Involuntary loss of urine (also called incontinence). The volume can be small or large and can include daytime or sleeping hours. Sometimes these leaking events are spontaneous, but for most sufferers there is a provoking event. Stress incontinence is when a pressure within or external to your body exceeds the resistance your body is equipped with to keep urine in. Urge incontinence is when the bladder gives you a signal like it’s full and you cannot hold it.

When the bladder gives you signals to go pee too often or too urgently. Many reasons can provoke this. Some are lifestyle and some are related to internal controls not functioning properly.

Urinary hesitancy can occur as one tries to initiate urination and finds it challenging or it can occur after someone has started their urinary flow. The flow may be weak, stop and start, or feel unfinished once it stops.

Diagnosis can be confirmed with urology testing.

Most common symptoms can include painful bladder spasms, pain while peeing or after, overactive bladder, and urinary hesitancy. Many with this condition feel like they have a urinary tract infection but the test usually comes back negative.

Defined as having one or more of the following occur with bowel movements.

1. Not going often enough (textbook says we should go anywhere from 3 times per day to once every 3 days. Whichever is your usual frequency within this range).

2. Straining to get the bowel movement out.

3. The bowel material is hard when it comes out.

Many do not realize constipation can be a silent or not-so-silent trigger for urinary symptoms.

Fecal incontinence is when bowel material exits the body without your permission. The volume of material can vary.

Encopresis is a type of fecal incontinence due to constipation. It’s often associated with lack of sensation of the leaking as it’s occurring. The individual learns about it later because of the smell or seeing it on their underwear.

Mostly specific to females. When one or more of the pelvic organs drops from it’s normal position. It will usually drop down through the vaginal canal. These organs include the bladder (cystocele), rectum (rectocele), uterus (uterocele), urethra (urethrocele), and intestines (enterocele). The rectum can drop down through the anal opening as well (the only version that can happen in men as well).

There are various severities of how far down the prolapse drops.

The sooner you identify you have one and get treated the better chances you have to reverse it.

Many women develop one from having children or entering into menopause. Which is why it’s important to be evaluated around these life events.

Locations include: genitals, buttocks, tailbone, and low back.

Pain can be acute or chronic. Acute means it just started within the past 3 months. Chronic means it’s been ongoing longer than 3 months.

The pain can be constant or come and go. It can also vary with the intensity and type of feeling it creates.

Different things can make the pain worse. Touch, friction, or pressure (including activities related to intercourse) can cause it. Sometimes there is no identifiable trigger.

Dr. Cadie is very passionate about treating people with these conditions. That’s why these conditions made the list and were not simply lumped under the pain category.

Endometriosis is when tissue similar to the uterine lining is found outside the uterus. Think of it like little clusters of webs or growths that respond to the hormones cycling in you’re body and can bleed and sense pain like you’re uterus does. The most common places for these clusters to occur are around the ovaries and other organs in your pelvis - like your bladder and intestines. It can affect any age and the severity of symptoms vary. Sometimes the only sign of it is infertility. More common symptoms are pain, heavy bleeding, irregular periods, urinary and bowel issues.

PCOS (Polycystic Ovarian Syndrome) references an often painful condition where small cysts form around the ovaries in large quantities and the ovary can become enlarged. There is a known hormonal imbalance associated with this condition. In addition to pain, other symptoms include irregular periods, weight gain, infertility, acne and hair growth.

While neither condition can be cured with physical therapy, Dr Cadie can provide many tools to help lessen the severity of your symptoms.

Dr. Cadie has much to offer whether your are experiencing pain, weakness, or just general curiosity about how to keep your body healthy during pregnancy.

She will usually begin working with clients once they have entered into their second trimester.

She has many resources and tools to provide whether you can only attend one visit or the full course.

We also understand many women will not be able to participate due to financial priorities - so we will also be offering group classes at much lower rates. See OTHER SERVICES for details.

Now that you’ve delivered your baby you may find your body needs some help recovering. Some people have pain, some have a lot of weakness, and others just want to know to help it heal optimally.

Dr. Cadie will offer traditional physical therapy avenues of treatment for these concerns but will also be offering group and online classes. See OTHER SERVICES for details.

Prostate cancer treatments usually result in some symptoms Dr. Cadie can help with. Most of these symptoms occur with the surgery to remove the prostate but some experience issues during radiation as well.

Most common symptoms are urinary leaking, muscle weakness, and constipation.

Men report feeling best equipped for their treatment and recovery when they’ve included meeting with a pelvic trained physical therapist before the treatment begins. Men also have more optimal outcomes when the continue seeing their pelvic physical therapist after treatment (especially if surgery was the treatment chosen).

Dr. Cadie will be offering traditional physical therapy services as well as online and group classes. See OTHER SERVICES for details.

Examples of these surgeries include but are not limited to: hernia repair, gallbladder removal, C-section, abdominoplasty, vaginoplasty, prolapse repair, removal of cancer, and hysterectomy.

The goal is to work with your care team to optimize surgical outcomes and healing.