- General education on the condition and on how physical therapy can help you
- Manual therapy to reduce tension and trigger points in your pelvic floor while the pelvic floor is in a more relaxed state post pelvic floor Botox
- Manual therapy to improve alignment and segmental mobility of your spine and pelvis
- Pelvic floor relaxation
- Relaxation training
- Posture training
- Learning to coordinate your pelvic floor muscles at rest and with functional activity
- Breathing exercises
- Biofeedback to help strengthen or relax your pelvic floor muscles
- Home exercise programs
- Information on diets to help reduce bladder irritants
- Education on how to control leakage or improve excessive frequency and/or urgency
- Electrical stimulation protocols
- When pelvic floor muscle spasms persist in spite of physical therapy, your physician may recommend Botox injections to relax your pelvic floor muscles. Our physical therapists have extensive experience utilizing physical therapy techniques after Botox, and believe it is essential to achieve the maximum benefit from this procedure.
The use of Botox in urology is approved by the FDA. Many studies have found its useful potential in relieving a variety of lower urinary tract dysfunctions including multiple sclerosis, stroke, overactive bladder, interstitial cystitis and spinal cord injury when conventional treatments have failed.
Botox works by preventing release of the chemicals responsible for stimulating bladder contraction; the bladder muscle weakens thereby reducing the spasticity.
Studies have shown that following injection of Botox into the bladder, there was a 70% to 80% decrease in urinary urgency, frequency and leakage episodes.
Possible side effects of using Botox include urinary tract infection, bleeding and difficulty emptying your bladder.
Your physician may recommend that you learn to self-catheterize in the event that you are not able to urinate after your Botox injection, if you do not already have an indwelling catheter in place.
As of yet, there have been no negative systemic affects reported when using Botox in the bladder.