Female Runners and Urinary Incontinence
Allison Molnar, DPT
July 7th-9th was the 2017 Missoula Marathon weekend. This race represents the culmination of months of training for many runners. As our bodies adjust to new and greater demands of training, injuries are a commonplace occurrence. Most athletes are familiar with Plantar Fasciitis, Achilles Tendinitis, and IT Band Syndrome, but one common condition that’s not as frequently discussed is urinary incontinence.
Urinary incontinence is defined as the involuntary leakage of urine. Stress Urinary Incontinence (SUI) is involuntary leakage on effort, exertion, sneezing or coughing resulting from changes/dysfunction in connective tissue and muscles of the pelvic floor. While often associated with pregnancy/childbirth and estrogen deficiency following menopause, risk factors may also include strenuous exertion or physical activity.4 Researchers confirm that SUI occurs in about one quarter of women who have no history of pregnancy or delivery. (Greydanus et. al, 2010).1 A study of female athletes found that among the women who exercise, those involved in running and gymnastics have the most complaints about urine leaking. Another study of young non-child bearing women found that the activities provoking the greatest urine loss were those which included jumps, high-impact landing, and running.3
The impact absorbed during running and jumping activities creates an increase in intra-abdominal pressure, which places more stress on the muscles and connective tissue of the pelvic floor. Luckily, evidence supports physical therapy as an effective treatment for this condition.
Physical therapists who specialize in the treatment of women’s health conditions can help address the issue of incontinence. Just as in treatment of any muscular dysfunction, she will perform an evaluation to identify and address the strength and effectiveness of the pelvic floor muscles to do their job.
Dr. Arnold Kegel, (well-known for his innovative pelvic health exercises) emphasized the importance of supervision and encouragement in the treatment of patients with incontinence. He reported that restoration of tone and muscle function could occur in 20 to 60 days after the start of treatment.2
Many female runners just accept the fact that they “leak a little” when they run. As it turns out, they don’t have to!
If you would like to find out if you are a good candidate for physical therapy to help with incontinence, please call for a complimentary consultation.
Big Sky Physical Therapy would like to congratulate our patients Gail, George, and Kroner Kerscher for completing the 2017 Missoula Marathon!! Gail ran the half in 2 hrs 36 min, and George and Kroner walked the half in 4 hrs 13 min! Huge congrats to them as well as everyone else who participated in the Missoula Marathon this year!
Big Sky Physical Therapy would like to wish you all a very happy 4th of July weekend! We will be closed Monday July 3rd & Tuesday July 4th in observance of the holiday. Have a fun and safe Independence day!!
June 5th - 11th is National Hand Therapy Week. A certified hand therapist has advanced training in treating shoulder, elbow, wrist and hand injuries. Common conditions treated include repetitive use injuries, tendonitis (example; tennis elbow), shoulder impingement, traumatic injuries, rotator cuff tear, thumb osteoarthritis, etc. Call Big Sky Physical Therapy for a complimentary consultation with our Certified Hand Therapist Dawn Christian, PT, DPT, CHT.
Big Sky Physical Therapy would like to welcome and introduce Allison Molnar, DPT to the team.
Allie is a native of Cleveland, Ohio, who moved west to the mountains of Montana to pursue education, adventure, and love. She graduated from the University of Montana in 2016 with a Doctorate in Physical Therapy. She has experience treating patients of all ages, from pediatrics to geriatrics. Allie’s treatment style is exercise-based, and she emphasizes interventions that patients can continue independently for lasting benefits. Allie has special interests in orthopedics and the prevention and treatment of overuse injuries, specifically the foot, ankle, spine, and knee. She also focuses on fall prevention/recovery through balance training and strengthening. She is currently pursuing certification in treatment of women’s health issues such as pelvic pain and incontinence. In her free time Allie enjoys mountain biking, rock climbing, bike touring, running, and traveling.
We are excited to have her join the team of physical therapists at Big Sky PT!
We would like to congratulate the University of Montana Softball team on their 2017 Big Sky Conference Championship win. We wish you the best of luck in the NCAA tournament. Go Griz!!
Big Sky Physical Therapy teamed up with The Missoula Area Chamber of Commerce and the Missoulian to run an ad on 3/29/17 and 4/2/17. Be sure to check it out!!
Happy St. Patrick's Day from Big Sky Physical Therapy. We hope that you have a fun and safe weekend celebrating!
Happy 8th Anniversary to Big Sky Physical Therapy. We thank you for your continued business and support over the the last 8 years and we look forward to serving your physical therapy needs for many more years to come!
Whiplash is the common name for a neck strain resulting from an injury to the neck. It is commonly a result of car accidents where the neck and head are abruptly jerked forward and/or backward. With snowy roads out here in Montana we see an increase in the number of car accidents and unfortunately an increase in the number of car accident related injuries; including whiplash. Common symptoms of a whiplash injury include; neck pain, neck stiffness, jaw pain, headaches, pain in the shoulder/between the shoulder blades, low back pain, numbness or tingling in the arm or hand, dizziness or disturbed sleep. Of these symptoms mentioned, jaw pain is one of the more lesser known and therefore lesser treated. In car accidents when the head and neck and abruptly jerked backward the jaw is forced open, and when the head and neck are then forced forward the jaw abruptly is forced closed.
Recent studies have shown that the incidence of jaw pain (also known as TMJ/TMD) in healthy adults is approximately 3% of the population where it has been shown to be as high as 23% after whiplash trauma. These same studies shown that conventional treatments for whiplash trauma were more effective when combined with treating the jaw. When the jaw was not treated, people were more likely to experience chronic pain and longer duration of symptoms.
TMD or jaw released pain is the 3rd leading cause of chronic pain. Symptoms of TMD specific pain may include headaches, popping/clicking of the jaw and jaw or neck pain. These symptoms may persist even years after a whiplash injury.
Here at Big Sky Physical Therapy we are committed to compassionate and complete rehabilitation. We offer comprehensive care of the neck and jaw following whiplash and other injuries. Our therapist Lauren Sokoloski, DPT has received advanced training and completed advanced coursework in the treatment of TMD related pain. Please contact us if you have any follow up questions or feel that our services could be of help to you. We look forward to working with you.