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Musculoskeletal Physiotherapy is the term used to describe the field of physiotherapy, which relates to disorders of the musculoskeletal system. The term musculoskeletal refers to muscles, bones, joints, nerves, tendons, ligaments, cartilage, and spinal discs.

 

Musculoskeletal Physiotherapy utilizes the basic sciences of anatomy, physiology and biomechanics as background theory in the assessment and management of patients.

 

Approaches to management in the field of musculoskeletal physiotherapy involve not only ‘manipulation’, but also manual assessment and treatment techniques, specific therapeutic exercise, and advice on posture and movement disorders.

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Pelvic floor physiotherapy (PFPT) is a specialized branch of physiotherapy involving internal and external assessment and treatment of the pelvic floor muscles.

 

Those muscles are located between the hip bones and the sacrum, and they serve as a bowl to support the pelvic organs including the bladder, colon and uterus

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You may benefit from pelvic floor physiotherapy if you have any type of pelvic floor dysfunction. Pelvic floor dysfunction can be classified into two problems: your muscles are too tight or they are too weak.

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A tight pelvic floor can contribute to urinary frequency and urgency. It can also make urination painful or incomplete and can be responsible for you waking up during the night with a need to pee.

 

It can contribute to urinary incontinence (when you just can’t make it to the washroom). A tight pelvic floor also contributes to constipation, straining during bowel movements and painful bowel movements.

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If you suffer from a tight, dysfunctional pelvic floor, you may also experience sexual dysfunction. This can present as pain with penetration, inability to have vaginal penetration, pain with or inability to orgasm, and pain with sexual stimulation.

In men, it can also present as painful erections and premature ejaculation.

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A weak pelvic floor can contribute to stress incontinence, which is the involuntary loss of urine or stool during or after activity. This includes leaking during sports, or with coughing and sneezing.

Weak pelvic floor muscles also contribute to pelvic organ prolapse, which is when one of the pelvic organs starts to shift out of place. This contributes to heaviness or bulging at the vaginal or rectal opening.

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These are conditions typically associated with women after they give birth, and as a result, most women think this is a normal turn of events and do not realize this is something that can be fixed!

Plus90 is a safe and effective procedure that uses gentle RF therapy to create volumetric heating of the internal and external female genitalia. This therapy enhances blood circulation to the treatment areas, tightens the muscles of the pelvic floor, and tightens the external skin of the labia.   It offers immediate results in office and is a great adjunct to pelvic floor physiotherapy.

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The Plus90 is indicated for the treatment of the symptoms of Genitourinary Syndrome of Menopause (GSM). According to international Society of Sexual Medicine, GSM is thought to affect about half of postmenopausal women. Symptoms Include:

Dryness, burning sensation, and irritation in the genital area

Poor vaginal lubrication and pain or discomfort during intercourse, and impaired sexual function

An urgent need to urinate, painful urination, or recurrent urinary tract infections ( UTI's)

Women do not need to have all of the symptoms to be diagnosed with GSM. ​

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The RF probe is initially inserted into the vaginal canal without energy to determine penetration depth for insertion. Reaching the cervix will be felt by both the patient and the provider, and will determine how far the probe will be repeatedly inserted. Once this is determined, the energy is turned on, and the therapy begins. The treatment will take a total of approximately 20 minutes to receive both the internal and external treatment.

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The number of treatment sessions depends on the individual patient, but is typically 2-3 sessions every 2-4 weeks. Treatment should be concluded when the results are satisfactory to the patient or according to the Nurse Practitioner or Clinical Delegates discretion

Sub-Dermal Adipose Tissue Fractional Remodeling 

Morpheus8 is a fractional device with programmable penetration depth and energy delivery. The coated needles penetrate into the sub-dermal tissue, coagulating the fat and contracting connective tissue. Simultaneously, directional RF energy generates bulk sub-necrotic heat in the dermis. 

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Treatment may be applied to all skin types. Depending on how deep or superficial your treatment need is, the RF energy changes. Typically, for deeper treatments, a higher RF energy can and would be used for better and faster results.  

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Topical anesthetic is applied 30-45 minutes prior to the treatment. The procedure is then performed at the RF energy level the patient can tolerate. 

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The number of treatment sessions is individualized based on the patient and their clinical presentation. Typically, high energy  treatments require 1-3 sessions every 3-6 weeks. Lower energy treatments require 2-4 sessions every 3-6 weeks.

Massage therapy is the manipulation of soft tissues of the body including muscles, connective tissue, tendons, ligaments and joints. Massage therapy is a clinically-oriented healthcare option that helps alleviate the discomfort associated with every day occupational stresses, muscular over-use and many chronic pain conditions.

Massage therapy should only be provided by a Registered Massage Therapist (RMT). An RMT is a primary healthcare provider in Ontario and anyone may visit an RMT of their choice.

Massage therapy can be used as a treatment for both acute and chronic conditions. RMTs work with a wide variety of patients in the treatment of illness, injury rehabilitation and disability.