your appt: we ask that you shower and cleanse the pelvic area. Do not put any lotions or oils on your skin in your pelvic area including your rectal area as it may make it harder for the electrode to stick. Please wear comfortable clothing such as skirts, dresses or sweat pants that easier to remove your clothes from the waist down during the session. 


Treatment: The treatment is 10 initial 20 minute treatments scheduled 1 week apart. After each session, we will assign you an homebase exercise that you can do at home until the next visit. 

   

Risks: Potential side effects associated with PFR treatment may include slight discomfort after the session in the pelvic area. 

  

Pelvic floor rehabilitation session include

1. Sacral Nerve Assessment

2. Pressure Based Muscle and EMG Assessment

2. Pressure Based Muscle and EMG Assessment

We use Uroval Bulbocavernosus Reflex System (BRS) for sacral nerve dysfunction by combining surface electromyography (EMG) with mechanical stimulation to give an objective measure of the bulbocavernosus reflex without using electrical stimulation. This is a completely pain free procedure for the patient. 

2. Pressure Based Muscle and EMG Assessment

2. Pressure Based Muscle and EMG Assessment

2. Pressure Based Muscle and EMG Assessment

 We use the new MyOnyx system, allowing a painless, noninvasive technique to evaluate the strength and damage done to the pelvic floor. EMGs will help with awareness of using the wrong muscle such as the stomach (accessory)muscle to compensate for a weak pelvic. 

3. Electrical Stimulation

2. Pressure Based Muscle and EMG Assessment

3. Electrical Stimulation

 We use 200Hz stim unit to activate the nerves with a specifically designed TENs system. This machine will enable us to directly stimulate the nerves in an effective, painless, and non-invasive manner 

4. Pelvic Floor Exercise

2. Pressure Based Muscle and EMG Assessment

3. Electrical Stimulation

These homebased exercises will be assigned weekly based on patient muscle strength. The treatment is 10-12 initial 20 minute treatments scheduled 1 week apart. After each session.

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