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Physical Therapy: Women's Services

About MHP’s Physical Therapy Services for Women
The importance of the health sciences on fitness and wellness has caused women to pay closer attention to their bodies during recreating, work and throughout life. MHP’s Carol Kelderman, PT, DPT, specializes in training which benefits women with a variety of medical conditions. She uses every aspect of her training in physical therapy to evaluate and treat female clients, promoting and enhancing health through the life span. All treatments are individually designed after a thorough evaluation.

Conditions Treated at MHP
MHP has treatment options available for several conditions specific to women. Treatment options include the following:
• Obstetrical Dysfunction
(Orthopedic and High Risk)
• Incontinence/Pelvic Floor Weakness
• Pelvic Floor Tension/Pain
• Lymphedema
• Osteoporosis
• Fibromyalgia

Obstetrical Dysfunction for Orthopedic and High Risk Patients
Pregnant women may suffer from pain or aching in the back or shoulder blades, rib cage, groin area or wrists due to changes in posture, weight or hormonal factors. Not only are these women more susceptible to injury during pregnancy, but related orthopedic problems may persist or begin following pregnancy. Maternity supports, manual therapy, strengthening or retraining techniques are typical treatments.

For a woman in a high-risk pregnancy, bed rest is often necessary. An individual program is designed, which consists of exercises and positioning. It also incorporates relaxation training into the patient's overall program. Post-delivery rehabilitation including strengthening and endurance training is also included.

Transcutaneous Electrical Nerve Stimulation (TENS) is a non-invasive form of pain management available during the birthing process or after a c-section delivery.

Consultations are also available to address strength, posture and injury prevention during the months following delivery. Abdominal and pelvic muscles tend to be weak during a time when caring for a new baby brings extra physical demands.

Incontinence/Pelvic Floor Weakness
Incontinence is the loss of bladder or bowel control resulting in involuntary loss of urine or stool. Pelvic floor weakness resulting in a loss of muscular support for the bladder, uterus or rectum may be the cause. Incontinence of urine may be termed stress, urgency or frequency. Treatment includes electrical stimulation, biofeedback and exercise, with or without vaginal weights.

Pelvic Floor Tension/Pain
Pelvic floor tension, or pain in the sling of muscles which support the bladder, uterus and rectum, can be caused by muscle, joint or nerve problems. The patient may have difficulty sitting, pain during intercourse or pain in the hips or lower abdomen. Rehabilitation includes pelvic floor relaxation training, manual therapy and biofeedback.

Lymphedema
Lymphedema is a persistent swelling of the arm or leg. It may occur after a mastectomy, when lymph nodes are damaged or removed or following infection or scar formation which blocks the lymphatic fluid flow. Lymphedema may occur weeks, months or years after the initial injury. Exercise, massage and custom-made compression bandaging and compression garments are some of the treatment options.

Osteoporosis
Osteoporosis is a condition in which bones become thin, brittle and break more easily. Therapy programs include instruction in proper body mechanics and exercise, fitting of braces or orthotics, and treatments like moist heat and electrical stimulation to relieve pain.

Fibromyalgia
Fibromyalgia is a chronic condition with persistent and widespread muscle pain, along with specific tender points. Other symptoms may include generalized stiffness, fatigue and anxiety. Treatments to reduce pain and promote function include stretching and strengthening exercises, heat and cold modalities and instruction in proper body mechanics to use throughout daily activities.

To Schedule an Appointment

Carol Kelderman, PT, DPT

Carol Kelderman is a physical therapist who specializes in women’s health.

To schedule an appointment with Carol, please call 641-672-3306.

Location
MHP’s Physical Therapy Department is located at 1229 C Avenue East in Oskaloosa. For directions, please click here.