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Osteopaths are challenged in their everyday practices to assess and treat patients affected by pelvic floor disorders. Recurring referral diagnoses may be related to functional disorders (urinary incontinence, pelvic pain, infertility), hormonal physiology (puberty, menstrual cycle, pregnancy, menopause), or related to consequences associated with specific surgical and/or infectious disease processes. The intrapelvic soft tissues are continuously stimulated and mobilized due to respiratory, urinary, genital, and intestinal functions; similarly, the urogenital organs are in constant motion. The role of the osteopath is to collectively restore pelvic soft tissue mobility to ensure proper pelvic physiology.This book is based on the most common pelvic disorders encountered in clinical practice, and provides osteopaths with key treatments to aid with patient care and recovery. The authors present a variety of internal and external pelvic manipulations, including comprehensive soft tissue, neural, and vascular techniques. This book is meant to be instructional: technique descriptions are reinforced with diagrams and pictures illustrating the manipulations.
This book completes Jean-Pierre Barral's widely acclaimed four-volume exploration of the osteopathic implications of the dysfunctions of the internal viscera. The focus of this volume is on the pelvis, especially of women. The introduction provides an overview of the relationships of the pelvis and spine. Tests which are particularly useful for pelvic disorders, including the genitohumeral and completed Las gue's tests, are detailed. Also included are imaging studies that demonstrate the utility of the viscersl manipulative approach to the pelvis. Chapter 2 focuses on the bladder, and especially the treatment of stress incontinence and the effects of the various systems of pressure on the lower pelvis. The role of bladder restrictions in low back pain, lower leg problems, and hip pain is explained. Chapter 3 discusses the uterus, focusing on the cervix. The reader will gain an appreciation for the osteopathic view of the importance of the different motions affecting the uterus, and how they can become dysfunctional. Chapter 4 concludes the tour of the female pelvis with the uterine tubes and ovaries. The holistic osteopathic viewpoint is typified by Barral's presentation of the various elements that must work in harmony for fertilization to occur.
Biomechanics of the Female Pelvic Floor, Second Edition, is the first book to specifically focus on this key part of women’s health, combining engineering and clinical expertise. This edited collection will help readers understand the risk factors for pelvic floor dysfunction, the mechanisms of childbirth related injury, and how to design intrapartum preventative strategies, optimal repair techniques, and prostheses. The authors have combined their expertise to create a thorough, comprehensive view of female pelvic floor biomechanics in order to help different disciplines discuss, research, and drive solutions to pressing problems. The book includes a common language for the design, conduct, and reporting of research studies in female PFD, and will be of interest to biomechanical and prosthetic tissue engineers and clinicians interested in female pelvic floor dysfunction, including urologists, urogynecologists, maternal fetal medicine specialists, and physical therapists. Contains contributions from leading bioengineers and clinicians, and provides a cohesive multidisciplinary view of the field Covers causes, risk factors, and optimal treatment for pelvic floor biomechanics Combines anatomy, imaging, tissue characteristics, and computational modeling development in relation to pelvic floor biomechanics
"Osteopathy and other systems of manual medicine have developed a variety of models for understanding the mechanics of proper and improper motion of the musculoskeletal system. In this important and pioneering work, that same structural vision is applied to the visceral system. The central premise of 'Visceral Manipulation' is that the interrelationship of structure and function among the internal organs is at least as strong as that among the constituents of the musculoskeletal system; and that, like the musculoskeletal system, manipulation of the viscera can be beneficially used in the treatment of a wide variety of problems affecting any of the body's systems."--Publisher description.
Pelvic floor disorders affect a large proportion of women worldwide. This book is a highly practical guide highlighting all the varying forms of such problems. Included are chapters on the pathophysiology of the female pelvic floor, the evaluation and diagnosis of problems, the practical management of symptoms, and the complications that can arise from surgical and medical treatment.
This textbook provides a comprehensive, state-of-the art review of the Overactive Pelvic Floor (OPF) that provides clinical tools for medical and mental health practitioners alike. Written by experts in the field, this text offers tools for recognition, assessment, treatment and interdisciplinary referral for patients with OPF and OPF related conditions. The text reviews the definition, etiology and pathophysiology of non-relaxing pelvic floor muscle tone as well as discusses sexual function and past sexual experience in relation to the pelvic floor. Specific pelvic floor dysfunctions associated with pelvic floor overactivity in both men and women are reviewed in detail. Individual chapters are devoted to female genital pain and vulvodynia, female bladder pain and interstitial cystitis, male chronic pelvic and genital pain, sexual dysfunction related to pelvic pain in both men and women, musculoskeletal aspects of pelvic floor overactivity, LUTS and voiding dysfunction, and anorectal disorders. Assessment of the pelvic floor is addressed in distinct chapters describing subjective and objective assessment tools. State of the art testing measures including electromyographic and video-urodynamic analysis, ultrasound and magnetic resonance imaging are introduced. The final chapters are devoted to medical, psychosocial, and physical therapy treatment interventions with an emphasis on interdisciplinary management The Overactive Pelvic Floor serves physicians in the fields of urology, urogynecology and gastroenterology as well as psychotherapists, sex therapists and physical therapists.
This work demonstrates a novel approach to visceral osteopathy. Basing their ideas on anatomy and physiology, Jean-Pierre Barral and Alain Croibier propose manipulation of the arteries to treat the intestines and other internal organs by increasing their blood flow. The arteries, elastic and muscular in structure, and the innumerable nerve filaments which surround them, react ideally to manual treatment. To be effective, however, these manipulations must be specific and precise. Thanks to the authors’ long experience as therapists, their mastery of osteopathic techniques and the aid of ultrasound technology, they have devised innovative techniques to improve the visceral vascular circulation. In this book the authors show the various sites of the principle pulses of the body and summarise the physiology of the circulation of the blood. The main organs and their physiology are addressed and include the heart, pancreas, small intestine, colon and other abdominal structures as well as the regions of the neck, skull and pelvic cavity. Rich in detailed, high quality illustrations, this book serves as both an anatomical reference and a guide to carrying out visceral vascular manipulations in the most effective way possible. The work is aimed at experienced osteopaths as well as those in training, and at other manual therapists who wish to widen their scope. Offers practical and clinically relevant information to all practitioners and therapists working in the field Abundant use of pull-out boxes, line artwork, photographs and tables facilitates ease of understanding Prepared by experts of international renown Covers treatment of the main organs including the heart, pancreas, small intestine, colon and other abdominal structures as well as the regions of the neck, skull and pelvic cavity Serves as both an anatomical reference and a guide to carrying out visceral vascular manipulations in the most effective way possible Suitable for osteopathic physicians and osteopaths, chiropractors, physical therapists, manual therapists, physiotherapists, and massage therapists
This book provides in-depth coverage of all aspects of pelvic ring fractures and their management. The opening chapters supply essential information on surgical anatomy, biomechanics, classification, clinical evaluation, radiological diagnostics, and emergency and acute management. The various operative techniques, including navigation techniques, that have been established and standardized over the past two decades are then presented in a step-by-step approach. Readers will find guidance on surgical indications, choice of approaches, reduction and fixation strategies, complication management, and optimization of long-term results. Specific treatment concepts are described for age-specific fractures, including pediatric and geriatric injuries, and secondary reconstructions. Pelvic ring fractures represent challenging injuries, especially when they present with concomitant hemodynamic instability. This book will help trauma and orthopaedic surgeons at all levels of experience to achieve the primary treatment aim of anatomic restoration of the bony pelvis to preserve biomechanical stability and avoid malunion with resulting clinical impairments.
Dramatic improvement in imaging techniques (3D ultrasonography, dynamic magnetic resonance) allows greater insight into the complex anatomy of the pelvic floor and its pathological modifications.Obstetrical events leading to fecal and urinary incontinence in women, the development of pelvic organ prolapse, and mechanism of voiding dysfunction and obstructed defecation can now be accurately assessed, which is fundamental for appropriate treatment decision making. This book is written for gynecologists, colorectal surgeons, urologists, radiologists, and gastroenterologists with a special interest in this field of medicine. It is also relevant to everyone who aspires to improve their understanding of the fundamental principles of pelvic floor disorders.